Association between Intestinal Parasite Infections and Proxies for Body Composition: A Scoping Review

Idalécia Cossa-Moiane*, Clémentine Roucher, Tamlyn Mac Quene, Maiza Campos-Ponce, Nilsa de Deus, Katja Polman, Colleen Doak

*Corresponding author for this work

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

It has long been recognized that intestinal parasite infections and undernutrition are closely linked. However, little is known about the role of intestinal parasite infections (IPIs), or parasite clearance, in these processes. The aim of this scoping review was to summarize published evidence on the association between IPIs and body composition. PRISMA guidelines, PubMed/MEDLINE, EMBASE and Cochrane Library databases were searched up until June 2021. Studies reporting on IPIs in relation to (proxies for) body composition were eligible. Study quality and risk of bias were assessed using Joanna Briggs Institute (JBI) critical appraisal tools. Twenty-four studies were included, two Randomized Control Trials (RCTs) and 22 observational. Most observational studies showed IPIs to be associated with lower Body Mass Index (BMI) or being underweight as proxies for body composition. One RCT showed no effect of antiparasitic treatment on body composition, while the other one showed a significant post-treatment increase in body fat, as measured by BMI z-scores and skinfolds. This review lends support to distinct associations between IPIs and body composition. More longitudinal studies are needed using direct measures of body composition to investigate whether weight gained after antiparasitic treatment concerns an increase in body fat or healthy weight gain.

Original languageEnglish
Article number2229
Pages (from-to)1-12
Number of pages12
JournalNutrients
Volume14
Issue number11
Early online date26 May 2022
DOIs
Publication statusPublished - 1 Jun 2022

Bibliographical note

Special Issue: Nutrition, Physical Activity Interventions for Children Immunity Development.

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • association
  • body composition
  • body fat
  • intestinal parasite infections
  • underweight

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