Evidence mapPaperPMID 36977352Full record

ReviewNutrition reviews2023

Inflammation: the driver of poor outcomes among children with severe acute malnutrition?

Jonathan P Sturgeon, James M Njunge, Claire D Bourke, Gerard Bryan Gonzales, Ruairi C Robertson, Mutsa Bwakura-Dangarembizi, James A Berkley, Paul Kelly, Andrew J Prendergast

Open access · hybridAbstract readReview
In one paragraph

Review in Nutrition reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

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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 5 institutions in 5 countries.

Jonathan P SturgeonZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.ORCID 0000-0003-1318-1739
James M NjungeThe Childhood Acute Illness & Nutrition Network, Nairobi, Kenya.
Claire D BourkeZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Gerard Bryan GonzalesNutrition, Metabolism and Genomics Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, Netherlands.
Ruairi C RobertsonZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Mutsa Bwakura-DangarembiziZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
James A BerkleyThe Childhood Acute Illness & Nutrition Network, Nairobi, Kenya.
Paul Kellyis with the Tropical Gastroenterology and Nutrition Group, University of Zambia, Lusaka, Zambia.ORCID 0000-0003-0844-6448
Andrew J PrendergastZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Queen Mary University of London · GBKenya Medical Research Institute · KEUniversity of Zambia · ZMWageningen University & Research · NLZvitambo Institute for Maternal and Child Health Research · ZW

Funding

Medical Research Council MR/M007367/1Wellcome Trust 206225/Z/17/ZWellcome Trust 206455/Z/17/ZWellcome Trust 220566/Z/20/Z
6 · The paper itself

Abstract

Severe acute malnutrition (SAM) is the most life-threatening form of undernutrition and underlies at least 10% of all deaths among children younger than 5 years in low-income countries. SAM is a complex, multisystem disease, with physiological perturbations observed in conjunction with the loss of lean mass, including structural and functional changes in many organ systems. Despite the high mortality burden, predominantly due to infections, the underlying pathogenic pathways remain poorly understood. Intestinal and systemic inflammation is heightened in children with SAM. Chronic inflammation and its consequent immunomodulation may explain the increased morbidity and mortality from infections in children with SAM, both during hospitalization and in the longer term after discharge. Recognition of the role of inflammation in SAM is critical in considering new therapeutic targets in this disease, which has not seen a transformational approach to treatment for several decades. This review highlights the central role of inflammation in the wide-ranging pathophysiology of SAM, as well as identifying potential interventions that have biological plausibility based on evidence from other inflammatory syndromes.

Indexed as

MalnutritionSevere Acute MalnutritionChildHumansInfantInflammationIntestinesinflammationSAMsevere acute malnutritionsevere malnutritionwasting

Identifiers

PMID36977352
PMCPMC10639108
OpenAlexW4361225827

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.