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Alfa Julius Muhihi, M.D.

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Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
  1. Ramos de Oliveira CV, Sudfeld CR, Muhihi A, McCoy DC, Fawzi WW, Masanja H, Yousafzai AK. Association of Exposure to Intimate Partner Violence With Maternal Depressive Symptoms and Early Childhood Socioemotional Development Among Mothers and Children in Rural Tanzania. JAMA Netw Open. 2022 12 01; 5(12):e2248836. PMID: 36580331.
    Citations:    Fields:    Translation:Humans
  2. Perumal N, Saleh A, Muhihi A, McCoy D, Seiden J, Bakari M, Ndesangia V, Ulenga N, Sudfeld CR, Manji KP. School readiness among children born to women living with HIV in Dar es Salaam, Tanzania: a cohort study protocol. BMJ Paediatr Open. 2022 Nov; 6(1). PMID: 36645758; PMCID: PMC9628665.
    Citations:    Fields:    
  3. Kirby MA, Lauer JM, Muhihi A, Ulenga N, Aboud S, Liu E, Choy RKM, Arndt MB, Kou J, Gewirtz A, Fawzi WW, Duggan CP, Manji KP, Sudfeld CR. Biomarkers of environmental enteric dysfunction and adverse birth outcomes: An observational study among pregnant women living with HIV in Tanzania. EBioMedicine. 2022 Oct; 84:104257. PMID: 36130475; PMCID: PMC9486615.
    Citations:    Fields:    Translation:Humans
  4. Abioye AI, Sudfeld CR, Hughes MD, Aboud S, Muhihi A, Ulenga N, Nagu TJ, Wang M, Mugusi F, Fawzi WW. Iron status among HIV-infected adults during the first year of antiretroviral therapy in Tanzania. HIV Med. 2022 Sep 08. PMID: 36075691.
    Citations:    Fields:    
  5. Quinn MK, Williams PL, Muhihi A, Duggan CP, Ulenga N, Alwy Al-Beity FM, Perumal N, Aboud S, Fawzi WW, Manji KP, Sudfeld CR. Timing of Antiretroviral Therapy: Initiation and Birth Outcomes Among Pregnant Women With Human Immunodeficiency Virus in Tanzania J Infect Dis. 2022 09 04; 226(4):687-695. PMID: 35678698.
    Citations:    Fields:    
  6. Muhihi A, Fawzi WW, Aboud S, Nagu TJ, Ulenga N, Wang M, Mugusi F, Sudfeld CR. Cholecalciferol Supplementation Does Not Affect the Risk of HIV Progression, Viral Suppression, Comorbidities, Weight Loss, and Depression among Tanzanian Adults Initiating Antiretroviral Therapy: Secondary Outcomes of a Randomized Trial. J Nutr. 2022 08 09; 152(8):1983-1990. PMID: 35460249; PMCID: PMC9361733.
    Citations:    Fields:    
  7. Quinn MK, Edmond KM, Fawzi WW, Hurt L, Kirkwood BR, Masanja H, Muhihi AJ, Newton S, Noor RA, Williams PL, Sudfeld CR, Smith ER. Non-specific effects of BCG and DTP vaccination on infant mortality: An analysis of birth cohorts in Ghana and Tanzania. Vaccine. 2022 06 15; 40(27):3737-3745. PMID: 35618557; PMCID: PMC9194613.
    Citations:    Fields:    Translation:HumansPHPublic Health
  8. Sudfeld CR, Manji KP, Muhihi A, Duggan CP, Aboud S, Alwy Al-Beity FM, Wang M, Zhang N, Ulenga N, Fawzi WW. Vitamin D3 supplementation during pregnancy and lactation for women living with HIV in Tanzania: A randomized controlled trial. PLoS Med. 2022 04; 19(4):e1003973. PMID: 35427363; PMCID: PMC9012360.
