Evidence map›Paper›PMID 34095882›Full record

ArticleCell reports. Medicine2021

Modifying gut integrity and microbiome in children with severe acute malnutrition using legume-based feeds (MIMBLE): A pilot trial.

Nuala Calder, Kevin Walsh, Peter Olupot-Olupot, Tonny Ssenyondo, Rita Muhindo, Ayub Mpoya, Jerusa Brignardello, Xuedan Wang, Eleanor McKay, Douglas Morrison and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 26 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

13 authors at 6 institutions in 3 countries.

Nuala CalderImperial Centre for Pediatrics and Child Health, Imperial College, St Mary's Campus Norfolk Place, London W2 1PG, UK.
Kevin WalshDivision of Diabetes, Endocrinology and Metabolism, Imperial College, 6th Floor Commonwealth Building, Hammersmith Campus, DuCane Road, London W12, UK.
Peter Olupot-OlupotMbale Clinical Research Institute, Busitema University Faculty of Health Sciences, Mbale Campus, Palissa Road, PO Box 1966, Mbale, Uganda.
Tonny SsenyondoMbale Clinical Research Institute, Busitema University Faculty of Health Sciences, Mbale Campus, Palissa Road, PO Box 1966, Mbale, Uganda.
Rita MuhindoMbale Clinical Research Institute, Busitema University Faculty of Health Sciences, Mbale Campus, Palissa Road, PO Box 1966, Mbale, Uganda.
Ayub MpoyaKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, PO Box 230, Kilifi, Kenya.
Jerusa BrignardelloDivision of Computational and Systems Medicine, Imperial College, Level 2 Faculty Building, South Kensington Campus, Kensington, London SW7 2AZ, UK.
Xuedan WangDepartment of Food and Nutritional Sciences, The University of Reading, Harry Nursten Building, Pepper Lane, Whiteknights, Reading RG6 6DZ, UK.
Eleanor McKayStable Isotope Biochemistry Laboratory, Scottish Universities Environmental Research Centre, University of Glasgow, Rankine Avenue, East Kilbride G75 0QF, UK.
Douglas MorrisonStable Isotope Biochemistry Laboratory, Scottish Universities Environmental Research Centre, University of Glasgow, Rankine Avenue, East Kilbride G75 0QF, UK.
Elaine HolmesDivision of Computational and Systems Medicine, Imperial College, Level 2 Faculty Building, South Kensington Campus, Kensington, London SW7 2AZ, UK.
Gary FrostDivision of Diabetes, Endocrinology and Metabolism, Imperial College, 6th Floor Commonwealth Building, Hammersmith Campus, DuCane Road, London W12, UK.
Kathryn MaitlandImperial Centre for Pediatrics and Child Health, Imperial College, St Mary's Campus Norfolk Place, London W2 1PG, UK.
Busitema University · UGImperial College London · GBUniversity of Glasgow · GBKenya Medical Research Institute · KEQueen Elizabeth the Queen Mother Hospital · GBUniversity of Reading · GB

Funding

Medical Research Council MC_PC_MR/R019258/1Wellcome Trust 105603/Z/14/ZWellcome Trust 2016Wellcome Trust 203077Wellcome Trust 203077/Z/16/Z
6 · The paper itself

Abstract

Case fatality among African children with severe acute malnutrition remains high. We report a 3-arm pilot trial in 58 Ugandan children, comparing feeds targeting disordered gastrointestinal function containing cowpea (CpF, n = 20) or inulin (InF, n = 20) with conventional feeds (ConF, n = 18). Baseline measurements of gut permeability (lactulose:mannitol ratio 1.19 ± SD 2.00), inflammation (fecal calprotectin 539.0 μg/g, interquartile range [IQR] 904.8), and satiety (plasma polypeptide YY 62.6 pmol/l, IQR 110.3) confirm gastrointestinal dysfunction. By day 28, no differences are observable in proportion achieving weight gain >5 g/kg/day (87%, 92%, 86%; p > 0.05), mortality (16%, 30%, 17%; p > 0.05), or edema resolution (83%, 54%, 91%; p > 0.05) among CpF, InF, and ConF. Decreased fecal bacterial richness from day 1 (abundance-based coverage estimator [ACE] 53.2) to day 7 (ACE 40.8) is observed only in ConF (p = 0.025).

Indexed as

BacteriaChildChild, PreschoolFabaceaeFecesGastrointestinal MicrobiomeHumansInfantLeukocyte L1 Antigen ComplexMalnutritionMicrobiotaPermeabilityPilot ProjectsRNA, Ribosomal, 16SLeukocyte L1 Antigen ComplexRNA, Ribosomal, 16S16S rRNAAfrican childrenclinical trialgut barrier dysfunctiongut hormonesmetabolomemicrobiomeNMR spectroscopynutritional feedssevere malnutritionshort-chain fatty acid

Identifiers

PMID34095882
PMCPMC8149470
OpenAlexW3162745292

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.