Evidence map›Paper›PMID 39400932›Full record

ArticleMaternal & child nutrition2025

Dietary intake and growth of HIV exposed and unexposed 6-12 months old infants in South Africa.

Phumudzo Tshiambara, Marinel Hoffman, Heather Legodi, Yusentha Balakrishna, Ute Feucht

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Phumudzo TshiambaraDepartment of Human Nutrition, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.ORCID 0000-0002-8271-8192
Marinel HoffmanDepartment of Consumer and Food Sciences, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa.
Heather LegodiDepartment of Human Nutrition and Dietetics, Sefako Makgatho Health Sciences University, Ga-Rankuwa, South Africa.
Yusentha BalakrishnaBiostatistics Research Unit, South African Medical Research Council, Durban, South Africa.
Ute FeuchtResearch Centre for Maternal, Fetal, Newborn and Child Health Care Strategies, University of Pretoria, Pretoria, South Africa.

Funding

Collaborative Initiative for Paediatrics HIV Education and Research (CIPHER) of the International AIDS Society grant 2017/560_FEUNational Research Foundation NGAP_RDG190128411410University of Pretoria, the Department of Research and Innovation UCDP
6 · The paper itself

Abstract

Factors affecting the growth of HIV-exposed-uninfected (HEU) children are multi-factorial, with limited information available on the dietary intake from 6 months. This study compared the dietary intake, micronutrient composition of breastmilk, and growth of HEU and HIV-unexposed-uninfected (HUU) infants aged 6 and 12 months in an urban setting. A repeated cross-sectional study used structured questionnaires to collect socio-demographic, dietary intake, food group data, and anthropometric measurements in the Siyakhula study. The HEU (48%) and HUU (52%) infants were included (total n = 181). At 6 months, HEU infants had lower weight-for-age z-scores (WAZ) (-0.6 ± 1.1 vs. 0.1 ± 1.2; p < 0.001), length-for-age z-scores (-0.8 ± 1.4 vs. -0.1 ± 1.2; p < 0.001), and mid-upper-arm circumference-for-age z-scores (MUACAZ) (0.5 ± 1.1 vs. 1.0 ± 0.9; p < 0.001) than HUU infants. At 12 months, HEU infants had lower WAZ, MUACAZ, and weight-for-length z-scores compared to HUU infants (p < 0.05). Stunting was found at 6 (15%) and 12 (12%) months in HEU infants. The micronutrient composition of breastmilk fed to both groups was similar. Breastfeeding rates were lower in HEU than in HUU infants at 6 (49% vs. 64%; p = 0.005) and 12 (24% vs. 46%; p = 0.002) months. Less than 3% of HEU and HUU infants achieved minimal dietary diversity scores at 12 months. Dietary intake of fat was similar in all breastfed infants, but iron and vitamin B12 were higher in non-breastfed HEU infants at 12 months. HEU infants had lower breastfeeding rates than HUU infants. A lack of dietary diversity was found in all infants. Nutrition education and counselling in the complementary feeding phase are essential for optimal growth.

Indexed as

Breast FeedingDietHIV InfectionsInfant Nutritional Physiological PhenomenaMilk, HumanBody WeightCross-Sectional StudiesFemaleGrowth DisordersHumansInfantMaleMicronutrientsSouth AfricaSurveys and QuestionnairesMicronutrientscomplementary feedingdietary intakegrowthHIV exposureinfantsurban setting

Identifiers

PMID39400932
PMCPMC11650028

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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.