Evidence map›Paper›PMID 39341154›Full record

ArticleEBioMedicine2024

Bifidobacterium longum and microbiome maturation modify a nutrient intervention for stunting in Zimbabwean infants.

Ethan K Gough, Thaddeus J Edens, Lynnea Carr, Ruairi C Robertson, Kuda Mutasa, Robert Ntozini, Bernard Chasekwa, Hyun Min Geum, Iman Baharmand, Sandeep K Gill and 11 more

Abstract read
In one paragraph

Article in EBioMedicine, 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Ethan K GoughDepartment of International Health, Johns Hopkins Bloomberg School of Public Health; Baltimore, MD, USA. Electronic address: egough1@jh.edu.
Thaddeus J EdensDevil's Staircase Consulting, West Vancouver, BC, Canada.
Lynnea CarrDepartment of Microbiology and Immunology, University of British Columbia; Vancouver, BC, Canada.
Ruairi C RobertsonBlizard Institute, Queen Mary University of London, London, UK.
Kuda MutasaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Robert NtoziniZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Bernard ChasekwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Hyun Min GeumSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Iman BaharmandSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Sandeep K GillSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Batsirai MutasaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Mduduzi N N MbuyaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe; Global Alliance for Improved Nutrition, Washington, DC, 20036, USA.
Florence D MajoZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Naume TavengwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Freddy FrancisDepartment of Experimental Medicine, University of British Columbia, Vancouver, BC, Canada.
Joice TomeZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Ceri EvansBlizard Institute, Queen Mary University of London, London, UK; Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe; Department of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK.
Margaret KosekUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
Andrew J PrendergastBlizard Institute, Queen Mary University of London, London, UK; Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Amee R MangesSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada; British Columbia Centre for Disease Control (BCCDC), Vancouver, BC, Canada.
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundSmall-quantity lipid-based nutrient supplements (SQ-LNS), which has been widely tested to reduce child stunting, has largely modest effects to date, but the mechanisms underlying these modest effects are unclear. Child stunting is a longstanding indicator of chronic undernutrition and it remains a prevalent public health problem. The infant gut microbiome may be a key contributor to stunting; and mother and infant fucosyltransferase (FUT) phenotypes are important determinants of infant microbiome composition.

methodsWe investigated whether mother-infant FUT status (n = 792) and infant gut microbiome composition (n = 354 fecal specimens from 172 infants) modified the impact of an infant and young child feeding (IYCF) intervention, that included SQ-LNS, on stunting at age 18 months in secondary analysis of a randomized trial in rural Zimbabwe.

findingsWe found that the impact of the IYCF intervention on stunting was modified by: (i) mother-infant FUT2+/FUT3- phenotype (difference-in-differences -32.6% [95% CI: -55.3%, -9.9%]); (ii) changes in species composition that reflected microbiome maturation (difference-in-differences -68.1% [95% CI: -99.0%, -28.5%); and (iii) greater relative abundance of B. longum (differences-in-differences 49.1% [95% CI: 26.6%, 73.6%]). The dominant strains of B. longum when the intervention started were most similar to the proficient milk oligosaccharide utilizer subspecies infantis, which decreased with infant age and differed by mother-infant FUT2+/FUT3- phenotypes.

interpretationThese findings indicate that a persistently "younger" microbiome at initiation of the intervention reduced its benefits on stunting in areas with a high prevalence of growth restriction.

fundingBill and Melinda Gates Foundation, UK DFID/Aid, Wellcome Trust, Swiss Agency for Development and Cooperation, US National Institutes of Health, UNICEF, and Nutricia Research Foundation.

Indexed as

Gastrointestinal MicrobiomeGrowth DisordersBifidobacteriumDietary SupplementsFecesFemaleFucosyltransferasesHumansInfantMaleNutrientsZimbabweFucosyltransferasesNutrientsInfantMetagenomeMicrobiomeNutritionStunting

Identifiers

PMID39341154
PMCPMC11467582

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.