Evidence map›Paper›PMID 28933421›Full record

ReviewNature reviews. Disease primers2017

Severe childhood malnutrition.

Zulfiqar A Bhutta, James A Berkley, Robert H J Bandsma, Marko Kerac, Indi Trehan, André Briend

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 237 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
237citing papers in PubMed, 11 pooled it
13.2field-weighted citation impact, top 1% 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.

NCT05629624 nacompletednot on this mapstarted 2022, after this paper: background citation

Multidimensional Evaluation of the Early Emergence of Executive Function and Emotional Regulation in Young Children in Bangladesh Using Nutritional and Psychosocial Intervention: A Pilot Study

TypeinterventionalSponsorBoston Children's HospitalRan2022 to 2025Enrolled297ConditionsExecutive Function Disorder, Emotional Regulation, Malnutrition, ChildArmsChickpea based RUSF, E-RUSF, Outcome reference group/RUSF
NCT06846749 phase1active not recruitingnot on this mapstarted 2025, after this paper: background citation

Reduced Calorie Feeds in the Early Management of Ill Severely Malnourished Children: A Phase I Clinical Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2025 to 2026Enrolled135ConditionsMalnutrition, Severe Acute, Malnutrition, Child, Malnutrition, InfantArmsF75 milk feeds, F50 milk feeds, F35 milk feeds
NCT07225153 narecruitingnot on this mapstarted 2025, after this paper: background citation

Goat Milk-Derived Formula Alternatives vs. Undiluted Goat Milk in Babies Unable to Exclusively Breastfeed: Analysis of Growth Metrics and Biological Markers

TypeinterventionalSponsorAga Khan UniversityRan2025 to 2026Enrolled15ConditionsMalnutrition (Calorie), Infant Nutrition Disorder, Growth Flatering, Gut MicrobiomeArmsGMDFA, Undiluted Goat Milk
3 · Its place in the literature

Who cites it

237 citing papers in PubMed, 11 syntheses or guidelines pooled it, 482 citations in OpenAlex.

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  4. Preventing malnutrition within the first 1000 days of life in under-resourced communities: An integrative literature review.Journal of child health care : for professionals working with children in the hospital and community · 2024
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177 more citing papers are in PubMed but not listed here.

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 7 countries.

Zulfiqar A BhuttaCentre for Global Child Health, Hospital for Sick Children, Peter Gilgan Centre for Research &Learning, 686 Bay Street, Toronto, Ontario, M5G 0A4, Canada.
James A BerkleyClinical Research Department, KEMRI/Wellcome Trust Research Programme, Kilifi, Kenya.
Robert H J BandsmaCentre for Global Child Health, Hospital for Sick Children, Peter Gilgan Centre for Research &Learning, 686 Bay Street, Toronto, Ontario, M5G 0A4, Canada.
Marko KeracDepartment of Population Health, London School of Hygiene &Tropical Medicine, London, UK.
Indi TrehanLao Friends Hospital for Children, Luang Prabang, Laos.
André BriendDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
University of Malawi · MWCentre for Global Health Research · CALondon School of Hygiene & Tropical Medicine · GBUniversity of Copenhagen · DKUniversity of Oxford · GB

Funding

Medical Research Council MR/M007367/1Wellcome Trust 203077
6 · The paper itself

Abstract

The main forms of childhood malnutrition occur predominantly in children <5 years of age living in low-income and middle-income countries and include stunting, wasting and kwashiorkor, of which severe wasting and kwashiorkor are commonly referred to as severe acute malnutrition. Here, we use the term 'severe malnutrition' to describe these conditions to better reflect the contributions of chronic poverty, poor living conditions with pervasive deficits in sanitation and hygiene, a high prevalence of infectious diseases and environmental insults, food insecurity, poor maternal and fetal nutritional status and suboptimal nutritional intake in infancy and early childhood. Children with severe malnutrition have an increased risk of serious illness and death, primarily from acute infectious diseases. International growth standards are used for the diagnosis of severe malnutrition and provide therapeutic end points. The early detection of severe wasting and kwashiorkor and outpatient therapy for these conditions using ready-to-use therapeutic foods form the cornerstone of modern therapy, and only a small percentage of children require inpatient care. However, the normalization of physiological and metabolic functions in children with malnutrition is challenging, and children remain at high risk of relapse and death. Further research is urgently needed to improve our understanding of the pathophysiology of severe malnutrition, especially the mechanisms causing kwashiorkor, and to develop new interventions for prevention and treatment.

Indexed as

MalnutritionChildHumansSeverity of Illness Index

Identifiers

PMID28933421
PMCPMC7004825
OpenAlexW2754934236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.