Evidence map›Paper›PMID 41547691›Full record

ArticleScientific reports2026

Socioeconomic and nutritional determinants outweigh gut microbiota influence on neurodevelopment in young children from Antananarivo, Madagascar.

Jeanne Tamarelle, Maria V Doria, Valérie Rambolamanana, Tatamo Rajaonarivo, Ana Sousa Ferreira, Maheninasy Rakotondrainipiana, Rindra Vatosoa Randremanana, Philippe Sansonetti, Pascale Vonaesch, Afribiota investigators

Abstract read
In one paragraph

Article in Scientific reports, 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. 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

10 authors.

Jeanne TamarelleDepartment of Fundamental Microbiology, University of Lausanne, 1015, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-0956-0349
Maria V DoriaInstitut Pasteur, 25-28 Rue du Docteur Roux, Paris, France. mdoria@ymail.com.
Valérie RambolamananaUnité d'Epidémiologie et de Recherche Clinique, Institut Pasteur de Madagascar, BP 1274, Ambatofotsikely, 101, Antananarivo, Madagascar.
Tatamo RajaonarivoUnité d'Epidémiologie et de Recherche Clinique, Institut Pasteur de Madagascar, BP 1274, Ambatofotsikely, 101, Antananarivo, Madagascar.
Ana Sousa FerreiraFaculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, 1649-013, Lisbon, Portugal.
Maheninasy RakotondrainipianaUnité d'Epidémiologie et de Recherche Clinique, Institut Pasteur de Madagascar, BP 1274, Ambatofotsikely, 101, Antananarivo, Madagascar.ORCID http://orcid.org/0000-0001-7932-9703
Rindra Vatosoa RandremananaUnité d'Epidémiologie et de Recherche Clinique, Institut Pasteur de Madagascar, BP 1274, Ambatofotsikely, 101, Antananarivo, Madagascar.ORCID http://orcid.org/0000-0002-6174-8827
Philippe SansonettiUnité de Pathogénie Microbienne, Institut Pasteur, 25‑28 Rue du Dr Roux, Paris, France.ORCID http://orcid.org/0000-0001-7542-4527
Pascale VonaeschDepartment of Fundamental Microbiology, University of Lausanne, 1015, Lausanne, Switzerland. pascale.vonaesch@unil.ch.ORCID http://orcid.org/0000-0002-1064-6505
Afribiota investigators

Funding

Bill and Melinda Gates Foundation OPP1204689Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung Early Postdoctoral Fellowship P2EZP3_152159
6 · The paper itself

Abstract

In 2024, stunted child growth affected 150 million children under the age of five years, underscoring its critical impact on global health. Stunting has also been associated with neurodevelopmental delays. This study explores the relationship between stunting, the fecal microbiota, and neurodevelopment in 2-5-year-old children from the Afribiota cross-sectional study in Madagascar. Children were assessed using the Ages and Stages Questionnaire (ASQ-3), covering five developmental domains (communication, personal-social, problem-solving, fine and gross motor). Fecal samples were analyzed via 16S rRNA gene amplicon sequencing. Classical bi- and multivariate analysis was combined with Structural Equation Modelling to evaluate direct and indirect associations between different clinical factors, the microbiota and neurodevelopment. Our study shows that stunting and low socioeconomic status are consistently linked to poorer neurodevelopmental outcomes, while low branched-chain amino acids and hemoglobin levels are associated with stunting. Furthermore, a higher microbial diversity within individuals (α-diversity-specifically the Shannon index-) was directly linked to improved neurodevelopment scores in one of the tested models, while gut microbiota variation between individuals (β-diversity) was not associated with neurodevelopment. These findings support the hypothesis of neurodevelopment being primarily influenced by nutritional and social factors, with a more limited role for microbiota diversity.

Indexed as

Gastrointestinal MicrobiomeGrowth DisordersNutritional StatusChild, PreschoolCross-Sectional StudiesFecesFemaleHumansMadagascarMaleNeurodevelopmentRNA, Ribosomal, 16SSocioeconomic FactorsRNA, Ribosomal, 16S

Identifiers

PMID41547691
PMCPMC12886980

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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.