Evidence map›Paper›PMID 40033718›Full record

Trial reportJournal of pediatric gastroenterology and nutrition2025

Effects of lipid-based nutrient supplements on gut markers in stunted children: Secondary analysis of a randomised trial.

Hannah Pesu, Joseph Mbabazi, Rolland Mutumba, Otto Savolainen, Peter R Johnsen, Hanne Frøkiær, Mette F Olsen, Christian Mølgaard, Kim F Michaelsen, Christian Ritz and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 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. 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

15 authors.

Hannah PesuDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Joseph MbabaziDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Rolland MutumbaDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Otto SavolainenDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg, Sweden.
Peter R JohnsenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark.
Hanne FrøkiærDepartment of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark.
Mette F OlsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Christian MølgaardDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Kim F MichaelsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Christian RitzNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Suzanne FilteauDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
André BriendDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Ezekiel MupereDepartment of Paediatrics and Child Health, School of Medicine College of Health Sciences, Makerere University, Kampala, Uganda.
Henrik FriisDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Benedikte GrenovDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0259-7851

Funding

ARLA Food for Health CentreArla Foods AmbaAugustinusfonden, Læge Sofus Carl Emil Friis og Hustru Olga Doris Friis' Legat, A. P. Møller Fonden til Lægevidenskabens Fremme and NutrisetDanish Dairy Research Foundation
6 · The paper itself

Abstract

objectivesTo examine the effects of lipid-based nutrient supplements (LNS) containing milk protein (MP) and/or whey permeate (WP) on markers of intestinal inflammation and enterocyte mass among stunted children. Furthermore, to explore whether gut status modifies effects of LNS on growth and micronutrient status.

methodsIn a 2 × 2 factorial trial 12-59 months-old Ugandan children with stunting were randomized to four LNS formulations (100 g/day for 12 weeks) containing MP or soy protein and WP or maltodextrin, or to no supplementation. Linear mixed-effects models were used to explore faecal myeloperoxidase (f-MPO) and plasma citrulline (p-cit) as outcomes and modifiers of the intervention effects (ISRCTN13093195).

resultsOf 750 children, mean ± SD age was 32.0 ± 11.7 months and height-for-age Z-score was -3.02 ± 0.74. Neither MP nor WP had effects on p-cit or f-MPO. f-MPO decreased over time among controls (ratio of change 0.54, 95% confidence interval [CI]: 0.35, 0.84), but not among those given LNS (0.99, 95% CI: 0.79, 1.23) (p = 0.016). In contrast, LNS had no effect on p-cit (p = 0.27). The effect of LNS on cobalamin (B12) status was reduced in children with p-cit <20 µmol/L; whereby there was 20% (95% CI: 2, 35) lower increase in plasma cobalamin and 59% (95% CI: 13, 125) smaller decrease in plasma methylmalonic acid. p-cit or f-MPO did not modify the effects of LNS on growth or other micronutrient markers.

conclusionLNS had no effect on enterocyte mass and possibly increased intestinal inflammation. The effect of LNS on cobalamin status was reduced in those with low enterocyte mass.

Indexed as

Dietary SupplementsGrowth DisordersBiomarkersChild, PreschoolCitrullineFecesFemaleHumansInfantMalePeroxidaseSoybean ProteinsWhey ProteinsBiomarkersCitrullinePeroxidaseSoybean ProteinsWhey Proteinscitrullinecobalaminenvironmental enteric dysfunctionmalabsorptionstunting

Identifiers

PMID40033718
PMCPMC12066887

What OpenQuestion holds

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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.