A5043713480- Child Nutrition and Water Access
- Child Nutrition and Feeding Issues
- Food Security and Health in Diverse Populations
- Nutrition and Health in Aging
- Obesity, Physical Activity, Diet
- Birth, Development, and Health
- Poverty, Education, and Child Welfare
- Cerebral Palsy and Movement Disorders
- Global Maternal and Child Health
- Body Composition Measurement Techniques
- Human Health and Disease
- Infant Development and Preterm Care
- Breastfeeding Practices and Influences
- Nutritional Studies and Diet
- Childhood Cancer Survivors' Quality of Life
- Homelessness and Social Issues
- Iron Metabolism and Disorders
- Injury Epidemiology and Prevention
- Thermoregulation and physiological responses
- Grief, Bereavement, and Mental Health
- Antioxidant Activity and Oxidative Stress
- Delphi Technique in Research
- Adolescent Sexual and Reproductive Health
- Food Waste Reduction and Sustainability
- Connective tissue disorders research
London School of Hygiene & Tropical Medicine
2017-2025
University of London
2023-2024
Euclid Network
2022-2023
Action Network
2022-2023
Hospital for Sick Children
2018-2021
Centre for Global Health Research
2021
University College London
2013-2020
Malawi-Liverpool-Wellcome Trust Clinical Research Programme
2014-2020
University of Liverpool
2014-2020
University of Malawi
2016-2019
Tackling severe acute malnutrition (SAM) is a global health priority. Heightened risk of non-communicable diseases (NCD) in children exposed to SAM at around 2 years age plausible view previously described consequences other early nutritional insults. By applying developmental origins and disease (DOHaD) theory this group, we aimed explore the long-term effects SAM.
Wasting and stunting are common. They implicated in the deaths of almost two million children each year account for over 12% disability-adjusted life years lost young children. tend to be addressed as separate issues despite evidence common causality fact that may suffer simultaneously from both conditions (
Background Malnutrition underlies 3 million child deaths worldwide. Current treatments differentiate severe acute malnutrition (SAM) from moderate (MAM) with different products and programs. This differentiation is complex costly. The Combined Protocol for Acute Study (ComPAS) assessed the effectiveness of a simplified, unified SAM/MAM protocol children aged 6–59 months. Eliminating need separate protocols could improve impact programs by treating more easily cost-effectively, reaching...
Children who receive therapeutic feeding for wasting treatment but do not reach the anthropometric definitions of recovery (usually within 12–16 weeks) are categorised as ‘non-responders’ and considered failures. We conducted a pooled analysis to explore growth trajectories non-responders appropriateness definition ‘non-response’. 14 studies children aged 6–59 months receiving wasting. included classified by their recovered or non-responders. Observing data non-responders’ mid-upper arm...
Introduction Severe and moderate acute malnutrition (SAM MAM) affect more than 50 million children worldwide yet 80% of these do not access care. The Combined Protocol for Acute Malnutrition Study (ComPAS) trial assessed the effectiveness a simplified, combined SAM/MAM protocol aged 6–59 months found non-inferior recovery compared to standard To further inform policy, this study post-discharge outcomes treated with novel in Kenya. Methods Six ‘combined’ clinics SAM MAM using an optimised...
Acute malnutrition is a continuum condition, but severe and moderate forms are treated separately, with different protocols therapeutic products, managed by separate United Nations agencies. The Combined Protocol for Malnutrition Study (ComPAS) aims to simplify unify the treatment of uncomplicated acute (SAM MAM) children 6–59 months into one protocol in order improve global coverage, quality, continuity care cost-effectiveness resource-constrained settings. This study multi-site, cluster...
To explore patterns of post-malnutrition growth (PMGr) during and after treatment for severe malnutrition describe associations with survival non-communicable disease (NCD) risk 7 years post-treatment.
A lack of data, intervention studies, policies, and targets for nutrition in school-age children (SAC) adolescents (5-19 years) is hampering progress towards tackling malnutrition. To stimulate guide further research, this study generated a list research priorities.Using the Child Health Nutrition Research Initiative (CHNRI) method, 48 questions was compiled were scored against defined criteria using stakeholder survey. Questions covered all forms malnutrition, including micronutrient...
Early nutritional insults may increase risk of adult lung disease. We aimed to quantify the impact severe acute malnutrition (SAM) on spirometric outcomes 7 years post-treatment and explore predictors impaired function. Spirometry pulse oximetry were assessed in 237 Malawian children (median age: 9.3 years) who had been treated for SAM compared with sibling age/sex-matched community controls. results expressed as z-scores based Global Lung Function Initiative reference data African–American...
Abstract Background Cerebral palsy (CP) is the most common childhood disability worldwide, and evidence shows that children with CP are at an increased risk of malnutrition due to feeding difficulties. This qualitative study explores caregiver experiences before after a community‐based training program in Ghana. Methods Thirteen caregivers CP, who were severely undernourished, interviewed start program. Eleven these again year monthly group trainings home visits, which included guidance on...
Abstract Objective To assess differences in cognition functions and gross brain structure children seven years after an episode of severe acute malnutrition (SAM), compared with other Malawian children. Design Prospective longitudinal cohort assessing school grade achieved results five computer-based (CANTAB) tests, covering three cognitive domains. A subset underwent MRI scans which were reviewed using a standardized checklist abnormalities reference population Setting Blantyre, Malawi....
Nutritional rehabilitation during severe acute malnutrition (SAM) aims to quickly restore body size and minimize poor short-term outcomes. We hypothesized that faster weight gain treatment is associated with greater cardiometabolic risk in adult life. Anthropometry, composition (DEXA), blood pressure, glucose, insulin lipids were measured a cohort of adults who hospitalized as children for SAM between 1963 1993. Weight height hospitalization at one year post-recovery abstracted from hospital...