Evidence map›Paper›PMID 41204789›Full record

Observational studyActa paediatrica (Oslo, Norway : 1992)2026

Childhood Linear Growth and Early Morbidity as Predictors of Adolescent Cognitive Ability in Malawi: A Prospective Observational Study.

Karoliina Videman, Jukka M Leppänen, Lotta Hallamaa, Kenneth Maleta, Per Ashorn, Charles Mangani, Ulla Ashorn

Abstract readObservational Study
In one paragraph

Observational study in Acta paediatrica (Oslo, Norway : 1992), 2026. 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. 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

7 authors.

Karoliina VidemanCenter for Child, Adolescent and Maternal Health Research, Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.ORCID 0000-0002-8367-4451
Jukka M LeppänenDepartment of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland.
Lotta HallamaaCenter for Child, Adolescent and Maternal Health Research, Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
Kenneth MaletaDepartment of Nutrition and Dietetics, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Per AshornCenter for Child, Adolescent and Maternal Health Research, Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
Charles ManganiDepartment of Nutrition and Dietetics, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Ulla AshornCenter for Child, Adolescent and Maternal Health Research, Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.

Funding

Academy of Finland 207010Academy of Finland 79787Finninsh Cultural FoundationFoundation for Pediatric Research in FinlandMedical Research Fund of Tampere University HospitalState funding for University-level health research, Tampere University Hospital, Wellbeing services county of Pirkanmaa T64504Tampere University Hospital Support Foundation T64134
6 · The paper itself

Abstract

aimGrowth faltering and loss of development potential are common in low- and middle-income countries. We aimed to study whether linear growth before and after 2 years, height-for-age Z-score (HAZ) from 1 month until 13 years and morbidity during the first 3 years predict adolescent cognitive ability.

methodsCognitive assessment was done between 2018 and 2019 using Raven's coloured progressive matrices (N = 997), a measure of inductive reasoning and eye-tracking measures of saccadic speed (N = 760) and saccadic control (N = 618) among children whose mothers originally participated in a randomised clinical trial in rural Malawi. Linear regression was used to predict cognitive ability. The primary model was adjusted for age and sex, and the covariate-adjusted model for other prespecified variables.

resultsSaccadic control was predicted by a change in HAZ between 2 and 13 years in the adjusted model (coef -0.03, p = 0.04). Raven's score was predicted by change in HAZ between 1 month and 2 years (coef. 0.47, p < 0.05), and HAZ at 2, 5 and 13 years (coefs. 0.27-0.38, p < 0.05). Morbidity did not predict adolescent cognition.

conclusionLinear growth before 2 years of age and single HAZ measurements from 2 years onwards associated with later cognitive ability measured with Raven's test, but not consistently with eye-tracking assessment.

Indexed as

Body HeightChild DevelopmentCognitionAdolescentChildChild, PreschoolFemaleHumansInfantMalawiMaleProspective Studiesadolescentcognitive abilityeye trackinglinear growthmorbidity

Identifiers

PMID41204789
PMCPMC12889989

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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.