Evidence map›Paper›PMID 37951995›Full record

ArticleBMC nutrition2023

Association between severe acute malnutrition in childhood and hematological disorders in adulthood: the Lwiro follow-up study in the Eastern Democratic Republic of the Congo.

Aline Bedha, Tony Shindano, Michel P Hermans, Violaine Havelange, Samuel Makali, Jimmy Minani, Gaylord Ngaboyeka, Edwige Kunaba, Philippe Donnen, Michelle Dramaix and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 4 institutions in 3 countries.

Aline BedhaÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Tony ShindanoHôpital Provincial General de Reference de Bukavu, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Michel P HermansDivision of Endocrinology & Nutrition, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium.
Violaine HavelangeServices d'hématologie, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium.
Samuel MakaliÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Jimmy MinaniHôpital Provincial General de Reference de Bukavu, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Gaylord NgaboyekaÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Edwige KunabaÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Philippe DonnenEcole de Santé Publique, Université Libre de Bruxelles, 1070, Brussels, Belgium.
Michelle DramaixEcole de Santé Publique, Université Libre de Bruxelles, 1070, Brussels, Belgium.
Ghislain BisimwaÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
Pacifique Mwene-BatuÉcole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo. lyabpacifique@yahoo.fr.
Université Catholique de Bukavu · CDUniversité Libre de Bruxelles · BECliniques Universitaires Saint-Luc · BEUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite growing evidence on the short-term deleterious effects of severe acute malnutrition (SAM) in childhood on hematopoiesis, little is known about the long-term hematological effects of SAM in low-income countries (LICs). Our study explored the association between childhood SAM and hematological disorders in adults 11 to 30 years after post-SAM nutritional rehabilitation.

methodsThis follow up study investigated 97 adults (mean age 32 years) treated for SAM during childhood in eastern Democratic Republic of the Congo (DRC) between 1988 and 2007. Participants were compared to 97 aged- and sex-matched adult controls living in the same community with no history of SAM. Outcomes of interest were hematological characteristics and disorders in adulthood, assessed by various biological markers. Logistic and linear regression models were used to estimate the association between SAM in childhood and risk of hematological abnormalities.

resultsCompared to the unexposed, the exposed had higher mean white blood cells (/μl) [+ 840 (179 to 1501), p = 0.013], neutrophils [+ 504 (83 to 925), p = 0.019] and platelets (*10

conclusionAdults with a history of SAM in childhood have hematological characteristics that would be markers associated with chronic low-grade inflammatory or infectious diseases in an environment with no nutritional transition. Larger cohort studies with bone marrow analyses could provide further understanding of the impact of SAM on the overall hematological profile in adult life.

Indexed as

DRCFollow-upHematological disordersLong-termSevere acute malnutrition

Identifiers

PMID37951995
PMCPMC10638766
OpenAlexW4388601324

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LicenceCC BY
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Registered trials

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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.