Evidence map›Paper›PMID 39932938›Full record

ArticlePloS one2025

Childhood brain morphometry in children with persistent stunting and catch-up growth.

Beena Koshy, Vedha Viyas Thilagarajan, Samuel Berkins, Arpan Banerjee, Manikandan Srinivasan, Roshan S Livingstone, Venkata Raghava Mohan, Rebecca Scharf, Anitha Jasper, Gagandeep Kang

Abstract read
In one paragraph

Article in PloS one, 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. Pregnancy diet based on ancestral patterns increases growth in subcortical fetal brain regions.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Trial
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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

10 authors.

Beena KoshyDevelopmental Paediatrics, Christian Medical College, Vellore, Tamil Nadu, India.ORCID 0000-0002-9058-1392
Vedha Viyas ThilagarajanDevelopmental Paediatrics, Christian Medical College, Vellore, Tamil Nadu, India.ORCID 0009-0000-6456-5375
Samuel BerkinsNational Brain Research Centre, Gurgaon, Haryana, India.ORCID 0000-0002-5055-5181
Arpan BanerjeeNational Brain Research Centre, Gurgaon, Haryana, India.
Manikandan SrinivasanWellcome Trust Research Laboratory, Christian Medical College, Vellore, Tamil Nadu, India.ORCID 0000-0003-2234-1693
Roshan S LivingstoneDepartment of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, India.
Venkata Raghava MohanDepartment of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Rebecca ScharfCentre for Global Health, University of Virginia Children's Hospital, Virginia, Virginia, United States of America.ORCID 0000-0002-3381-5594
Anitha JasperDepartment of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, India.
Gagandeep KangDepartment of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.

Funding

DBT-Wellcome Trust India Alliance IA/CPHI/19/1/504611Wellcome Trust
6 · The paper itself

Abstract

backgroundEarly childhood stunting affects around 150 million young children worldwide and leads to suboptimal human potential in later life. However, there is limited data on the effects of early childhood stunting and catch-up growth on brain morphometry.

methodsWe evaluated childhood brain volumes at nine years of age in a community-based birth-cohort follow-up study in Vellore, south India among four groups based on anthropometric assessments at two, five, and nine years namely 'Never Stunted' (NS), 'Stunted at two years and caught up by five years' (S2N5), 'Stunted at two and five years and caught up by nine years' (S2N9), and 'Always Stunted' (AS). T1-weighted magnetic resonance imaging (MRI) images were acquired using a 3T MRI scanner, and brain volumes were quantified using FreeSurfer software. Analysis of Variance (ANOVA) was used to determine the differences in brain volumetry between the stunting groups, with age and sex as covariates. The effect size ANOVA models was evaluated using Eta squared.

findingsAmongst 251 children from the initial cohort, 178 children with a mean age of 9.54 underwent neuroimaging and considered for further analysis. The total brain volume, subcortical volume, bilateral cerebellar white matter, and posterior corpus callosum showed a declining trend from NS to AS. Regional cortical brain analysis showed significant lower bilateral lateral occipital volumes, right pallidum, bilateral caudate, and right thalamus volumes between NS and AS.

interpretationTo the best of our knowledge, this first neuroimaging analysis to investigate the effects of persistent childhood stunting and catch-up growth on brain volumetry indicates impairment at different brain levels involving total brain and subcortical volumes, networking/connecting centres (thalamus, basal ganglia, callosum, cerebellum) and visual processing area of lateral occipital cortex.

Indexed as

BrainGrowth DisordersChildChild, PreschoolFemaleFollow-Up StudiesHumansIndiaMagnetic Resonance ImagingMaleNeuroimagingOrgan Size

Identifiers

PMID39932938
PMCPMC11813088

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