Evidence map›Paper›PMID 36788215›Full record

ArticleNature communications2023

The gut microbiome and early-life growth in a population with high prevalence of stunting.

Ruairi C Robertson, Thaddeus J Edens, Lynnea Carr, Kuda Mutasa, Ethan K Gough, Ceri Evans, Hyun Min Geum, Iman Baharmand, Sandeep K Gill, Robert Ntozini and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01824940 (Sanitation, Hygiene, Infant Nutrition Efficacy Project), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
11.6field-weighted citation impact, top 1% 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.

NCT01824940 nacompletednot on this map

Sanitation, Hygiene, Infant Nutrition Efficacy Project

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2012 to 2017Enrolled5,280ConditionsGrowth, Stunting, Nutritional, AnemiaArmsStandard care, WASH, Infant and young child feeding, WASH and Nutrition
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Early-life colonization withScience (New York, N.Y.) · 2026
    Article
  6. Article
  7. Waterborne diseases and climate change.Nature reviews. Microbiology · 2026
    Review
  8. The gut microbiota in malnutrition.Nature reviews. Microbiology · 2026
    Review
  9. Clostridium Abundance and Lower Weight-for-AgeJMIR pediatrics and parenting · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

21 authors at 7 institutions in 5 countries.

Ruairi C Robertson *Blizard Institute, Queen Mary University of London, London, UK.
Thaddeus J Edens *Devil's Staircase Consulting, West Vancouver, BC, Canada.
Lynnea Carr *Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-2397-8672
Kuda MutasaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Ethan K GoughDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-5265-7731
Ceri EvansBlizard Institute, Queen Mary University of London, London, UK.ORCID 0000-0001-9122-9748
Hyun Min GeumSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Iman BaharmandSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-7311-8681
Sandeep K GillSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Robert NtoziniZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.ORCID 0000-0002-8543-2835
Laura E SmithZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Bernard ChasekwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Florence D MajoZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Naume V TavengwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Batsirai MutasaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Freddy FrancisDepartment of Experimental Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6822-691X
Joice TomeZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Rebecca J StoltzfusGoshen College, Goshen, Indiana, IN, USA.
Jean H HumphreyDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Andrew J PrendergastBlizard Institute, Queen Mary University of London, London, UK.ORCID 0000-0001-7904-7992
Amee R MangesSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. amee.manges@ubc.ca.ORCID 0000-0003-2462-7249
Zvitambo Institute for Maternal and Child Health Research · ZWUniversity of British Columbia · CAJohns Hopkins University · USCornell University · USGoshen College · USInserm · FRQueen Mary University of London · GB

Funding

Effect of a sanitation & nutrition intervention on HIV-exposed infant healthR01HD060338 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HUMPHREY, JEAN HAWES · 2008 to 2012
$2.0M
NICHD NIH HHS R01 HD060338Wellcome Trust 206455/Z/17/Z
6 · The paper itself

Abstract

Stunting affects one-in-five children globally and is associated with greater infectious morbidity, mortality and neurodevelopmental deficits. Recent evidence suggests that the early-life gut microbiome affects child growth through immune, metabolic and endocrine pathways. Using whole metagenomic sequencing, we map the assembly of the gut microbiome in 335 children from rural Zimbabwe from 1-18 months of age who were enrolled in the Sanitation, Hygiene, Infant Nutrition Efficacy Trial (SHINE; NCT01824940), a randomized trial of improved water, sanitation and hygiene (WASH) and infant and young child feeding (IYCF). Here, we show that the early-life gut microbiome undergoes programmed assembly that is unresponsive to the randomized interventions intended to improve linear growth. However, maternal HIV infection is associated with over-diversification and over-maturity of the early-life gut microbiome in their uninfected children, in addition to reduced abundance of Bifidobacterium species. Using machine learning models (XGBoost), we show that taxonomic microbiome features are poorly predictive of child growth, however functional metagenomic features, particularly B-vitamin and nucleotide biosynthesis pathways, moderately predict both attained linear and ponderal growth and growth velocity. New approaches targeting the gut microbiome in early childhood may complement efforts to combat child undernutrition.

Indexed as

Gastrointestinal MicrobiomeHIV InfectionsChildChild, PreschoolGrowth DisordersHumansInfantPrevalenceWater Supply

Identifiers

PMID36788215
PMCPMC9929340
OpenAlexW4320727249

What OpenQuestion holds

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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.