Evidence map›Paper›PMID 30533212›Full record

ArticleMalaria research and treatment2018

Malaria and Malnutrition: Kwashiorkor Associated with Low Levels of Parasitaemia.

Per Fevang, Kirsten Havemann, Børre Fevang, Arne T Høstmark

Open access · diamondAbstract read
In one paragraph

Article in Malaria research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Nutrients · 2021
    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

4 authors at 3 institutions in 2 countries.

Per FevangResearch Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-2812-4358
Kirsten HavemannDanish Ministry of Foreign Affairs, Copenhagen, Denmark.ORCID 0000-0003-4534-3990
Børre FevangResearch Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-6828-0609
Arne T HøstmarkDepartment of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0003-4192-4755
Oslo University Hospital · NOMinistry of Foreign Affairs of Denmark · DKUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between protein energy malnutrition (PEM) and malaria is controversial. While most studies demonstrate that PEM is associated with greater malaria morbidity, some indicate that PEM may in fact have a protective effect. PEM is differentiated into three subgroups: kwashiorkor (marked protein deficiency), marasmus (calorie deficiency), and kwashiorkor/marasmus. None of the studies concerning PEM and malaria seem to distinguish between these subgroups, and significant differences in susceptibility to malaria between these subgroups may have been overlooked. Plasmodium parasites and malaria infected erythrocytes are sensitive to oxidative stress. Since kwashiorkor patients seem to display an excess of prooxidants and as serum albumin is an important antioxidant, we hypothesized that patients with different forms of PEM might have different levels of malaria parasitaemia.

methods72 PEM children older than 6 months admitted to Kwale Family Life Training Programme (Kenya) were included in the study.

resultsMean parasitaemia was significantly lower in the kwashiorkor group than in the marasmus group (p < 0,001). There was no correlation between serum albumin and parasitaemia.

conclusionOur study suggests a protective effect of kwashiorkor against malaria, warranting further studies.

Identifiers

PMID30533212
PMCPMC6247571
OpenAlexW2893151693

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.