Evidence map›Paper›PMID 40798923›Full record

Trial reportJournal of pediatric gastroenterology and nutrition2025

Liver function tests among children with moderate acute malnutrition: A secondary analysis of a randomized trial from Burkina Faso.

Christina L Winther, Thora W Helt, Christian Fabiansen, Ruth Frikke-Schmidt, Suzanne Filteau, André Briend, Kim F Michaelsen, Henrik Friis, Vibeke B Christensen

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 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. Trial
  2. 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

9 authors.

Christina L WintherDepartment of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-4401-0369
Thora W HeltDepartment of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Christian FabiansenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Ruth Frikke-SchmidtDepartment of Clinical Biochemistry, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Suzanne FilteauFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
André BriendDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Kim F MichaelsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Henrik FriisDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Vibeke B ChristensenDepartment of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Funding

Alliance for International Medical ActionArvid Nilsson's FoundationDanish International Development Assistance 09-097 LIFEEuropean Union's Humanitarian Aid Funds; Action Contre la FaimEuropean Union's humanitarian aid funds, in partnership with Action Contre la FaimMédecins Sans FrontièresThe World Food ProgramUS Agency for International Development's Office of Food for Peace
6 · The paper itself

Abstract

objectivesHepatic steatosis has been described in children with severe acute malnutrition, but the degree of liver damage in children with moderate acute malnutrition (MAM) is unknown. This study aimed to investigate the development of malnutrition-associated liver damage by describing liver function tests among children with MAM.

methodsThis study was a randomized 2 × 2 × 3 factorial trial, Treatfood, conducted in Burkina Faso. Children (6-23 months) with MAM received either a lipid-based nutrient supplement or a corn-soy blend, containing either dehulled soy or soy isolate and different quantities of dried skim milk. Malaria rapid diagnostic tests and liver function tests were performed at inclusion and after 3 months of supplementation and compared to Danish reference intervals. Associations were analyzed with linear regressions or tobit regressions, and odds ratios were calculated with logistic regressions, all age- and sex-adjusted.

resultsIn total, 1405 children had one or more liver function tests measured at baseline. The median age was 11.4 months [interquartile range: 8.2-16.1]. Few children had elevated concentrations of liver function tests at baseline. Concentrations of total bilirubin were 19% (95% confidence interval: 2-40) greater among children with length-for-age Z-scores <-3 compared with children with Z-scores ≥-2. The concentrations of total bilirubin and alkaline phosphatase were negatively associated with age. Minor changes in the serum concentrations of liver function tests were observed after intervention.

conclusionsLiver function tests were largely within the normal range, whereby no signs of manifest liver damage were found. Children with stunted growth had higher bilirubin, which might indicate subclinical liver damage. CLINICAL

trial registrationISRCTN number: ISRCTN42569496.

Indexed as

LiverMalnutritionAlkaline PhosphataseBilirubinBurkina FasoDietary SupplementsFemaleHumansInfantLiver Function TestsMaleAlkaline PhosphataseBilirubinliver parametersmiddle‐ and low‐income countriespediatricwasting

Identifiers

PMID40798923
PMCPMC12580462

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.