Evidence map›Paper›PMID 28499715›Full record

Trial reportThe Journal of pediatrics2017

Infant Nutritional Status and Markers of Environmental Enteric Dysfunction are Associated with Midchildhood Anthropometry and Blood Pressure in Tanzania.

Lindsey M Locks, Ramadhani S Mwiru, Expeditho Mtisi, Karim P Manji, Christine M McDonald, Enju Liu, Roland Kupka, Rodrick Kisenge, Said Aboud, Kerri Gosselin and 4 more

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT00197730 phase3completednot on this map

Trial of Vitamins Among Children of HIV-infected Women

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2004 to 2008Enrolled2,387ConditionsHIV Infections, Pregnancy ComplicationsArmsMultivitamins - vitamins B complex, C and E, Placebo
NCT00421668 phase3completednot on this map

A Trial of Zinc and Micronutrients in Tanzanian Children

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2012Enrolled2,400ConditionsDiarrheal Illnesses, Respiratory Illness, Growth FalteringArmsZinc, Multivitamins, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

14 authors at 7 institutions in 2 countries.

Lindsey M LocksDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.
Ramadhani S MwiruManagement and Development for Health, Dar es Salaam, Tanzania.
Expeditho MtisiAfrican Academy for Public Health, Dar es Salaam, Tanzania.
Karim P ManjiDepartments of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Christine M McDonaldDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Enju LiuClinical Research Center, Boston Children's Hospital, Boston, MA.
Roland KupkaDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; UNICEF Headquarters, New York, NY.
Rodrick KisengeDepartments of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Said AboudDepartment of Microbiology and Immunology, Muhimbili University of Health Sciences, Dar es Salaam, Tanzania.
Kerri GosselinDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Matthew GillmanDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Population Medicine, Harvard Medical School, Boston, MA.
Andrew T GewirtzInstitute of Biomedical Sciences, Georgia State University, Atlanta, GA.
Wafaie W FawziDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA.
Christopher P DugganDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; Departments of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA. Electronic address: christopher.duggan@childrens.harvard.edu.
Harvard University · USBoston Children's Hospital · USMuhimbili University of Health and Allied Sciences · TZAfrica Academy for Public Health · TZGeorgia State University · USManagement and Development for Health · TZUnited Nations Children's Fund · US

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI JERROLD R. TURNER · 1986 to 2026
$32.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Trial of Vitamins among Children of HIV-infected MothersR01HD043688 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 2003 to 2007
$2.7M
A Trial of Zinc and Micronutrients in Tanzanian ChildrenR01HD048969 · NICHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI DUGGAN, CHRISTOPHER P · 2006 to 2010
$2.0M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NICHD NIH HHS K24 HD058795NICHD NIH HHS R01 HD043688NICHD NIH HHS R01 HD048969NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK034854NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

objectiveTo assess whether growth and biomarkers of environmental enteric dysfunction in infancy are related to health outcomes in midchildhood in Tanzania. STUDY

designChildren who participated in 2 randomized trials of micronutrient supplements in infancy were followed up in midchildhood (4.6-9.8 years of age). Anthropometry was measured at age 6 and 52 weeks in both trials, and blood samples were available from children at 6 weeks and 6 months from 1 trial. Linear regression was used for height-for-age z-score, body mass index-for-age z-score, and weight for age z-score, and blood pressure analyses; log-binomial models were used to estimate risk of overweight, obesity, and stunting in midchildhood.

resultsOne hundred thirteen children were followed-up. Length-for-age z-score at 6 weeks and delta length-for-age z-score from 6 to 52 weeks were associated independently and positively with height-for-age z-score and inversely associated with stunting in midchildhood. Delta weight-for-length and weight-for-age z-score were also positively associated with midchildhood height-for-age z-score. The 6-week and delta weight-for-length z-scores were associated independently and positively with midchildhood body mass index-for-age z-score and overweight, as was the 6-week and delta weight-for-age z-score. Delta length-for-age z-score was also associated with an increased risk of overweight in midchildhood. Body mass index-for-age z-score in midchildhood was associated positively with systolic blood pressure. Serum anti-flagellin IgA concentration at 6 weeks was also associated with increased blood pressure in midchildhood.

conclusionsAnthropometry at 6 weeks and growth in infancy independently predict size in midchildhood, while anti-flagellin IgA, a biomarker of environmental enteric dysfunction, in early infancy is associated with increased blood pressure in midchildhood. Interventions in early life should focus on optimizing linear growth while minimizing excess weight gain and environmental enteric dysfunction.

trial registrationClinicalTrials.gov: NCT00197730 and NCT00421668.

Indexed as

AnthropometryInfant Nutritional Physiological PhenomenaNutritional StatusBiomarkersBlood PressureChildEnvironmentFemaleFollow-Up StudiesHumansInfantMaleTanzaniaBiomarkerschild healthgrowthnutrition transition

Identifiers

PMID28499715
PMCPMC5533170
OpenAlexW2612954227

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.