Child Nutrition Disorders, Infant Nutrition Disorders, Kwashiorkor, Malnutrition, Marasmus, Severe Malnutrition
Conditions
Brief summary
The investigators performed two case-control studies in Niger and Senegal analysing fecal microbiota to characterize the specificity of the gut microbiota alteration associated with severe acute malnutrition (SAM).
Detailed description
Fecal samples of cases (severe acute malnutrition (SAM) ascertained according to the WHO definition) and controls (asymptomatic healthy children ascertained by clinical and anthropometric criteria) were analysed by v3v4 16S rRNA sequencing, redox and pH measurement and using specific polymerase chain reaction targeting Methanobrevibacter smithii and Bacteroides thetaiotaomicron. Based on the literature and oxydative stress reported in SAM, the investigators tested if the proportion of aerotolerant prokaryotes is increased among gut prokaryotes enriched in SAM in comparison to prokaryotes enriched in controls. The investigators further linked this to fecal redox potential and assessed the total number of bacteria in feces by flux cytometry.
Interventions
Stool samples
Sponsors
Study design
Eligibility
Inclusion criteria
* Children aged 0-59 months of varying nutritional status from Niamey (Niger) and Dakar (Senegal).
Exclusion criteria
* Absence of parent or patient consent, antibiotic administration \<2 months before stool collection and insufficient fecal amount.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Aerotolerant Odds ratio (AOR) | 1 day (Participants were not followed as this is a case-contol study only clinical and anthropometric data and fecal samples were collected the day of inclusion) | AOR = (number of aerotolerant prokaryotes enriched in the gut of children with SAM \* number of obligate anaerobic prokaryotes enriched in controls)/(number of aerotolerant prokaryotes enriched in controls \* number of obligate anaerobic prokaryotes enriched in children with SAM) |
Countries
Niger, Senegal