Evidence map›Paper›PMID 26639151›Full record

Trial reportPublic health nutrition2016

Leaf concentrate compared with skimmed milk as nutritional supplementation for HIV-infected children: a randomized controlled trial in Burundi.

Simon M Collin, Bernard Leclercq, Novat Twungubumwe, Laurent Andréoletti, François-Christophe Richardier, Eric Bertin

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 5 countries.

Simon M Collin1Centre for Child & Adolescent Health,School of Social & Community Medicine,University of Bristol,Oakfield House,Oakfield Grove,Bristol BS8 2BN UK.ORCID 0000-0002-1239-1681
Bernard Leclercq2Association pour la Promotion des Extraits Foliaires en Nutrition (APEF),Trigny,France.
Novat Twungubumwe3Institut National de Santé Publique (INSP),Bujumbura,Burundi.
Laurent Andréoletti4Medical and Molecular Virology Unit and EA-484 University Hospital Center and Medical School of Reims,Reims,France.
François-Christophe Richardier2Association pour la Promotion des Extraits Foliaires en Nutrition (APEF),Trigny,France.
Eric Bertin5Department of Nutrition,University of Reims Champagne-Ardenne (URCA),Reims,France.
Trocaire College · USCentre Hospitalier Universitaire de Reims · FRMinistère de la Santé Publique · BIUniversité de Reims Champagne-Ardenne · FRUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe effectiveness of leaf concentrate powder (LCP) as a nutritional supplement was established in trials conducted among adolescent girls and pregnant women in India. Here we evaluate LCP, compared with skimmed milk powder (SMP), as a supplement for antiretroviral-naïve children living with HIV in a sub-Saharan African country.

designRandomized controlled, two-arm, 6-month trial comparing effects of isoproteic (5 g) LCP (10 g daily) and SMP (15 g daily) on HIV-1 viral load, CD4+ cell count/percentage, weight/height-for-age, general blood parameters, diarrhoea, respiratory and HIV-related opportunistic infections.

settingBujumbura and Kirundo, Burundi. SUBJECTS: Eighty-three HIV-positive, antiretroviral-naïve children aged 5-14 years: median (range) CD4+ count, 716 (361-1690) cells/mm3; log10 HIV-1 viral load, 4·39 (1·79-6·00).

resultsLCP was equivalent to SMP in relation to HIV-specific blood parameters and did not demonstrate superiority over SMP in relation to Hb. Three children in each arm (LCP, 7·1 % (3/42); SMP, 7·3 % (3/41)) proceeded to antiretroviral therapy because their CD4+ counts fell below 350 cells/mm3. Children in the LCP group reported higher levels of appetite and overall health at 6 months. There were no differences in clinical events or any other outcome measures. LCP was less palatable than SMP to the children in this population, but there were few negative perceptions of appearance, texture and taste.

conclusionsLCP appears to be equivalent to SMP as a nutritional supplement in this population, despite slightly lower palatability. In relation to viral load and CD4+ count, equivalence may indicate no effect in either group. Effectiveness relative to no supplementation remains to be determined.

Indexed as

Dietary SupplementsHIV InfectionsMilkAdolescentAnimalsBurundiCD4 Lymphocyte CountChildChild, PreschoolFemaleHumansMalePlant PreparationsPlant PreparationsBurundiHIVLeaf concentrateMilk powderPaediatric

Identifiers

PMID26639151
PMCPMC10271179
OpenAlexW2192072667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.