Supplementary feeding and infection control in pregnant adolescents—A secondary analysis of a randomized trial among malnourished women in Sierra Leone Article Swipe
Aminata Shamit Koroma
,
Mariama Ellie
,
Kadiatu Bangura
,
Per Ole Iversen
,
D Taylor Hendrixson
,
Kevin Stephenson
,
Mark Manary
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1111/mcn.13456
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1111/mcn.13456
Undernutrition during pregnancy in adolescence confers a high risk of maternal morbidity and adverse birth outcomes, particularly in low‐resource settings. In a secondary analysis, we hypothesized that younger undernourished pregnant adolescents (20 years) from the intervention of supplementary food and anti‐infective treatments. The original trial in Sierra Leone enrolled 236 younger adolescents (<18 years), 454 older adolescents (aged 18–19 years), and 741 adults (≥20 years), all with a mid‐upper arm circumference ≤23 cm. Younger adolescents had lower final fundal height as well as smaller newborns (−0.3 kg; 95% confidence interval [CI], −0.3, −0.2; p < 0.001) and shorter newborns (−1.1 cm; 95% CI, −1.5, −0.7; p < 0.001) than adults. The intervention's effect varied significantly between maternal age groups: adults benefited more than younger adolescents with respect to newborn birth weight (difference in difference, 166 g; 95% CI, 26, 306; interaction p = 0.02), birth length (difference in difference, 7.4 mm; 95% CI, 0.1, 14.8; interaction p = 0.047), and risk for low birth weight (<2.5 kg) (interaction p = 0.019). The differences in response persisted despite adjustments for maternal anthropometry, the number of prior pregnancies, and human immunodeficiency virus status. Older adolescents similarly benefited more than younger adolescents, though differences did not reach statistical significance. In conclusion, newborns born to younger adolescent mothers had worse outcomes than those born to adult mothers, and adults and their newborns benefited more from the intervention than younger adolescents.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/mcn.13456
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/mcn.13456
- OA Status
- gold
- Cited By
- 4
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4308605955
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4308605955Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/mcn.13456Digital Object Identifier
- Title
-
Supplementary feeding and infection control in pregnant adolescents—A secondary analysis of a randomized trial among malnourished women in Sierra LeoneWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-11-09Full publication date if available
- Authors
-
Aminata Shamit Koroma, Mariama Ellie, Kadiatu Bangura, Per Ole Iversen, D Taylor Hendrixson, Kevin Stephenson, Mark ManaryList of authors in order
- Landing page
-
https://doi.org/10.1111/mcn.13456Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/mcn.13456Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/mcn.13456Direct OA link when available
- Concepts
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Medicine, Anthropometry, Sierra leone, Pregnancy, Low birth weight, Confidence interval, Pediatrics, Malnutrition, Randomized controlled trial, Birth weight, Obstetrics, Internal medicine, Genetics, Development economics, Biology, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.adolescence | 5 |
| abstract_inverted_index.adolescents | 31, 61, 66, 84, 134, 202 |
| abstract_inverted_index.conclusion, | 217 |
| abstract_inverted_index.difference, | 143, 158 |
| abstract_inverted_index.differences | 182, 210 |
| abstract_inverted_index.interaction | 150, 165 |
| abstract_inverted_index.mid‐upper | 78 |
| abstract_inverted_index.statistical | 214 |
| abstract_inverted_index.treatments. | 51 |
| abstract_inverted_index.(interaction | 177 |
| abstract_inverted_index.adolescents, | 208 |
| abstract_inverted_index.adolescents. | 245 |
| abstract_inverted_index.hypothesized | 26 |
| abstract_inverted_index.intervention | 45, 242 |
| abstract_inverted_index.particularly | 17 |
| abstract_inverted_index.pregnancies, | 195 |
| abstract_inverted_index.circumference | 80 |
| abstract_inverted_index.significance. | 215 |
| abstract_inverted_index.significantly | 124 |
| abstract_inverted_index.supplementary | 47 |
| abstract_inverted_index.Undernutrition | 1 |
| abstract_inverted_index.anthropometry, | 190 |
| abstract_inverted_index.intervention's | 121 |
| abstract_inverted_index.low‐resource | 19 |
| abstract_inverted_index.undernourished | 29, 38 |
| abstract_inverted_index.anti‐infective | 50 |
| abstract_inverted_index.immunodeficiency | 198 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5084796844 |
| countries_distinct_count | 4 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I204465549 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.8299999833106995 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.60690966 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |