Evidence map›Paper›PMID 34508663›Full record

ArticleJornal de pediatria

Undernutrition and short duration of breastfeeding association with child development: a population-based study.

Hermano A L Rocha, Luciano L Correia, Álvaro J M Leite, Sabrina G M O Rocha, Márcia M T Machado, Jocileide S Campos, Antonio J L A Cunha, Anamaria C E Silva, Christopher R Sudfeld

Open access · goldAbstract read
In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

9 authors at 4 institutions in 2 countries.

Hermano A L RochaHarvard T. H. Chan School of Public Health, Department of Global Health and Population, Boston, United States; Universidade Federal do Ceará, Departamento de Saúde Materno-Infantil, Fortaleza, CE, Brazil; Universidade Federal do Ceará, Departamento de Saúde Comunitária, Fortaleza, CE, Brazil. Electronic address: hrocha@hsph.harvard.edu.
Luciano L CorreiaUniversidade Federal do Ceará, Departamento de Saúde Comunitária, Fortaleza, CE, Brazil.
Álvaro J M LeiteUniversidade Federal do Ceará, Departamento de Saúde Materno-Infantil, Fortaleza, CE, Brazil.
Sabrina G M O RochaUniversidade Federal do Ceará, Departamento de Saúde Comunitária, Fortaleza, CE, Brazil; ISEC, Centro Universitário Unichristus, Fortaleza, CE, Brazil.
Márcia M T MachadoUniversidade Federal do Ceará, Departamento de Saúde Comunitária, Fortaleza, CE, Brazil.
Jocileide S CamposISEC, Centro Universitário Unichristus, Fortaleza, CE, Brazil.
Antonio J L A CunhaUniversidade Federal do Rio de Janeiro, Departamento de Pediatria, Rio de Janeiro, RJ, Brazil.
Anamaria C E SilvaISEC, Centro Universitário Unichristus, Fortaleza, CE, Brazil.
Christopher R SudfeldHarvard T. H. Chan School of Public Health, Department of Global Health and Population, Boston, United States.
Universidade Federal do Ceará · BRUnichristus · BRHarvard Global Health Institute · USUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the relationship of undernutrition and the short duration of breastfeeding with child development of children 0-66 months of age residing in Ceará, Brazil.

methodsThe authors of the present study utilized population-based data from children enrolled in the Study on Maternal and Child Health in Ceará, Brazil (PESMIC). Children's development was assessed with the Ages and Stages Questionnaire third version, validated in Brazil. Undernutrition was accessed through anthropometric measures obtained by trained staff. Breastfeeding information was obtained through the mothers' report and confirmed in the child's governmental booklet. The authors used logistic regressions adjusted for sample clusters used in PESMIC design in a theoretical model for known determinants of child development following the World Health Organization nurturing framework.

resultsA total of 3,566 children were enrolled in the sixth PESMIC study and had their development assessed. The authors found that 8.2%, 3.0%, 2.1%, and 3.6% of children were stunted, underweight, or wasted, at the time of the interview, respectively. All studied factors were associated with a higher prevalence of child development impairment in at least one of the assessed domains. Underweight was the factor with the strongest effect, with an adjusted odds ratio (AOR) of 4,14 (2,26-7,58), p < 0.001. Breastfeeding for up to two months compared to more than six months (AOR 2,08 (1,38-3,12)) was also associated.

conclusionsThe authors found that undernutrition and short duration of breastfeeding are associated with development outcomes among Brazilian children. As a result, integrated nutritional programs may improve child development outcomes.

Indexed as

Child Nutrition DisordersMalnutritionBreast FeedingChildFemaleHumansInfantMothersPrevalenceThinnessTime FactorsBrazilBreastfeedingChild developmentDeterminantsNutrition

Identifiers

PMID34508663
PMCPMC9432002
OpenAlexW3197651468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.