Evidence map›Paper›PMID 31281394›Full record

ArticleInternational journal of pediatrics2019

Longer Breastfeeding Associated with Childhood Anemia in Rural South-Eastern Nigeria.

Sean Buck, Kevin Rolnick, Amanda A Nwaba, Jens Eickhoff, Kelechi Mezu-Nnabue, Emma Esenwah, Olachi J Mezu-Ndubuisi

Open access · goldAbstract read
In one paragraph

Article in International journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  9. A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010-2015.Medical science monitor : international medical journal of experimental and clinical research · 2020
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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

7 authors at 3 institutions in 2 countries.

Sean BuckDepartment of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA.
Kevin RolnickDepartment of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA.
Amanda A NwabaVanderbilt University, Nashville, TN, USA.
Jens EickhoffDepartment of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA.
Kelechi Mezu-NnabueMezu International Foundation, Pikesville, MD, USA.
Emma EsenwahFederal University of Technology, Owerri, Imo State, Nigeria.
Olachi J Mezu-NdubuisiDepartment of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, WI, USA.ORCID 0000-0002-6930-1747
University of Wisconsin–Madison · USFederal University of Technology Owerri · NGVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChild mortality rate in sub-Saharan Africa is 29 times higher than that in industrialized countries. Anemia is one of the preventable causes of child morbidity. During a humanitarian medical mission in rural South-Eastern Nigeria, the prevalence and risk factors of anemia were determined in the region in order to identify strategies for reduction.

methodsA cross-sectional study was done on 96 children aged 1-7 years from 50 randomly selected families. A study questionnaire was used to collect information regarding socioeconomic status, family health practices, and nutrition. Anemia was diagnosed clinically or by point of care testing of hemoglobin (Hb) levels.

results96 children were selected for the study; 90 completed surveys were analyzed (43% male and 57% females). Anemia was the most prevalent clinical morbidity (69%), followed by intestinal worm infection (53%) and malnutrition (29%). Mean age (months) at which breastfeeding was stopped was 11.8 (±2.2) in children with Hb <11mg/dl (severe anemia), 10.5±2.8 in those with Hb = 11-11.9mg/dl (mild-moderate anemia), and 9.4±3.9 in children with Hb >12mg/dl (no anemia) (P=0.0445).

conclusionsThe longer the infant was breastfed, the worse the severity of childhood anemia was. Childhood anemia was likely influenced by the low iron content of breast milk in addition to maternal anemia and poor nutrition. A family-centered preventive intervention for both maternal and infant nutrition may be more effective in reducing childhood anemia and child mortality rate in the community.

Identifiers

PMID31281394
PMCPMC6590490
OpenAlexW2950881443

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.