Evidence map›Paper›PMID 41338694›Full record

SynthesisThe American journal of clinical nutrition2025

Effect of early-life protein supplementation on childhood obesity and related metabolic outcomes: a systematic review and meta-analysis.

Rukman Manapurath, Christopher P Duggan, Ranadip Chowdhury, Sunita Taneja, Nita Bhandari, Tor A Strand

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The American 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Rukman ManapurathCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Department of Maternal and Child Health - Nutrition, Society for Applied Studies, New Delhi, India.
Christopher P DugganDivision of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, MA, United States; Departments of Nutrition and Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Ranadip ChowdhuryDepartment of Maternal and Child Health - Nutrition, Society for Applied Studies, New Delhi, India.
Sunita TanejaDepartment of Maternal and Child Health - Nutrition, Society for Applied Studies, New Delhi, India.
Nita BhandariDepartment of Maternal and Child Health - Nutrition, Society for Applied Studies, New Delhi, India.
Tor A StrandCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Department of Research, Innlandet Hospital Trust, Lillehammer, Norway. Electronic address: Tor.strand@uib.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtein intake during complementary feeding plays a vital role in childhood growth. However, the effects of varying protein quantity and source on obesity and related metabolic outcomes remain uncertain.

objectivesThis study aimed to evaluate the effect of protein intake (quantity and source) on childhood obesity [weight-for-length Z-score (WLZ) > 2], body composition [fat mass (FM), fat-free mass (FFM)], and metabolic markers (insulin, insulin-like growth factor-1) in children aged 6-23 mo, including outcomes beyond 24 mo where available.

methodsA systematic search was conducted in MEDLINE, Cochrane CENTRAL, Embase, Web of Science, and CINAHL (January 2000-May 2024) for randomized controlled trials that compared high with low protein intake (diets with higher protein defined as an absolute difference of ≥5 g/d between groups), animal compared with plant-based protein, and meat compared with dairy. Random-effects meta-analyses were performed, and heterogeneity was assessed using I

resultsOf 5817 records identified, 20 publications (from 19 trials) met the inclusion criteria, with 12 included in the meta-analysis. Diets with higher protein content did not substantially affect WLZ. Standardized mean difference (SMD) was 0.0 (95% CI: -0.09, 0.09) for low- and middle-income countries and 0.17 (95% CI: -0.12, 0.47) for high-income countries. No effects were found for FFM [SMD: -0.05 (95% CI: -0.31, 0.21)] or FM [SMD: 0.17 (95% CI: -0.41, 0.74)]. We were not able to identify any effects of protein source of any of the outcomes. Insufficient data precluded meta-analysis for metabolic markers.

conclusionsThere is limited evidence of any impact of protein quantity or quality during complementary feeding on growth or body composition. Given the short-lasting exposures and follow-up times, the long-term metabolic effects of protein supplementation require further investigation. This trial was registered at PROSPERO as CRD42024550409.

Indexed as

Dietary ProteinsDietary SupplementsInfant Nutritional Physiological PhenomenaPediatric ObesityBody CompositionHumansInfantDietary Proteinsbody compositionchildhood obesitycomplementary feedinggrowth outcomesinsulin-like growth factorlow- and middle-income countriesmeta-analysisprotein supplementationrandomized controlled trialsystematic review

Identifiers

PMID41338694
PMCPMC12799402

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.