    Citations:    Fields:    Translation:Humans
  9. Dwarkanath P, Muhihi A, Sudfeld CR, Rani S, Duggan CP, Sando MM, Wylie BJ, Fernandez R, Kinyogoli S, Munk C, Perumal N, Raj JM, Buggi N, Swai N, Thomas T, Wang M, Kurpad AV, Masanja H, Pembe AB, Fawzi WW. Non-inferiority of low-dose compared to standard high-dose calcium supplementation in pregnancy: study protocol for two randomized, parallel group, non-inferiority trials in India and Tanzania. Trials. 2021 Nov 24; 22(1):838. PMID: 34819147.
    Citations:    Fields:    Translation:HumansCTClinical Trials
  10. Ameh S, Akeem BO, Ochimana C, Oluwasanu AO, Mohamed SF, Okello S, Muhihi A, Danaei G. A qualitative inquiry of access to and quality of primary healthcare in seven communities in East and West Africa (SevenCEWA): perspectives of stakeholders, healthcare providers and users. BMC Fam Pract. 2021 02 25; 22(1):45. PMID: 33632135; PMCID: PMC7908656.
    Citations: 2     Fields:    Translation:Humans
  11. Regan M, Muhihi A, Nagu T, Aboud S, Ulenga N, Kaaya S, Fawzi MCS, Yousafzai AK, Mugusi F, Fawzi WW, Saxena S, Koenen K, Sudfeld CR. Depression and Viral Suppression Among Adults Living with HIV in Tanzania. AIDS Behav. 2021 Oct; 25(10):3097-3105. PMID: 33598866; PMCID: PMC8368084.
    Citations: 1     Fields:    Translation:Humans
  12. Muhihi AJ, Anaeli A, Mpembeni RNM, Sunguya BF, Leyna G, Kakoko D, Kessy AT, Sando MM, Njelekela M, Urassa DP. Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania. BMC Public Health. 2020 Nov 30; 20(1):1832. PMID: 33256688.
    Citations: 2     Fields:    Translation:Humans
  13. Okello S, Muhihi A, Mohamed SF, Ameh S, Ochimana C, Oluwasanu AO, Bolarinwa OA, Sewankambo N, Danaei G. Hypertension prevalence, awareness, treatment, and control and predicted 10-year CVD risk: a cross-sectional study of seven communities in East and West Africa (SevenCEWA). BMC Public Health. 2020 Nov 13; 20(1):1706. PMID: 33187491; PMCID: PMC7666461.
    Citations: 4     Fields:    Translation:Humans
  14. Muhihi AJ, Anaeli A, Mpembeni RNM, Sunguya BF, Leyna G, Kakoko D, Kessy AT, Mwanyika Sando M, Njelekela M, Urassa DP. Prevalence, Awareness, Treatment, and Control of Hypertension among Young and Middle-Aged Adults: Results from a Community-Based Survey in Rural Tanzania. Int J Hypertens. 2020; 2020:9032476. PMID: 32963821; PMCID: PMC7491449.
    Citations: 1     
  15. Sudfeld CR, Mugusi F, Muhihi A, Aboud S, Nagu TJ, Ulenga N, Hong B, Wang M, Fawzi WW. Efficacy of vitamin D3 supplementation for the prevention of pulmonary tuberculosis and mortality in HIV: a randomised, double-blind, placebo-controlled trial. Lancet HIV. 2020 07; 7(7):e463-e471. PMID: 32621874; PMCID: PMC7433214.
    Citations: 9     Fields:    Translation:Humans
  16. Kamenju P, Hertzmark E, Kabagambe EK, Smith ER, Muhihi A, Noor RA, Mshamu S, Briegleb C, Sudfeld C, Masanja H, Fawzi WW. Factors associated with plasma n-3 and n-6 polyunsaturated fatty acid levels in Tanzanian infants. Eur J Clin Nutr. 2020 01; 74(1):97-105. PMID: 31024091.
