Evidence map›Paper›PMID 37567391›Full record

Trial reportThe American journal of clinical nutrition2023

Effect of Peanut Paste-based Ready-to-use School Meals With and Without Milk on Fluid Cognition in Northern Ghana: A Randomized Controlled Trial.

Kevin B Stephenson, Donna R Wegner, Tamara G Hershey, Tasha Doty, Ephious Davis, Matilda Steiner-Asiedu, Firibu K Saalia, Issah Shani, Mark J Manary

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

Trial report in The American journal of clinical nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04349007 (Integrating the Power of Peanuts Into School Feeding Programs in Ghana), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT04349007 nacompletednot on this map

Integrating the Power of Peanuts Into School Feeding Programs in Ghana

TypeinterventionalSponsorWashington University School of MedicineRan2021 to 2022Enrolled880ConditionsSchool Feeding Programs, Nutrition SupplementsArmsStandard meal, School food ready-to-use, School food ready-to-use plus Milk
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 2 institutions in 2 countries.

Kevin B StephensonDepartment of Medicine, Washington University, St. Louis, MO, United States. Electronic address: k.stephenson@wustl.edu.
Donna R WegnerDepartment of Pediatrics, Washington University, St. Louis, MO, United States.
Tamara G HersheyDepartments of Psychiatry and Radiology, Washington University, St. Louis, MO, United States.
Tasha DotyProgram in Occupational Therapy, Washington University, St. Louis, MO, United States.
Ephious DavisDepartment of Pediatrics, Washington University, St. Louis, MO, United States.
Matilda Steiner-AsieduDepartment of Nutrition and Food Science, University of Ghana, Accra, Ghana.
Firibu K SaaliaDepartment of Nutrition and Food Science, University of Ghana, Accra, Ghana.
Issah ShaniDepartment of Nutrition and Food Science, University of Ghana, Accra, Ghana.
Mark J ManaryDepartment of Pediatrics, Washington University, St. Louis, MO, United States. Electronic address: manarymj@wustl.edu.
Washington University in St. Louis · USUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have investigated the role of school feeding in low- and middle-income countries as a means of improving childhood cognition. Peanut/milk ready-to-use food (PM-RUF) or cowpea offers an affordable, scalable option that might improve cognition.

objectivesTo determine whether micronutrient-fortified PM-RUF or peanut/cowpea ready-to-use food (PC-RUF) would improve fluid cognition as assessed by 4 tests from the National Institutes of Health Toolbox Cognitive Battery when compared with a micronutrient-fortified millet porridge (FP) after a year of school feeding.

methodsAn individually randomly assigned, investigator-blinded, controlled clinical trial was conducted at 6 schools in Mion District in rural northern Ghana. Eight hundred seventy-one school children aged 5-12 y were randomly assigned and allocated to receive PM-RUF (n = 282), PC-RUF (n = 292), or FP (n = 297), each providing ∼400 kcal/d. The primary outcomes were 4 fluid cognition test scores: Dimensional Change Card Sort test, Flanker Inhibitory Control and Attention test, Pattern Comparison Processing Speed test, and a modified List Sorting Working Memory test. Secondary outcomes included a composite median ranking of the 4 primary outcomes and anthropometry changes.

resultsAmong the 871 participants (median age, 8.8 y; 47% female), 795 (91%) completed endline cognitive testing. Median attendance rates exceeded 87% in all groups. PM-RUF group demonstrated better fluid cognition on the Dimensional Change Card Sort test [odds ratio (OR): 1.5; 95% CI: 1.1, 2.0; P = 0.016] and Pattern Comparison Processing Speed test (OR: 1.4; 95% CI: 1.0, 1.9; P = 0.026) than FP, whereas there were no significant differences on Flanker Inhibitory Control and Attention or List Sorting Working Memory tests. PC-RUF group demonstrated no improvement over FP on any cognitive tests. PM-RUF group had superior fluid cognition composite median rankings (OR: 1.5; 95% CI: 1.1, 2.0; P = 0.007).

conclusionsAmong rural Ghanaian children aged 5-12 y, PM-RUF compared with FP resulted in superior fluid cognition. This trial was registered at clinicaltrials.gov as NCT04349007.

Indexed as

ArachisCognitionFood, FortifiedMilkAnimalsChildChild, PreschoolFemaleFood ServicesGhanaHumansMaleMicronutrientsSchoolsMicronutrientscognitionGhanalow- and middle-income countriesmilkpeanut pasteready-to-use foodsschool feeding

Identifiers

PMID37567391
PMCPMC10579044
OpenAlexW4385694337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.