Evidence map›Paper›PMID 29632170›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2018

Tradeoffs between immune function and childhood growth among Amazonian forager-horticulturalists.

Samuel S Urlacher, Peter T Ellison, Lawrence S Sugiyama, Herman Pontzer, Geeta Eick, Melissa A Liebert, Tara J Cepon-Robins, Theresa E Gildner, J Josh Snodgrass

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 1% of its field
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

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 174 citations in OpenAlex.

  1. The utility of dried blood spot measurement of bone turnover markers in biological anthropology.American journal of human biology : the official journal of the Human Biology Council · 2022
    Pooled it
  2. Trial
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  4. Energy constraint on human health.Trends in endocrinology and metabolism: TEM · 2026
    Review
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  6. Article
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  10. The Shuar Health and Life History Project: Overview at 20 Years and Introduction to the Special Issue.American journal of human biology : the official journal of the Human Biology Council · 2026
    Article
  11. Review
  12. Article
  13. Oxidative Stress and Its Relationship With Market Integration and Pathogen Exposure Among Indigenous Shuar Children of Amazonian Ecuador.American journal of human biology : the official journal of the Human Biology Council · 2026
    Article
  14. Article
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21 more citing papers are in PubMed but not listed here.

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 at 6 institutions in 1 country.

Samuel S UrlacherDepartment of Anthropology, Hunter College, City University of New York, New York, NY 10065.
Peter T EllisonDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA 02138; pellison@fas.harvard.edu.
Lawrence S SugiyamaDepartment of Anthropology, University of Oregon, Eugene, OR 97403.
Herman PontzerDepartment of Anthropology, Hunter College, City University of New York, New York, NY 10065.
Geeta EickDepartment of Anthropology, University of Oregon, Eugene, OR 97403.ORCID 0000-0001-7512-3265
Melissa A LiebertDepartment of Anthropology, Northern Arizona University, Flagstaff, AZ 86011.ORCID 0000-0001-8013-6773
Tara J Cepon-RobinsDepartment of Anthropology, University of Colorado, Colorado Springs, CO 80918.
Theresa E GildnerDepartment of Anthropology, University of Oregon, Eugene, OR 97403.
J Josh SnodgrassDepartment of Anthropology, University of Oregon, Eugene, OR 97403.
University of Oregon · USCity University of New York · USDuke University · USHarvard University · USNorthern Arizona University · USUniversity of Colorado Colorado Springs · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune function is an energetically costly physiological activity that potentially diverts calories away from less immediately essential life tasks. Among developing organisms, the allocation of energy toward immune function may lead to tradeoffs with physical growth, particularly in high-pathogen, low-resource environments. The present study tests this hypothesis across diverse timeframes, branches of immunity, and conditions of energy availability among humans. Using a prospective mixed-longitudinal design, we collected anthropometric and blood immune biomarker data from 261 Amazonian forager-horticulturalist Shuar children (age 4-11 y old). This strategy provided baseline measures of participant stature, s.c. body fat, and humoral and cell-mediated immune activity as well as subsample longitudinal measures of linear growth (1 wk, 3 mo, 20 mo) and acute inflammation. Multilevel analyses demonstrate consistent negative effects of immune function on growth, with children experiencing up to 49% growth reduction during periods of mildly elevated immune activity. The direct energetic nature of these relationships is indicated by (

Indexed as

Child DevelopmentImmunity, CellularImmunity, HumoralAdipose TissueChildChild, PreschoolEcuadorFemaleHumansMaleProspective Studiesadaptive immunityenergeticsinflammationlife history theoryphenotypic plasticity

Identifiers

PMID29632170
PMCPMC5924892
OpenAlexW2797237250

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.