Evidence map›Paper›PMID 32939530›Full record

ArticleThe Journal of nutrition2021

Higher Energy and Zinc Intakes from Complementary Feeding Are Associated with Decreased Risk of Undernutrition in Children from South America, Africa, and Asia.

Bruna L L Maciel, Priscila N Costa, José Q Filho, Samilly A Ribeiro, Francisco A P Rodrigues, Alberto M Soares, Francisco S Júnior, Ramya Ambikapathi, Elizabeth T R McQuade, Margaret Kosek and 9 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 12 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

19 authors at 10 institutions in 6 countries.

Bruna L L MacielNutrition Postgraduation Program, Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil.
Priscila N CostaNutrition Postgraduation Program, Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil.
José Q FilhoINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Samilly A RibeiroINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Francisco A P RodriguesINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Alberto M SoaresINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Francisco S JúniorINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Ramya AmbikapathiDepartment of Public Health, Purdue University, West Lafayette, IN, USA.
Elizabeth T R McQuadeDepartment of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
Margaret KosekDepartment of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tahmeed AhmedDivision of Nutrition and Clinical Services, icddr,b, Dhaka, Bangladesh.
Pascal BessongUniversity of Venda, Thohoyandou, South Africa.
Gangadeep KangDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Sanjaya ShresthraWalter Reed/Armed Forces Research Institute of Medical Sciences (AFRIMS) Research Unit, Nepal (WARUN), Kathmandu, Nepal.
Estomih MdumaHaydom Global Health Research Centre, Haydom Lutheran Hospital, Haydom, Tanzania.
Eliwaza BayoHaydom Global Health Research Centre, Haydom Lutheran Hospital, Haydom, Tanzania.
Richard L GuerrantCenter for Global Health, Division of Infectious Diseases and International Health, University of Virginia School of Medicine, Charlottesville, VA, USA.
Laura E CaulfieldCenter for Human Nutrition, Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Aldo A M LimaINCT-Instituto de Biomedicina do Semiárido Brasileiro(IBISAB), Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.
Universidade Federal do Ceará · BRHaydom Lutheran Hospital · TZJohns Hopkins University · USUniversidade Federal do Rio Grande do Norte · BRCenter for Global Health · USChristian Medical College, Vellore · INInternational Centre for Diarrhoeal Disease Research · BDPurdue University West Lafayette · USUniversity of Venda · ZAUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have focused on quantitatively analyzing nutrients from infant diets, compromising complementary feeding evaluation and health promotion worldwide.

objectivesThis study aimed to describe dietary intake in infants from 9 to 24 mo of age, determining nutrient intakes associated with the risk of underweight, wasting, and stunting.

methodsUsual nutrient intakes from complementary feeding were determined by 24-h recalls collected when infants were 9-24 mo of age in communities from 7 low- and middle-income countries: Brazil (n = 169), Peru (n = 199), South Africa (n = 221), Tanzania (n = 210), Bangladesh (n = 208), India (n = 227), and Nepal (n = 229), totaling 1463 children and 22,282 food recalls. Intakes were corrected for within- and between-person variance and energy intake. Multivariable regression models were constructed to determine nutrient intakes associated with the development of underweight, wasting, and stunting at 12, 18, and 24 mo of age.

resultsChildren with malnutrition presented significantly lower intakes of energy and zinc at 12, 18, and 24 mo of age, ranging from -16.4% to -25.9% for energy and -2.3% to -48.8% for zinc. Higher energy intakes decreased the risk of underweight at 12 [adjusted odds ratio (AOR): 0.90; 95% CI: 0.84, 0.96] and 24 mo (AOR: 0.91; 95% CI: 0.86, 0.96), and wasting at 18 (AOR: 0.91; 95% CI: 0.83, 0.99) and 24 mo (AOR: 0.83; 95% CI: 0.74, 0.92). Higher zinc intakes decreased the risk of underweight (AOR: 0.12; 95% CI: 0.03, 0.55) and wasting (AOR: 0.19; 95% CI: 0.04, 0.92) at 12 mo, and wasting (AOR: 0.05; 95% CI: 0.00, 0.76) at 24 mo.

conclusionsHigher intakes of energy and zinc in complementary feeding were associated with decreased risk of undernutrition in the studied children. Data suggest these are characteristics to be improved in children's complementary feeding across countries.

Indexed as

Energy IntakeInfant Nutritional Physiological PhenomenaMalnutritionNutritional StatusAfricaAsiaDeveloping CountriesDietFemaleFood AnalysisHumansInfantInfant Nutrition DisordersLogistic ModelsMaleNutritional RequirementsZincchild nutritiondietary intakeenergynutrient intakezinc

Identifiers

PMID32939530
PMCPMC7779220
OpenAlexW3087048911

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.