Evidence map›Paper›PMID 26816084›Full record

Trial reportScientific reports2016

Urinary N-methylnicotinamide and β-aminoisobutyric acid predict catch-up growth in undernourished Brazilian children.

Jordi Mayneris-Perxachs, Aldo A M Lima, Richard L Guerrant, Álvaro M Leite, Alessandra F Moura, Noélia L Lima, Alberto M Soares, Alexandre Havt, Sean R Moore, Relana Pinkerton and 1 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 66 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Jordi Mayneris-PerxachsDivision of Computational and Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK.
Aldo A M LimaDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Richard L GuerrantDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Álvaro M LeiteDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Alessandra F MouraDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Noélia L LimaDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Alberto M SoaresDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Alexandre HavtDepartment of Physiology and Pharmacology &INCT-Biomedicine, Faculty of Medicine, Federal Unversity of Ceará, Fortaleza, Ceará, Brazil.
Sean R MooreDivision of Gastroenterology, Hepatology, &Nutrition, Center for Global Health, Department of Pediatrics, Cincinnati Children's Hospital Medical, University of Cincinnati, USA.
Relana PinkertonUVA Center for Global Health, Division of Infectious Diseases and International Health, University of Virginia, School of Medicine, Charlottesville VA, US.
Jonathan R SwannDivision of Computational and Systems Medicine, Department of Surgery and Cancer, Imperial College London, UK.
Universidade Federal do Ceará · BRImperial College London · GBUniversity of Cincinnati · USUniversity of Virginia · US

Funding

Cellular Molecular Mechanisms of Alanyl-Glutamine Oral Rehydration and NutritionK02TW008767 · FIC · CINCINNATI CHILDRENS HOSP MED CTR · PI MOORE, SEAN RYAN · 2011 to 2015
$627k
FIC NIH HHS K02 TW008767
6 · The paper itself

Abstract

Enteric infections, enteropathy and undernutrition in early childhood are preventable risk factors for child deaths, impaired neurodevelopment, and later life metabolic diseases. However, the mechanisms linking these exposures and outcomes remain to be elucidated, as do biomarkers for identifying children at risk. By examining the urinary metabolic phenotypes of nourished and undernourished children participating in a case-control study in Semi-Arid Brazil, we identified key differences with potential relevance to mechanisms, biomarkers and outcomes. Undernutrition was found to perturb several biochemical pathways, including choline and tryptophan metabolism, while also increasing the proteolytic activity of the gut microbiome. Furthermore, a metabolic adaptation was observed in the undernourished children to reduce energy expenditure, reflected by increased N-methylnicotinamide and reduced β-aminoisobutyric acid excretion. Interestingly, accelerated catch-up growth was observed in those undernourished children displaying a more robust metabolic adaptation several months earlier. Hence, urinary N-methylnicotinamide and β-aminoisobutyric acid represent promising biomarkers for predicting short-term growth outcomes in undernourished children and for identifying children destined for further growth shortfalls. These findings have important implications for understanding contributors to long-term sequelae of early undernutrition, including cognitive, growth, and metabolic functions.

Indexed as

Child DevelopmentInfant Nutrition DisordersMalnutritionAminoisobutyric AcidsBrazilChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleNiacinamideRetrospective Studies3-aminoisobutyric acidAminoisobutyric AcidsNiacinamideN-methylnicotinamide

Identifiers

PMID26816084
PMCPMC4728399
OpenAlexW2411626217

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.