Evidence map›Paper›PMID 39307188›Full record

Trial reportThe American journal of clinical nutrition2024

The Impact of Milk on Gut Permeability, Fecal 16S rRNA Gene Microbiota Profiling, and Fecal Metabolomics in Children with Moderate Malnutrition in Sierra Leone: A Double-Blind, Randomized Controlled Trial.

Minsoo Son, Marie L Laury, Kevin B Stephenson, Thaddaeus May, D Taylor Hendrixson, Aminata Shamit Koroma, Amara Stevens Ngegbai, Jong Hee Song, Nino Naskidashvili, Young Ah Goo and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04216043 (Milk Matters in Malnutrition, is it the Lactose or Dairy Protein?), which is not on this 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.

NCT04216043 nacompletednot on this map

Milk Matters in Malnutrition, is it the Lactose or Dairy Protein?

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2022Enrolled1,102ConditionsMalnutrition, ChildArmsRUSF skimmed milk powder, RUSF milk protein concentrate and sucrose, RUSF soy protein and whey permeate, RUSF soy and sucrose
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

11 authors.

Minsoo SonMass Spectrometry Technology Access Center at the McDonnell Genome Institute, Washington University, St. Louis, MO, United States.
Marie L LauryGenome Technology Access Center, McDonnell Genome Institute, Washington University, St. Louis, MO, United States.
Kevin B StephensonDepartment of Internal Medicine, Washington University, St. Louis, MO, United States.
Thaddaeus MayDepartment of Internal Medicine, Baylor College of Medicine, Houston, TX, United States.
D Taylor HendrixsonDepartment of Pediatrics, University of Washington, Seattle, WA, United States.
Aminata Shamit KoromaMinistry of Health, The Republic of Sierra Leone, Freetown, Sierra Leon.
Amara Stevens NgegbaiMinistry of Health, The Republic of Sierra Leone, Freetown, Sierra Leon.
Jong Hee SongMass Spectrometry Technology Access Center at the McDonnell Genome Institute, Washington University, St. Louis, MO, United States.
Nino NaskidashviliBrown School, Washington University, St. Louis, MO, United States.
Young Ah GooMass Spectrometry Technology Access Center at the McDonnell Genome Institute, Washington University, St. Louis, MO, United States.
Mark J ManaryDepartment of Pediatrics, Washington University School of Medicine, One Children's Place, Saint Louis, MO, United States; Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States. Electronic address: manary@kids.wustl.edu.

Funding

PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI GREGORY J MORTON · 1986 to 2026
$30.4M
NIDDK NIH HHS P30 DK035816
6 · The paper itself

Abstract

backgroundBovine milk is a beneficial ingredient in teh treatment of malnutrition.

objectivesOur objectives were to determine the effect of dietary milk protein and milk carbohydrate on the intestinal permeability, fecal 16S rRNA gene configuration, and fecal metabolomics of children with moderate malnutrition.

methodsThis was a randomized, double-blind, controlled trial among 413 children with wasting in rural Sierra Leone who received 1 of the following 4 supplementary foods, which differed in sources of protein and carbohydrate: milk protein and milk carbohydrate (MPMC), milk protein and vegetable carbohydrate (MPVC), vegetable protein and milk carbohydrate (VPMC), or a control group consuming entirely vegetable-based food (VPVC). After 4 wk, urine and stool were collected from participants enrolled with mid-upper arm circumference of <12.1 cm. Urine was analyzed for lactulose excretion (%L). Stool samples were subjected to both 16S rRNA gene analysis to assess β-diversity and untargeted metabolomic abundance.

resultsAmong the 386 children who completed permeability testing, the mean difference (95% CI) in %L excretion as compared with VPVC was 0.01 (-0.05, 0.07) for MPMC, 0.05 (-0.01, 0.11) for MPVC, and 0.01 (-0.05, 0.07) for VPMC. Of the 374 children who provided a stool sample that was analyzed, the β-diversity among bacterial taxa was similar between dietary groups (P > 0.05 for all comparisons). No significant differences between dietary groups were seen among the 20 most abundant bacterial taxa. Among the 5769 unique metabolomic features identified, greater flavonoid levels in VPVC were seen.

conclusionsAbnormal intestinal permeability do not improve with 4 wk of supplementary feeding. Fecal rRNA do not differ with consumption of different diets. This trial was registered at clinicaltrials.gov as NCT04216043.

Indexed as

FecesGastrointestinal MicrobiomeMilkPermeabilityRNA, Ribosomal, 16SAnimalsChildChild, PreschoolDouble-Blind MethodFemaleHumansInfantMaleMalnutritionMetabolomicsSierra LeoneRNA, Ribosomal, 16SEEDgut healthmicrobiomemilkmoderate malnutrition

Identifiers

PMID39307188
PMCPMC11600093

What OpenQuestion holds

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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.