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Parasites and childhood stunting – a mechanistic interplay with nutrition, anaemia, gut health, microbiota, and epigenetics

  • Isobel L. Gabain* (Corresponding Author)
  • , Anouschka S. Ramsteijn
  • , Joanne P. Webster
  • *Corresponding author for this work
  • Royal Veterinary College University of London
  • Imperial College London

Research output: Contribution to journalReview articlepeer-review

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Abstract

Globally, stunting affects approximately 149.2 million children under 5 years of age. The underlying aetiology and pathophysiological mechanisms leading to stunting remain elusive, and therefore few effective treatment and prevention strategies exist. Crucial evidence directly linking parasites to stunting is often lacking – in part due to the complex nature of stunting, as well as a lack of critical multidisciplinary research amongst key age groups. Here, based on available studies, we present potential mechanistic pathways by which parasitic infection of mother and/or infant may lead to childhood stunting. We highlight the need for future multidisciplinary longitudinal studies and clinical trials aimed at elucidating the most influential factors, and synergies therein, that can lead to stunting, and ultimately towards finding solutions to successfully mitigate against it.

Original languageEnglish
Pages (from-to)167-180
Number of pages14
JournalTrends in Parasitology
Volume39
Issue number3
Early online date15 Feb 2023
DOIs
Publication statusPublished - 1 Mar 2023

Bibliographical note

Funding Information:
We are very grateful to the Bloomsbury Colleges grant to I.G. ( VPR.1924 ), and the Global Challenges Research Fund (A.S.R. and J.P.W.: Ref MR/S01313X/1 ) for funding. Figures created with BioRender.com .

Funding

We are very grateful to the Bloomsbury Colleges grant to I.G. ( VPR.1924 ), and the Global Challenges Research Fund (A.S.R. and J.P.W.: Ref MR/S01313X/1 ) for funding. Figures created with BioRender.com .

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • anaemia
  • environmental enteric dysfunction
  • epigenetics
  • microbiota
  • parasites
  • stunting

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