Evidence map›Paper›PMID 40164777›Full record

Trial reportEuropean journal of clinical nutrition2025

Effect of lipid-based nutrient supplements on morbidity among children with stunting: secondary analysis of a randomized trial in Uganda.

Rolland Mutumba, Joseph Mbabazi, Hannah Pesu, Jack I Lewis, Christian Mølgaard, Christian Ritz, Mette F Olsen, Andre Briend, Nicolette Nabukeera-Barungi, Jonathan C Wells and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical 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. Review
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

13 authors.

Rolland MutumbaDepartment of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. mutumbarolland@gmail.com.ORCID http://orcid.org/0000-0002-1311-9946
Joseph MbabaziDepartment of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Hannah PesuDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Jack I LewisDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-9483-912X
Christian MølgaardDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Christian RitzThe National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-5095-0624
Mette F OlsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-5742-6403
Andre BriendDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Nicolette Nabukeera-BarungiDepartment of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Jonathan C WellsChildhood Nutrition Research Centre, Population Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0003-0411-8025
Henrik FriisDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Benedikte GrenovDepartment 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.ORCID http://orcid.org/0000-0002-8746-9009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with stunting are at risk of infections. We assessed the effect of lipid-based nutrient supplement (LNS) on morbidity in children with stunting.

methodsThis was a secondary analysis of a randomized, 2×2 factorial trial among 12-59 months-old, stunted children in Uganda. Children were randomized to LNS containing milk or soy protein and whey permeate or maltodextrin, or no supplementation, for 12 weeks. The outcomes were caregiver-reported morbidity after 2, 4, 8 and 12 weeks, serum C-reactive protein (S-CRP), α

resultsOf 750 children, mean (SD) age was 32.0 (11.7) months, 55% (n = 412) were male. LNS increased diarrhoea prevalence (18.1% vs 7.3%, P = 0.001) during the first two weeks, but not thereafter. There was no effect of LNS on cough or fever. LNS resulted in greater decline in S-AGP (-0.10 g/L, 95% CI: -0.17, -0.03, P = 0.003) but not S-CRP (25%, 95% CI: -11, 74, P = 0.193), and greater increase in PhA (0.10 degrees, 95% CI: 0.01, 0.18, P = 0.030), explained by greater fat-free mass. Milk compared to soy protein in LNS resulted in higher PhA (0.10 degrees, 95% CI: 0.02, 0.17, P = 0.013), not explained by fat-free mass.

conclusionLNS supplementation in children with stunting had no effect on morbidity but resulted in a small reduction in sub-acute systemic inflammation. The possible effect of LNS supplementation on inflammation in stunted children requires further evaluation. ( www.isrctn.com : ISRCTN13093195).

Indexed as

Dietary FatsDietary SupplementsGrowth DisordersChild, PreschoolC-Reactive ProteinDiarrheaFemaleHumansInfantMaleMilkOrosomucoidSoybean ProteinsUgandaWhey ProteinsC-Reactive ProteinDietary FatsOrosomucoidSoybean ProteinsWhey Proteins

Identifiers

PMID40164777
PMCPMC12353797

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.