    Citations: 1     Fields:    Translation:Humans
  17. Nadella P, Smith ER, Muhihi A, Noor RA, Masanja H, Fawzi WW, Sudfeld CR. Determinants of delayed or incomplete diphtheria-tetanus-pertussis vaccination in parallel urban and rural birth cohorts of 30,956 infants in Tanzania. BMC Infect Dis. 2019 Feb 26; 19(1):188. PMID: 30808282; PMCID: PMC6390320.
    Citations: 3     Fields:    Translation:HumansPHPublic Health
  18. Early neonatal vitamin A supplementation and infant mortality: an individual participant data meta-analysis of randomised controlled trials. Arch Dis Child. 2019 03; 104(3):217-226. PMID: 30425075; PMCID: PMC6556975.
    Citations: 10     Fields:    Translation:Humans
  19. Muhihi AJ, Urassa DP, Mpembeni RNM, Leyna GH, Sunguya BF, Kakoko D, Kessy AT, Njelekela MA. Effect of training community health workers and their interventions on cardiovascular disease risk factors among adults in Morogoro, Tanzania: study protocol for a cluster randomized controlled trial. Trials. 2018 Oct 11; 19(1):552. PMID: 30314511.
    Citations: 6     Fields:    Translation:HumansCTClinical Trials
  20. Neamah HH, Sudfeld C, McCoy DC, Fink G, Fawzi WW, Masanja H, Danaei G, Muhihi A, Kaaya S, Smith Fawzi MC. Intimate Partner Violence, Depression, and Child Growth and Development. Pediatrics. 2018 07; 142(1). PMID: 29891566.
    Citations: 8     Fields:    Translation:Humans
  21. Muhihi AJ, Njelekela MA, Mpembeni RNM, Muhihi BG, Anaeli A, Chillo O, Kubhoja S, Lujani B, Maghembe M, Ngarashi D. Elevated blood pressure among primary school children in Dar es salaam, Tanzania: prevalence and risk factors. BMC Pediatr. 2018 02 13; 18(1):54. PMID: 29433455.
    Citations: 13     Fields:    Translation:Humans
  22. Bellows AL, Smith ER, Muhihi A, Briegleb C, Noor RA, Mshamu S, Sudfeld C, Masanja H, Fawzi WW. Micronutrient Deficiencies among Breastfeeding Infants in Tanzania. Nutrients. 2017 Nov 17; 9(11). PMID: 29149073.
    Citations: 7     Fields:    Translation:Humans
  23. Njelekela M, Mpembeni R, Muhihi A, Ulenga N, Aris E, Kakoko D. Lipodystrophy among HIV-Infected Patients Attending Care and Treatment Clinics in Dar es Salaam. AIDS Res Treat. 2017; 2017:3896539. PMID: 29158917; PMCID: PMC5660755.
    Citations: 4     
  24. Smith ER, Muhihi A, Mshamu S, Sudfeld CR, Noor RA, Spiegelman D, Shapiro RL, Masanja H, Fawzi W. Response to: 'Serious danger signals', response to: 'The effect of neonatal vitamin A supplementation on morbidity and mortality at 12 months: a randomized trial'. Int J Epidemiol. 2017 10 01; 46(5):1721. PMID: 29024998.
    Citations:    Fields:    Translation:Humans
  25. Sudfeld CR, Manji KP, Duggan CP, Aboud S, Muhihi A, Sando DM, Al-Beity FMA, Wang M, Fawzi WW. Effect of maternal vitamin D3 supplementation on maternal health, birth outcomes, and infant growth among HIV-infected Tanzanian pregnant women: study protocol for a randomized controlled trial. Trials. 2017 09 04; 18(1):411. PMID: 28870263; PMCID: PMC5584035.
    Citations: 5     Fields:    Translation:Humans
  26. McCoy DC, Sudfeld CR, Bellinger DC, Muhihi A, Ashery G, Weary TE, Fawzi W, Fink G. Development and validation of an early childhood development scale for use in low-resourced settings. Popul Health Metr. 2017 02 09; 15(1):3. PMID: 28183307.
