Akkermansia muciniphila Associated with Improved Linear Growth among Young Children, Democratic Republic of the Congo

To investigate the association between enteric pathogens, fecal microbes, and child growth, we conducted a prospective cohort study of 236 children <5 years of age in rural eastern Democratic Republic of the Congo. We analyzed baseline fecal specimens by quantitative PCR and measured child height...

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Published in:Emerging infectious diseases Vol. 29; no. 1; pp. 81 - 88
Main Authors: George, Christine Marie, Birindwa, Alves, Li, Shan, Williams, Camille, Kuhl, Jennifer, Thomas, Elizabeth, François, Ruthly, Presence, Amani Sanvura, Claude, Bisimwa Rusanga Jean, Mirindi, Patrick, Bisimwa, Lucien, Perin, Jamie, Stine, O. Colin
Format: Journal Article
Language:English
Published: United States U.S. National Center for Infectious Diseases 01.01.2023
Centers for Disease Control and Prevention
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ISSN:1080-6040, 1080-6059, 1080-6059
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Summary:To investigate the association between enteric pathogens, fecal microbes, and child growth, we conducted a prospective cohort study of 236 children <5 years of age in rural eastern Democratic Republic of the Congo. We analyzed baseline fecal specimens by quantitative PCR and measured child height and weight at baseline and growth at a 6-month follow-up. At baseline, 66% (156/236) of children had >3 pathogens in their feces. We observed larger increases in height-for-age-z-scores from baseline to the 6-month follow-up among children with Akkermansia muciniphila in their feces (coefficient 0.02 [95% CI 0.0001-0.04]; p = 0.04). Children with Cryptosporidium in their feces had larger declines in weight-for-height/length z-scores from baseline to the 6-month follow-up (coefficient -0.03 [95% CI -0.05 to -0.005]; p = 0.02). Our study showed high prevalence of enteric pathogens among this pediatric cohort and suggests A. muciniphila can potentially serve as a probiotic to improve child growth.
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ISSN:1080-6040
1080-6059
1080-6059
DOI:10.3201/eid2901.212118