Evidence map›Paper›PMID 41419668›Full record

Trial reportPediatric research2026

Immune responses to topical emollient therapy with sunflower seed oil in young children with severe acute malnutrition in Bangladesh: a randomized controlled trial.

K M Shahunja, Amy Newlands, Tahmeed Ahmed, Md Iqbal Hossain, Mustafa Mahfuz, Gary L Darmstadt

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 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

6 authors.

K M ShahunjaFaculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Amy NewlandsGSK, New Oxford Street, London, UK.
Tahmeed AhmedNutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Md Iqbal HossainNutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Mustafa MahfuzNutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Gary L DarmstadtDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. gdarmsta@stanford.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute malnutrition (SAM) is associated with immune dysregulation and increased infection risk. Nutritional rehabilitation is essential for recovery; adjunctive topical therapy with sunflower seed oil (SSO) has shown benefits in improving skin barrier function and reducing infection risk. This study investigates the impact of emollient therapy on systemic immune responses in young children with SAM.

methodsA nested study within a randomized controlled trial was conducted among 212 Bangladeshi children aged 2-24 months with SAM. Participants received standard acute nutritional rehabilitation alone or along with adjunctive SSO therapy. Serum cytokine levels were measured at baseline and after 10 days of treatment. Statistical analysis using general linear regression assessed treatment effects on cytokine changes.

resultsCytokine levels were generally low, with no clinically relevant differences in IL-8, IL-10, or TNF-α levels between treatment groups. A decreasing trend in IL-8 coincided with weight gain, suggesting a potential inverse relationship between inflammation and nutritional recovery.

conclusionsWhile emollient therapy improved skin barrier function and reduced infection risk, its effects appear to be mediated through local cutaneous rather than systemic immune modulation. Further research is needed to explore impacts of emollient therapy on local and systemic immunological effects in malnourished children. IMPACT: This is the first study to investigate whether topical therapy with sunflower seed oil (SSO) influences systemic immune responses in children with severe acute malnutrition (SAM) undergoing standard acute nutritional rehabilitation. We found no significant changes in systemic cytokine levels attributable to 10 days of SSO treatment. Previous studies have shown that emollient therapy improves skin barrier integrity and function and reduces infection risk; this study underscores the need for further research (e.g., larger samples size, longer duration of treatment) into the immune response in malnourished children and how interventions like nutritional rehabilitation and emollient therapy interact with systemic inflammation.

Indexed as

EmollientsPlant OilsSevere Acute MalnutritionSunflower OilAdministration, TopicalBangladeshChild, PreschoolCytokinesFemaleHumansInfantMaleTreatment OutcomeCytokinesEmollientsPlant OilsSunflower Oil

Identifiers

PMID41419668
PMCPMC13638449

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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.