Evidence map›Paper›PMID 39222346›Full record

ArticleJMIR research protocols2024

Nourishing the Infant Gut Microbiome to Support Immune Health: Protocol of SUN (Seeding Through Feeding) Randomized Controlled Trial.

Clare R Wall, Nicole C Roy, Jane A Mullaney, Warren Charles McNabb, Olivier Gasser, Karl Fraser, Eric Altermann, Wayne Young, Janine Cooney, Robyn Lawrence and 6 more

Abstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2024. 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
–field-weighted citation impact
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. 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

16 authors.

Clare R WallDepartment of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-1062-3909
Nicole C RoyHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-6744-9705
Jane A MullaneyHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-4910-7605
Warren Charles McNabbHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0003-2514-6551
Olivier GasserHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-8235-2274
Karl FraserHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-1136-4024
Eric AltermannBlueBarn Life Sciences Ltd., Palmerston North, New Zealand.ORCID 0000-0003-1376-1549
Wayne YoungFonterra, Palmerston North, New Zealand.ORCID 0000-0003-0464-2062
Janine CooneyHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0000-0002-2547-0100
Robyn LawrenceDepartment of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-5614-6365
Yannan JiangDepartment of Statistics, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-7663-9164
Barbara C GallandDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-2376-3575
Xiaoxi FuDepartment of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-0444-3816
Jacqueline N TonkieHigh-Value Nutrition, National Science Challenge, Auckland, New Zealand.ORCID 0009-0002-0925-5424
Nisha MahawarDepartment of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-8935-3421
Amy Luisa LovellDepartment of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-1708-9633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe introduction of complementary foods during the first year of life influences the diversity of the gut microbiome. How this diversity affects immune development and health is unclear.

objectiveThis study evaluates the effect of consuming kūmara or kūmara with added banana powder (resistant starch) compared to a reference control at 4 months post randomization on the prevalence of respiratory tract infections and the development of the gut microbiome.

methodsThis study is a double-blind, randomized controlled trial of mothers and their 6-month-old infants (up to n=300) who have not yet started solids. Infants are randomized into one of 3 groups: control arm (C), standard kūmara intervention (K), and a kūmara intervention with added banana powder product (K+) to be consumed daily for 4 months until the infant is approximately 10 months old. Infants are matched for sex using stratified randomization. Data are collected at baseline (prior to commencing solid food) and at 2 and 4 months after commencing solid food (at around 8 and 10 months of age). Data and samples collected at each timepoint include weight and length, intervention adherence (months 2 and 4), illness and medication history, dietary intake (months 2 and 4), sleep (diary and actigraphy), maternal dietary intake, breast milk, feces (baseline and 4 months), and blood samples (baseline and 4 months).

resultsThe trial was approved by the Health and Disability Ethics Committee of the Ministry of Health, New Zealand (reference 20/NTA/9). Recruitment and data collection did not commence until January 2022 due to the COVID-19 pandemic. Data collection and analyses are expected to conclude in January 2024 and early 2025, respectively. Results are to be published in 2024 and 2025.

conclusionsThe results of this study will help us understand how the introduction of a specific prebiotic complementary food affects the microbiota and relative abundances of the microbial species, the modulation of immune development, and infant health. It will contribute to the expanding body of research that aims to deepen our understanding of the connections between nutrition, gut microbiota, and early-life postnatal health.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12620000026921; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378654. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/56772.

Indexed as

Gastrointestinal MicrobiomeDouble-Blind MethodFemaleHumansInfantInfant Nutritional Physiological PhenomenaMaleMusaNew ZealandRandomized Controlled Trials as TopicRespiratory Tract Infectionscomplementary feedingcomplementary foodfeedinggut microbiomegut microbiotaimmuneimmune developmentimmune systeminfancyinfantinfant healthkūmaramicrobiomeprevalencerespiratory tract infectionsRTI

Identifiers

PMID39222346
PMCPMC11406106

What OpenQuestion holds

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LicenceCC BY
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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.