Evidence map›Paper›PMID 31133540›Full record

ArticleEBioMedicine2019

Childhood growth and neurocognition are associated with distinct sets of metabolites.

G Brett Moreau, Girija Ramakrishnan, Heather L Cook, Todd E Fox, Uma Nayak, Jennie Z Ma, E Ross Colgate, Beth D Kirkpatrick, Rashidul Haque, William A Petri

Abstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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

32 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

G Brett MoreauDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA.
Girija RamakrishnanDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA.
Heather L CookDepartment of Statistics, University of Virginia, Charlottesville, VA, USA.
Todd E FoxDepartment of Pharmacology, University of Virginia, Charlottesville, VA, USA.
Uma NayakCenter for Public Health Genomics, University of Virginia, Charlottesville, VA, USA.
Jennie Z MaDepartment of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
E Ross ColgateVaccine Testing Center, Department of Microbiology and Molecular Genetics, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Beth D KirkpatrickVaccine Testing Center, Department of Microbiology and Molecular Genetics, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Rashidul HaqueInternational Centre for Diarrheal Disease Research, Dhaka, Bangladesh.
William A PetriDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, USA. Electronic address: wap3g@virginia.edu.

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jay William FOX · 1987 to 2026
$72.1M
FIELD STUDIES OF IMMUNITY TO AMEBIASIS IN BANGLADESHR01AI043596 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI CAROL A GILCHRIST, William A Petri · 1998 to 2026
$7.7M
NCI NIH HHS P30 CA044579NIAID NIH HHS R01 AI043596
6 · The paper itself

Abstract

backgroundUndernutrition is a serious global problem that contributes to increased child morbidity and mortality, impaired neurocognitive development, and decreased educational and economic attainment. Current interventions are only marginally effective, and identification of associated metabolic pathways can offer new strategies for intervention.

methodsPlasma samples were collected at 9 and 36 months from a subset of the PROVIDE child cohort (n = 130). Targeted metabolomics was performed on bile acids, acylcarnitines, amino acids, phosphatidylcholines, and sphingomyelins. Metabolic associations with linear growth and neurocognitive outcomes at four years were evaluated using correlation and penalized-linear regression analysis as well as conditional random forest modeling.

findingsDifferent metabolites were associated with growth and neurocognitive outcomes. Improved growth outcomes were associated with higher concentrations of hydroxy-sphingomyelin and essential amino acids and lower levels of acylcarnitines and bile acid conjugation. Neurocognitive scores were largely associated with phosphatidylcholine species and early metabolic indicators of inflammation. All metabolites identified explain ~45% of growth and neurocognitive variation.

interpretationGrowth outcomes were predominantly associated with metabolites measured early in life (9 months), many of which were biomarkers of insufficient diet, environmental enteric dysfunction, and microbiome disruption. Hydroxy-sphingomyelin was a significant predictor of improved growth. Neurocognitive outcome was predominantly associated with 36 month phosphatidylcholines and inflammatory metabolites, which may serve as important biomarkers of optimal neurodevelopment. The distinct sets of metabolites associated with growth and neurocognition suggest that intervention may require targeted approaches towards distinct metabolic pathways. FUND: Bill & Melinda Gates Foundation (OP1173478); National Institutes of Health (AI043596, CA044579).

Indexed as

Child DevelopmentCognitionEnergy MetabolismBangladeshBiomarkersChildData AnalysisFemaleFollow-Up StudiesHumansMaleMetabolic Networks and PathwaysMetabolomeMetabolomicsBiomarkersChildhoodMetabolomicsNeurocognitionPhosphatidylcholineSphingomyelinStunting

Identifiers

PMID31133540
PMCPMC6604877

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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.