Evidence map›Paper›PMID 34297062›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

The Effects of Malaria in Pregnancy on Neurocognitive Development in Children at 1 and 6 Years of Age in Benin: A Prospective Mother-Child Cohort.

Amanda Garrison, Michael J Boivin, Nadine Fiévet, Roméo Zoumenou, Jules M Alao, Achille Massougbodji, Michel Cot, Florence Bodeau-Livinec

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

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00811421 (Evaluation of the Safety and Efficacy of Mefloquine as Intermittent Preventive Treatment of Malaria in Pregnancy), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT00811421 nacompletednot on this map

Evaluation of the Safety and Efficacy of Mefloquine as Intermittent Preventive Treatment of Malaria in Pregnancy

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2009 to 2013Enrolled5,820ConditionsPregnancy, Malaria, HIV InfectionsArmsSulphadoxine-pyrimethamine, Mefloquine (full dose), Mefloquine (split dose), placebo, mefloquine
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  7. Prenatal Hemoglobin Concentration and Long-Term Child Neurocognitive Development.The American journal of tropical medicine and hygiene · 2025
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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

8 authors at 5 institutions in 3 countries.

Amanda GarrisonEcole des Hautes Etudes en Santé Publique (EHESP), Rennes, France.ORCID 0000-0002-6758-9185
Michael J BoivinDepartments of Psychiatry and Neurology/Ophthalmology, Michigan State University, East Lansing, Michigan, USA.
Nadine FiévetUniversité de Paris, Mère et Enfant Face aux Infections Tropicales, Institut de Recherche Pour le Développement, Paris, France.
Roméo ZoumenouUniversité de Paris, Mère et Enfant Face aux Infections Tropicales, Institut de Recherche Pour le Développement, Paris, France.
Jules M AlaoService de Pédiatrie, Centre Hospitalier Universitaire de la Mère et de l'Enfant-Lagune de Cotonou, Cotonou, Benin.
Achille MassougbodjiFaculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin.
Michel CotUniversité de Paris, Mère et Enfant Face aux Infections Tropicales, Institut de Recherche Pour le Développement, Paris, France.
Florence Bodeau-LivinecEcole des Hautes Etudes en Santé Publique (EHESP), Rennes, France.
Mère et enfant en milieu tropical : pathogènes, système de santé et transition épidémiologique · FRInserm · FRCentre National Hospitalier et Universitaire Hubert Koutoukou MAGA · BJMichigan State University · USUniversité d'Abomey-Calavi · BJ

Funding

Anemia in pregnancy in Benin and impact on cognitive function in childhoodR21HD060524 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BODEAU-LIVINEC, FLORENCE · 2010 to 2011
$336k
Bill and Melinda Gates FoundationEunice Kennedy Shriver National Institute of Child Health and Human Development NIH/NICHD- R21-HD060524European and Developing Countries Clinical Trials Partnership EDCTP- IP.07.31080.002Fondation de France 2015 00060746NICHD NIH HHS R21 HD060524
6 · The paper itself

Abstract

backgroundMalaria in pregnancy (MiP) contributes significantly to infant mortality rates in sub-Saharan Africa and has consequences on survivors, such as preterm birth and low birth weight. However, its impact on long-term neurocognitive development in children remains unknown.

methodsOur prospective cohort included pregnant women and their live-born singletons from the Malaria in Pregnancy Preventive Alternative Drugs clinical trial. MiP was assessed using microscopy and real-time quantitative polymerase chain reaction (qPCR). Neurocognitive development in children was assessed using the Mullen Scales of Early Learning and the Kaufman Assessment Battery for Children, 2nd edition (KABC-II), at 1 and 6 years of age, respectively.

resultsOf 493 pregnant women, 196 (40%) were infected with malaria at least once: 121 (31%) with placental malaria diagnosed by qPCR. Multiple linear regression B-coefficients showed that impaired gross motor scores were associated with MiP at least once (-2.55; confidence interval [95% CI]: -5.15, 0.05), placental malaria by qPCR (-4.95; 95% CI: -7.65, -2.24), and high parasite density at delivery (-1.92; 95% CI: -3.86, 0.02) after adjustment. Malaria and high parasite density at the second antenatal care visit were associated with lower KABC-II Non-Verbal Index scores at 6 years (-2.57 [95% CI: -4.86, -0.28] and -1.91 [-3.51, -0.32]), respectively.

conclusionsThis prospective cohort study provides evidence that MiP, particularly late term, could have important negative consequences on child development at 1 and 6 years of age. Mechanisms behind this association must be further investigated and diagnostic methods in low-income countries should be strengthened to provide adequate treatment. CLINICAL TRIALS REGISTRATION: NCT00811421.

Indexed as

MalariaPremature BirthBeninCohort StudiesFemaleHumansInfant, NewbornMother-Child RelationsPlacentaPregnancyProspective Studieschild developmentmalarianeurocognitionpregnancysub-Saharan Africa

Identifiers

PMID34297062
PMCPMC8906760
OpenAlexW3184690982

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.