ArticlePloS one2019
Anthropometry at birth and at age of routine vaccination to predict mortality in the first year of life: A birth cohort study in BukinaFaso.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.
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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.
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.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Guideline
- Prevalence and risk factors of under-five mortality due to severe acute malnutrition in Africa: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Pooled it
- The relationship between wasting and stunting in young children: A systematic review.Maternal & child nutrition · 2022Pooled it
- Azithromycin for infants at risk of poor growth and development: A pooled secondary analysis of two randomized controlled trials.PloS one · 2025Trial
- Neonatal anthropometric indicators of infant growth and mortality in Burkina Faso.Public health nutrition · 2024Trial
- Trial
- Undernutrition in Infants Aged Under Six Months: A Multi-Center Cross-Sectional Study in Two Governorates in Yemen.Nutrients · 2026Article
- Higher-volume breastmilk to improve growth among preterm infants in Zambia: A randomized clinical trial.Global pediatrics · 2026Article
- Newborn Nutritional Status at Birth and Its Association With Maternal Dietary Practices During Pregnancy in Gamo Zone, Southern Ethiopia: A Path Analysis.Food science & nutrition · 2025Article
- Invisible Pursuit: A Scoping Review of Global Policy for Continuity of Care of Vulnerable Infants Under 6 Months and Their Mothers in Low- and Middle-Income Countries.Children (Basel, Switzerland) · 2025Review
- Malnutrition in infants aged under 6 months: prevalence and anthropometric assessment - analysis of 56 low- and middle-income country DHS datasets.BMJ global health · 2025Article
- Stunting in the first year of life: Pathway analysis of a birth cohort.PLOS global public health · 2024Article
- How Can Nutrition Research Better Reflect the Relationship Between Wasting and Stunting in Children? Learnings from the Wasting and Stunting Project.The Journal of nutrition · 2023Article
- Newborn Mid-Upper Arm Circumference Identifies Low-Birth Weight and Vulnerable Infants: A Secondary Analysis.Current developments in nutrition · 2022Article
- Birth anthropometry predicts neonatal and infant mortality in rural Bangladesh: a focus on circumferential measurements.The American journal of clinical nutrition · 2022Article
- Carers' and health workers' perspectives on malnutrition in infants aged under six months in rural Ethiopia: A qualitative study.PloS one · 2022Article
- Anthropometric Indicators as Predictors of Mortality in Early Life Among Low Birthweight Indian Infants.Frontiers in nutrition · 2022Article
- The perinatal health challenges of emerging and re-emerging infectious diseases: A narrative review.Frontiers in public health · 2022Review
- Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 4 countries.
Funding
Abstract
backgroundThe World Health Organization currently defines severe acute malnutrition (SAM) in infants aged under 6 months of age using weight-for-length Z score (WLZ). Given widespread use of mid-upper arm circumference (MUAC) for identifying SAM in older children and weight-for-age (WAZ) for growth monitoring, there is increasing debate about the optimal anthropometric criteria to best identify infants u6m at-risk of mortality.
objectiveTo determine the discriminatory value for mortality during the first 12 months of life of anthropometry taken at birth and at age two months (approximate age of routine vaccination).
designData were analyzed from a birth cohort recruited between April and December of 2004 at four health facilities within Bansalogho District in Burkina Faso. Infants were followed up for 12 months. Mortality risks were estimated using hazards ratios (HR). Discriminatory value was assessed using receiver operating characteristic curves.
resultsOf 1,103 infants, 227 (21%) were low birthweight (LBW). During 12 months, 86 (7.8%) infants died; 38 (44%) among the LBW group. At birth, MUAC<9.0cm, weight<2.5kg, length<44.2cm and incalculable WLZ were associated with mortality. Sixty (70%) deaths occurred after the age of two months; 26 (43%) among LBW infants. At age two months, any MUAC <11.5cm, weight <3.8kg (WAZ<-3) and length <52.4cm (LAZ<-3) were associated with risk of mortality. WLZ was not associated with mortality at any threshold. Birth weight did not modify the effect of the association between month two MUAC and one-year mortality (P = 0.33).
conclusionInfants at heightened risk of mortality and are better identified during early infancy by MUAC or WFA than by WLZ. LBW infants with low anthropometry at the age of routine immunizations remain at elevated risk than normal birth weight (NBW)infants and require intervention. Effectiveness, cost-effectiveness and coverage of applying proposed thresholds should be investigated as a priority to inform policy and practice.
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