Inflammation impairs post-hospital discharge growth among children hospitalised with acute illness in sub-Saharan Africa and south Asia Article Swipe
James M. Njunge
,
Evans Mudibo
,
Jasper Bogaert
,
Benedict Orindi
,
Charles Sande
,
Céline Bourdon
,
Caroline Tigoi
,
Moses M. Ngari
,
Narshion Ngao
,
Elisha Omer
,
Wilson Gumbi
,
Robert Musyimi
,
Molline Timbwa
,
Shalton Mwaringa
,
Agnes Gwela
,
Johnstone Thitiri
,
Ezekiel Mupere
,
Christina Lancioni
,
Benson Singa
,
Abdoulaye Diallo
,
Roseline Maïmouna Bamouni
,
Mohammod Jobayer Chisti
,
Abu Sadat Mohammad Sayeem Bin Shahid
,
Tahmeed Ahmed
,
Ali Faisal Saleem
,
Asad Ali
,
Holm H. Uhlig
,
Robert Bandsma
,
Kirkby D. Tickell
,
Judd L. Walson
,
James A. Berkley
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6127712/v1
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6127712/v1
Childhood growth can be affected by acute illness, chronic conditions, diet and their home environment. In resource-poor settings, children often experience poor growth following illness, but the mechanisms are poorly understood. This cohort study nested within the CHAIN cohort in six countries in sub-Saharan Africa and south Asia investigated pathways linking inflammation and post-discharge weight gain among children hospitalised with acute illness. We analysed biomarkers of inflammation, enteropathy, growth mediators and other exposures at hospital discharge and examined how they impact post-discharge weight gain during 90 days. Linear mixed models determined associations between exposures and weight gain while structural equation models explained how these exposures influence growth. We show that systemic inflammation impacts mediators of linear growth including the GH/IGF1 axis and bone metabolism to a larger extent and weight gain via enteroendocrine peptide YY and glucagon pathways to a lesser extent. Systemic inflammation negatively affects weight gain directly. Intestinal dysfunction impacts growth through systemic inflammation. Adverse household and chronic medical conditions predominantly influenced weight gain through inflammation. Persistent systemic inflammation at hospital discharge strongly impairs post-discharge linear growth and limits weight gain. It is critical to address inflammation, the intestinal mucosal barrier and other exposures driving inflammation to optimise recovery. One Sentence Summary: Inflammation driven by illness, enteropathy and adverse social factors redirects post-hospital recovery away from linear growth and limits weight gain.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-6127712/v1
- https://www.researchsquare.com/article/rs-6127712/latest.pdf
- OA Status
- gold
- References
- 69
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408686192
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4408686192Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-6127712/v1Digital Object Identifier
- Title
-
Inflammation impairs post-hospital discharge growth among children hospitalised with acute illness in sub-Saharan Africa and south AsiaWork title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-03-21Full publication date if available
- Authors
-
James M. Njunge, Evans Mudibo, Jasper Bogaert, Benedict Orindi, Charles Sande, Céline Bourdon, Caroline Tigoi, Moses M. Ngari, Narshion Ngao, Elisha Omer, Wilson Gumbi, Robert Musyimi, Molline Timbwa, Shalton Mwaringa, Agnes Gwela, Johnstone Thitiri, Ezekiel Mupere, Christina Lancioni, Benson Singa, Abdoulaye Diallo, Roseline Maïmouna Bamouni, Mohammod Jobayer Chisti, Abu Sadat Mohammad Sayeem Bin Shahid, Tahmeed Ahmed, Ali Faisal Saleem, Asad Ali, Holm H. Uhlig, Robert Bandsma, Kirkby D. Tickell, Judd L. Walson, James A. BerkleyList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-6127712/v1Publisher landing page
- PDF URL
-
https://www.researchsquare.com/article/rs-6127712/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.researchsquare.com/article/rs-6127712/latest.pdfDirect OA link when available
- Concepts
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South asia, Medicine, Hospital discharge, Inflammation, Intensive care medicine, Internal medicine, History, Ancient historyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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69Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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