Evidence map›Paper›PMID 37686813›Full record

SynthesisNutrients2023

Systematic Review of Management of Moderate Wasting in Children over 6 Months of Age.

Zahra A Padhani, Bernardette Cichon, Jai K Das, Rehana A Salam, Heather C Stobaugh, Muzna Mughal, Alexandra Rutishauser-Perera, Robert E Black, Zulfiqar A Bhutta

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 5 institutions in 5 countries.

Zahra A PadhaniRobinson Research Institute, Adelaide Medical School, University of Adelaide, Adelaide, SA 5000, Australia.ORCID 0000-0003-4777-7565
Bernardette CichonAction against Hunger UK, London SE10 0ER, UK.ORCID 0000-0002-7558-7032
Jai K DasInstitute for Global Health and Development, Aga Khan University, Karachi 74800, Pakistan.
Rehana A SalamCentre of Research Excellence, Melanoma Institute Australia, University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0001-5423-7343
Heather C StobaughAction against Hunger USA, Technical Services and Innovation Department, Washington, DC 20463, USA.
Muzna MughalAction against Hunger UK, London SE10 0ER, UK.ORCID 0000-0002-7478-2469
Alexandra Rutishauser-PereraAction against Hunger UK, London SE10 0ER, UK.
Robert E BlackBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Zulfiqar A BhuttaInstitute for Global Health and Development, Aga Khan University, Karachi 74800, Pakistan.ORCID 0000-0003-0637-599X
Action for ME · GBAga Khan University · PKJohns Hopkins University · USThe University of Sydney · AUTufts University · US

Funding

World Health Organization N/A
6 · The paper itself

Abstract

The effective management of the 33 million children with moderate acute malnutrition (MAM) is key to reducing childhood morbidity and mortality. In this review, we aim to evaluate the effectiveness of specially formulated foods (SFFs) compared to non-food-based approaches to manage MAM in children >6 months old. We conducted a search on ten databases until 23 August 2021 and included five studies, covering 3387 participants. Meta-analysis of four studies comparing SFFs to counselling or standard of care showed that SFFs likely increase recovery rate, reduce non-response, and may improve weight-for-height z-score, weight-for-age z-score and time to recovery, but have little or no effect on MUAC gain. One study on a multicomponent intervention (SFFs, antibiotics and counselling provided to high-risk MAM) compared to counselling only was reported narratively. The intervention may increase weight gain after 24 weeks but may have little or no effect on weight gain after 12 weeks and on non-response and mortality after 12 and 24 weeks of enrollment. The effect of this intervention on recovery was uncertain. In conclusion, SFFs may be beneficial for children with moderate wasting in humanitarian contexts. Programmatic recommendations should consider context and cost-effectiveness.

Indexed as

Anti-Bacterial AgentsCachexiaChildDatabases, FactualFood, FormulatedHumansInfantWeight GainAnti-Bacterial Agentsfortified-blended foods (FBF)moderate acute malnutritionmoderate wastingnutrition counsellingready-to use supplementary foods (RUSF)specialized formulated foods

Identifiers

PMID37686813
PMCPMC10490450
OpenAlexW4386304566

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.