Evidence map›Paper›PMID 34103403›Full record

ReviewGut2021

Understanding the role of the gut in undernutrition: what can technology tell us?

Alex J Thompson, Claire D Bourke, Ruairi C Robertson, Nirupama Shivakumar, Christine A Edwards, Tom Preston, Elaine Holmes, Paul Kelly, Gary Frost, Douglas J Morrison and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Gut, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The value of an ecological approach to address micronutrient malnutrition.The American journal of clinical nutrition · 2025
    Article
  5. Review
  6. A cross-sectional study of associations between theThe American journal of clinical nutrition · 2024
    Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Health and Disease:Research (Washington, D.C.) · 2023
    Article
  12. 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

11 authors at 5 institutions in 3 countries.

Alex J ThompsonHamlyn Centre for Robotic Surgery, Department of Surgery and Cancer, Imperial College London, London, UK alex.thompson08@imperial.ac.uk g.frost@imperial.ac.uk Douglas.Morrison@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-2485-1550
Claire D BourkeBlizard Institute, Barts & The London School of Medicine, Queen Mary University of London, London, UK.
Ruairi C RobertsonBlizard Institute, Barts & The London School of Medicine, Queen Mary University of London, London, UK.
Nirupama ShivakumarDivision of Nutrition, St John's National Academy of Health Sciences, Bangalore, Karnataka, India.
Christine A EdwardsSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
Tom PrestonStable Isotope Biochemistry Laboratory, Scottish Universities Environmental Research Centre, East Kilbride, UK.
Elaine HolmesDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Paul KellyBlizard Institute, Barts & The London School of Medicine, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0003-0844-6448
Gary FrostDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK alex.thompson08@imperial.ac.uk g.frost@imperial.ac.uk Douglas.Morrison@glasgow.ac.uk.
Douglas J MorrisonStable Isotope Biochemistry Laboratory, Scottish Universities Environmental Research Centre, East Kilbride, UK alex.thompson08@imperial.ac.uk g.frost@imperial.ac.uk Douglas.Morrison@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-4161-5699
HUNGer Consortium
Imperial College London · GBQueen Mary University of London · GBScottish Universities Environmental Research Centre · GBSt. John's National Academy of Health Sciences · INUniversity of Glasgow · GB

Funding

Medical Research Council MC_PC_MR/R019258/1Medical Research Council MR/V012452/1Wellcome Trust 206225/Z/17/ZWellcome Trust 206455/Z/17/Z
6 · The paper itself

Abstract

Gut function remains largely underinvestigated in undernutrition, despite its critical role in essential nutrient digestion, absorption and assimilation. In areas of high enteropathogen burden, alterations in gut barrier function and subsequent inflammatory effects are observable but remain poorly characterised. Environmental enteropathy (EE)-a condition that affects both gut morphology and function and is characterised by blunted villi, inflammation and increased permeability-is thought to play a role in impaired linear growth (stunting) and severe acute malnutrition. However, the lack of tools to quantitatively characterise gut functional capacity has hampered both our understanding of gut pathogenesis in undernutrition and evaluation of gut-targeted therapies to accelerate nutritional recovery. Here we survey the technology landscape for potential solutions to improve assessment of gut function, focussing on devices that could be deployed at point-of-care in low-income and middle-income countries (LMICs). We assess the potential for technological innovation to assess gut morphology, function, barrier integrity and immune response in undernutrition, and highlight the approaches that are currently most suitable for deployment and development. This article focuses on EE and undernutrition in LMICs, but many of these technologies may also become useful in monitoring of other gut pathologies.

Indexed as

gastrointestinal functionmalnutrition

Identifiers

PMID34103403
PMCPMC8292602
OpenAlexW3166178792

What Socratic holds

Textmetadata
LicenceCC BY
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.