Evidence map›Paper›PMID 39584247›Full record

ArticleJournal of pediatric gastroenterology and nutrition2025

Prospective association between food protein-induced allergic proctocolitis in infancy and constipation after age 3.

Michael Marget, Corey Baker, Isabel O'Connell, Wayne G Shreffler, Qian Yuan, Victoria M Martin

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Michael MargetFood Allergy Center, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0009-0001-7431-6310
Corey BakerDivision of Digestive Diseases, Hepatology, and Nutrition, Connecticut Children's, Hartford, Connecticut, USA.
Isabel O'ConnellFood Allergy Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Wayne G ShrefflerFood Allergy Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Qian YuanFood Allergy Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Victoria M MartinFood Allergy Center, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4322-9564

Funding

Systems approach to elucidate the microbiome's influence on the development of food allergies early in lifeK23AI151556 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN, VICTORIA MACKENZIE · 2021 to 2025
$998k
Demarest Lloyd Jr Foundation 230465Food Allergy Science Initiative 229711Gerber Foundation 1685-3680National Institute of Allergy and Infectious Diseases K23AI151556NIAID NIH HHS K23 AI151556
6 · The paper itself

Abstract

We sought to prospectively evaluate whether food protein-induced allergic proctocolitis (FPIAP) during infancy is associated with increased constipation later in childhood. Using the Gastrointestinal Microbiome and Allergic Proctocolitis (GMAP) cohort, we reviewed charts of children with prospective parent-reported constipation after age 3 to confirm the diagnosis of constipation. A diagnosis of FPIAP was based on pediatrician diagnosis and required guaiac-positive or grossly bloody stools, as previously published. Three hundred and seventy-five subjects had sufficient data for these analyses. Subjects with FPIAP had more than two times the odds of developing constipation after age 3 compared to subjects without (odds ratio [OR]: 2.62, 95% confidence interval [CI]: [1.42-4.74], p = 0.002). The use of stimulant laxatives was also higher in children with FPIAP (OR: 4.68, 95% CI: [1.47-16.04], p = 0.01). FPIAP was prospectively associated with the later development of constipation after age 3. This may suggest shared underlying pathogenesis, resultant heightened visceral hypersensitivity, and/or intestinal dysbiosis, all warranting further study.

Indexed as

ConstipationFood HypersensitivityProctocolitisChild, PreschoolDietary ProteinsFemaleGastrointestinal MicrobiomeHumansInfantLaxativesMaleProspective StudiesDietary ProteinsLaxativescow's milk protein intoleranceFPIAPfunctional constipation

Identifiers

PMID39584247
PMCPMC12874081

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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.