Evidence map›Paper›PMID 32047925›Full record

Trial reportThe American journal of clinical nutrition2020

The effect of legume supplementation on the gut microbiota in rural Malawian infants aged 6 to 12 months.

M Isabel Ordiz, Stefan Janssen, Greg Humphrey, Gail Ackermann, Kevin Stephenson, Sophia Agapova, Oscar Divala, Yankho Kaimila, Ken Maleta, Caroline Zhong and 5 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02472262 (Randomized, Single-blinded, Prospective Clinical Trials Comparing the Impact of Legumes vs Corn-soy Flour on Environmental Enteric Dysfunction and Stunting in Rural Malawian Children 6-11 Months), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 10% 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.

NCT02472262 nacompletednot on this map

Randomized, Single-blinded, Prospective Clinical Trials Comparing the Impact of Legumes vs Corn-soy Flour on Environmental Enteric Dysfunction and Stunting in Rural Malawian Children 6-11 Months

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2016Enrolled355ConditionsEnteropathyArmsCow pea complementary food, Corn soy flour, Common bean
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 21 citations in OpenAlex.

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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

15 authors at 4 institutions in 2 countries.

M Isabel OrdizDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Stefan JanssenDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Greg HumphreyDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Gail AckermannDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Kevin StephensonDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Sophia AgapovaDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Oscar DivalaDepartment of Community Health, College of Medicine, University of Malawi, Malawi.
Yankho KaimilaDepartment of Community Health, College of Medicine, University of Malawi, Malawi.
Ken MaletaDepartment of Community Health, College of Medicine, University of Malawi, Malawi.
Caroline ZhongDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Rob KnightDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Indi TrehanDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Phillip I TarrDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Brigida RusconiDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Mark J ManaryDepartment of Pediatrics, Washington University at St. Louis, St. Louis, MO, USA.
Washington University in St. Louis · USUniversity of California San Diego · USUniversity of Malawi · MWAgricultural Research Service · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommon bean and cowpea contain about 25% protein and 25% fiber, and are recommended as complementary foods in sub-Saharan Africa.

objectiveThe objective of this study was to determine if a daily legume supplement given to Malawian infants aged 6 to 12 mo alters the 16S configuration of the fecal microbiota as read out by amplicon sequence variants (ASVs).

methodsThis study was conducted within the context of a randomized, double-blind, controlled clinical trial to assess whether cowpea or common bean supplementation reduced intestinal permeability or increased linear growth. There were 2 village clusters in which the study was conducted. Fresh stool collections were flash frozen from 236 infants at ≤6 time points. The stools were sequenced using Earth Microbiome project protocols and data were processed using Qiime and Qiita, open-source, validated software packages. α-diversity was measured using the Faith's test. The 16S configuration was characterized by determining the weighted UniFrac distances of the ASVs and comparing them using permutational multivariate ANOVA.

resultsAmong the 1249 samples analyzed, the α-diversity of the fecal microbiome was unchanged among subjects after initiation of legume supplementation. Neither cowpea nor common bean altered the overall 16S configuration at any age. The 16S configuration differed between children with adequate and poor linear growth aged from 6 to 9 mo, but no specific ASVs differed in relative abundance. The 16S configuration differed between children with normal and abnormal intestinal permeability at 9 mo, but no specific ASVs differed in relative abundance. Among categorical characteristics of the population associated with different 16S configurations, village cluster was most pronounced.

conclusionLegume supplementation in breastfed, rural African infants did not affect the structure of the gut microbial communities until the children were aged 9 mo. This trial was registered at clinicaltrials.gov as NCT02472262.

Indexed as

Gastrointestinal MicrobiomeBacteriaBreast FeedingDouble-Blind MethodFabaceaeFecesFemaleHumansInfantInfant Nutritional Physiological PhenomenaIntestinesMalawiMaleRural PopulationAfrican infantscowpeafecal microbiotaLactobacillus mucosaelegumesVeillonella spp

Identifiers

PMID32047925
PMCPMC8287943
OpenAlexW3005620800

What OpenQuestion holds

Textmetadata
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.