Evidence map›Paper›PMID 33915788›Full record

Trial reportNutrients2021

Early-Life Metabolic and Hormonal Markers in Blood and Growth until Age 2 Years: Results from a Randomized Controlled Trial in Healthy Infants Fed a Modified Low-Protein Infant Formula.

Stefanie M P Kouwenhoven, Manja Fleddermann, Martijn J J Finken, Jos W R Twisk, Eline M van der Beek, Marieke Abrahamse-Berkeveld, Bert J M van de Heijning, Dewi van Harskamp, Johannes B van Goudoever, Berthold V Koletzko

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Higher versus lower protein intake in formula-fed term infants.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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

10 authors at 5 institutions in 2 countries.

Stefanie M P KouwenhovenEmma Children's Hospital, Vrije Universiteit, University of Amsterdam, Amsterdam UMC, 1081 Amsterdam, The Netherlands.
Manja FleddermannDepartment of Peadiatrics, Dr. von Hauner Children's Hospital, LMU University Hospitals, LMU-Ludwig-Maximilians-Universität Munich, 80337 Munich, Germany.
Martijn J J FinkenDepartment of Paediatric Endocrinology, Emma Children's Hospital, Vrije Universiteit, Amsterdam UMC, 1081 Amsterdam, The Netherlands.ORCID 0000-0002-6589-9788
Jos W R TwiskEpidemiology and Data Science, Amsterdam UMC, 1081 Amsterdam, The Netherlands.
Eline M van der BeekDepartment of Pediatrics, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands.
Marieke Abrahamse-BerkeveldDanone Nutricia Research, 3584 Utrecht, The Netherlands.
Bert J M van de HeijningDanone Nutricia Research, 3584 Utrecht, The Netherlands.
Dewi van HarskampStable Isotope Laboratory, University of Amsterdam, Amsterdam UMC, 1105 Amsterdam, The Netherlands.ORCID 0000-0002-7277-3323
Johannes B van GoudoeverEmma Children's Hospital, Vrije Universiteit, University of Amsterdam, Amsterdam UMC, 1081 Amsterdam, The Netherlands.ORCID 0000-0003-3960-1703
Berthold V KoletzkoDepartment of Peadiatrics, Dr. von Hauner Children's Hospital, LMU University Hospitals, LMU-Ludwig-Maximilians-Universität Munich, 80337 Munich, Germany.ORCID 0000-0002-5345-7165
Emma Kinderziekenhuis · NLAmsterdam University Medical Centers · NLDanone (Netherlands) · NLLudwig-Maximilians-Universität München · DEUniversity Medical Center Groningen · NL

Funding

Danone Nutricia ResearchEuropean Research Council META-GROWTH ERC-2012-AdG-no.322605Seventh Framework Programme 289346
6 · The paper itself

Abstract

backgroundHigh protein intake in early life is associated with an increased risk of childhood obesity. Dietary protein intake may be a key mechanistic modulator through alterations in endocrine and metabolic responses.

objectiveWe aimed to determine the impact of different protein intake of infants on blood metabolic and hormonal markers at the age of four months. We further aimed to investigate the association between these markers and anthropometric parameters and body composition until the age of two years.

designTerm infants received a modified low-protein formula (mLP) (1.7 g protein/100 kcal) or a specifically designed control formula (CTRL) (2.1 g protein/100 kcal) until 6 months of age in a double blinded RCT. The outcomes were compared with a breast-fed (BF) group. Glucose, insulin, leptin, IGF-1, IGF-BP1, -BP2, and -BP3 levels were measured at the age of 4 months. Anthropometric parameters and body composition were assessed until the age of 2 years. Groups were compared using linear regression analysis.

resultsNo significant differences were observed in any of the blood parameters between the formula groups (

conclusionsReducing protein intake by 20% did not result in a different metabolic profile in formula-fed infants at 4 months of age. Formula-fed infants had a lower insulin sensitivity compared to breast-fed infants. We found associations between all metabolic and hormonal markers (except for IGF-1) determined at age 4 months and growth and body composition up to two years of age.

Indexed as

Infant Nutritional Physiological PhenomenaBiomarkersBlood GlucoseBody CompositionChild DevelopmentDietary ProteinsFemaleHumansInfantInfant FormulaInsulinInsulin-Like Growth Factor Binding ProteinsInsulin-Like Growth Factor ILeptinMaleBiomarkersBlood GlucoseDietary ProteinsInsulinInsulin-Like Growth Factor Binding ProteinsInsulin-Like Growth Factor ILeptinbody compositionchildhood obesityearly childhoodgrowthinfant nutritionprotein intake

Identifiers

PMID33915788
PMCPMC8067012
OpenAlexW3142432207

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.