Evidence map›Paper›PMID 31732866›Full record

ReviewCurrent HIV/AIDS reports2019

Growth and Neurodevelopment of HIV-Exposed Uninfected Children: a Conceptual Framework.

Catherine J Wedderburn, Ceri Evans, Shunmay Yeung, Diana M Gibb, Kirsten A Donald, Andrew J Prendergast

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 90 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 3 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT04531618 nacompletednot on this mapstarted 2024, after this paper: background citation

Randomized Controlled Trial (RCT) of Two Programs Supporting Early Infant Development Beginning in the Well Baby Nursery Through 4 Months of Age

TypeinterventionalSponsorColumbia UniversityRan2024 to 2025Enrolled132ConditionsChild Development, Mother-Infant Interaction, Relation, Parent-ChildArmsEmotional Exchange (EE), Newborn Care (NC)
NCT07430826 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Building Opportunities for Nurturing Care to Enhance Development in Eastern and Southern Africa

TypeinterventionalSponsorUniversity of WashingtonRan2026 to 2029Enrolled1,260ConditionsNeurodevelopment, Child GrowthArmsFriendship Bench, Infant and Young Child Feeding (IYCF) Curriculum, Play-Based Curriculum
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Longitudinal comparison of bone, growth, and biochemical markers in breastfed HIV-exposed uninfected and HIV-unexposed Ugandan children.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  9. Review
  10. Hearing Assessment in HIV-Exposed-Uninfected Infants.Tropical medicine and infectious disease · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational

30 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

6 authors at 5 institutions in 3 countries.

Catherine J WedderburnDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.
Ceri EvansBlizard Institute, Queen Mary University of London, London, UK. ceri.evans@qmul.ac.uk.
Shunmay YeungDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.
Diana M GibbMRC Clinical Trials Unit, University College London, London, UK.
Kirsten A DonaldDepartment of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Andrew J PrendergastBlizard Institute, Queen Mary University of London, London, UK.
Queen Mary University of London · GBLondon School of Hygiene & Tropical Medicine · GBRed Cross War Memorial Children's Hospital · ZAUniversity College London · GBUniversity of Cape Town · ZA

Funding

Medical Research Council MC_UU_12023/26Wellcome Trust 108065/Z/15/ZWellcome Trust 203525/Z/16/ZWellcome Trust 203905/Z/16/Z
6 · The paper itself

Abstract

purpose of reviewThe population of HIV-exposed uninfected (HEU) children is expanding rapidly, and over one million HEU infants are born each year globally. Several recent studies have reported that HEU children, particularly in low- and middle-income countries, are at risk of poor outcomes, including impaired growth and neurodevelopment. However, the reasons for poor clinical outcomes amongst HEU children remain unclear. RECENT

findingsWe summarise the findings from recent large studies that have characterised growth and neurodevelopment in HEU children, identified risk factors and explored underlying mechanistic pathways. We propose a conceptual framework to explain how exposure to HIV and antiretroviral therapy (ART) may lead to adverse growth and neurodevelopment in uninfected children, and review the available evidence and research gaps. We propose that HEU children are affected both indirectly, through the augmentation of universal risk factors underlying poor growth and neurodevelopment, and directly through HIV/ART-specific pathways, which ultimately may converge through a series of common pathogenic mechanisms. In the era of universal ART, a better understanding of these pathways is crucial to inform future prevention and intervention strategies.

Indexed as

Antirheumatic AgentsChildChild DevelopmentFemaleHIV InfectionsHumansInfantMaleMaternal ExposurePregnancyPregnancy Complications, InfectiousAntirheumatic AgentsChildEarly child developmentGrowthHIV-exposed uninfectedStunting

Identifiers

PMID31732866
PMCPMC6920255
OpenAlexW2987412662

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.