Evidence map›Paper›PMID 33713924›Full record

Trial reportSocial science & medicine (1982)2021

Influence of enhanced nutrition and psychosocial stimulation in early childhood on cognitive functioning and psychological well-being in Guatemalan adults.

María J Ramírez-Luzuriaga, Ann M DiGirolamo, Reynaldo Martorell, Manuel Ramírez-Zea, Rachel Waford, Aryeh D Stein

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cognitive underpinnings of COVID-19 vaccine hesitancy.Social science & medicine (1982) · 2022
    Article
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

6 authors.

María J Ramírez-LuzuriagaNutrition and Health Science Program, Laney Graduate School, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA.
Ann M DiGirolamoGeorgia Health Policy Center, Georgia State University, 55 Park Place NE, Eighth Floor, Park Pl NE, Atlanta, GA, 30303, USA.
Reynaldo MartorellNutrition and Health Science Program, Laney Graduate School, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA.
Manuel Ramírez-ZeaINCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Calzada Roosevelt 6-25 zona 11, Guatemala City, Guatemala.
Rachel WafordNutrition and Health Science Program, Laney Graduate School, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA.
Aryeh D SteinNutrition and Health Science Program, Laney Graduate School, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, 201 Dowman Drive, Atlanta, GA, 30322, USA. Electronic address: aryeh.stein@emory.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleEarly-life nutrition interventions in low and middle-income countries have demonstrated long-term benefits on cognitive skills, however, their influence on socioemotional outcomes has not been fully explored. Moreover, the mediating processes through which nutrition intervention effects operate and are maintained over time are understudied.

methodsWe followed-up a cohort of Guatemalan adults who participated as children in a community randomized food-supplementation trial. We examined associations of exposure to nutritional supplementation from conception to age 2 years with executive function (measured using three sub-tests of the NIH Toolbox Cognition Battery) and psychological well-being (measured using two sub-scales of the NIH Toolbox Emotion Battery) at ages 40-57 years (n = 1268). We used structural equation modeling to investigate the mediating role of psychosocial stimulation (measured in childhood using parent reports and ratings of home environments), cognitive ability (measured at ages 26-42 years using standardized tests), and executive function on the association of early-life exposure to nutritional supplementation with adult psychological well-being (n = 1640).

resultsWe found positive but inconsistent associations of nutritional supplementation in childhood with executive function and psychological well-being in adulthood. Psychosocial stimulation, cognitive ability, and executive function did not mediate the association of early-life nutritional supplementation with adult psychological well-being. We found strong and positive associations of psychosocial stimulation in childhood with cognitive ability, executive function, and psychological well-being in adulthood. Moreover, we observed no interaction of exposure to nutritional supplementation and psychosocial stimulation in childhood with cognitive and psychological well-being outcomes in adulthood.

conclusionOur findings suggest that childhood nutrition interventions have long-lasting effects on cognitive ability and psychological well-being outcomes.

Indexed as

Child DevelopmentCognitionDietary SupplementsExecutive FunctionAdultChildChild, PreschoolHumansMiddle AgedNutritional StatusCognitive abilityExecutive functionNutrition interventionsPsychological well-beingPsychosocial stimulationStructural equation modeling

Identifiers

PMID33713924
PMCPMC8024786

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.