    Citations: 24     Fields:    Translation:Humans
  27. Smith ER, Muhihi A, Mshamu S, Sudfeld CR, Noor RA, Spiegelman D, Shapiro RL, Masanja H, Fawzi W. The effect of neonatal vitamin A supplementation on morbidity and mortality at 12 months: a randomized trial. Int J Epidemiol. 2016 12 01; 45(6):2112-2121. PMID: 27789674.
    Citations: 6     Fields:    Translation:Humans
  28. Njelekela M, Muhihi A, Aveika A, Spiegelman D, Hawkins C, Armstrong C, Liu E, Okuma J, Chalamila G, Kaaya S, Mugusi F, Fawzi W. Prevalence of Hypertension and Its Associated Risk Factors among 34,111 HAART Naïve HIV-Infected Adults in Dar es Salaam, Tanzania. Int J Hypertens. 2016; 2016:5958382. PMID: 27872756; PMCID: PMC5107235.
    Citations: 11     
  29. Muhihi A, Sudfeld CR, Smith ER, Noor RA, Mshamu S, Briegleb C, Bakari M, Masanja H, Fawzi W, Chan GJ. Risk factors for small-for-gestational-age and preterm births among 19,269 Tanzanian newborns. BMC Pregnancy Childbirth. 2016 05 17; 16:110. PMID: 27183837.
    Citations: 21     Fields:    Translation:Humans
  30. Sudfeld CR, McCoy DC, Fink G, Muhihi A, Bellinger DC, Masanja H, Smith ER, Danaei G, Ezzati M, Fawzi WW. Malnutrition and Its Determinants Are Associated with Suboptimal Cognitive, Communication, and Motor Development in Tanzanian Children. J Nutr. 2015 Dec; 145(12):2705-14. PMID: 26446481.
    Citations: 43     Fields:    Translation:Humans
  31. Briegleb C, Sudfeld CR, Smith ER, Ruben J, Muhihi A, Mshamu S, Noor RA, Masanja H, Fawzi WW. Predictors of Hospitalization During the First Year of Life among 31999 Tanzanian Infants. J Trop Pediatr. 2015 Oct; 61(5):317-28. PMID: 25979441.
    Citations: 3     Fields:    Translation:Humans
  32. Njelekela MA, Muhihi A, Mpembeni RN, Anaeli A, Chillo O, Kubhoja S, Lujani B, Ngarashi D, Maghembe M. Knowledge and attitudes towards obesity among primary school children in Dar es Salaam, Tanzania. Niger Med J. 2015 Mar-Apr; 56(2):103-8. PMID: 25838624.
    Citations: 4     Fields:    
  33. Masanja H, Smith ER, Muhihi A, Briegleb C, Mshamu S, Ruben J, Noor RA, Khudyakov P, Yoshida S, Martines J, Bahl R, Fawzi WW. Effect of neonatal vitamin A supplementation on mortality in infants in Tanzania (Neovita): a randomised, double-blind, placebo-controlled trial. Lancet. 2015 Apr 04; 385(9975):1324-32. PMID: 25499543; PMCID: PMC4419827.
    Citations: 26     Fields:    Translation:Humans
  34. Mpembeni RN, Muhihi AJ, Maghembe M, Ngarashi D, Lujani B, Chillo O, Kubhoja S, Anaeli A, Njelekela MA. Overweight, obesity and perceptions about body weight among primary schoolchildren in Dar es Salaam, Tanzania. Tanzan J Health Res. 2014 Oct; 16(4):304-11. PMID: 26891520.
    Citations: 9     Fields:    Translation:Humans
  35. Muhihi AJ, Mpembeni RN, Njelekela MA, Anaeli A, Chillo O, Kubhoja S, Lujani B, Maghembe M, Ngarashi D. Prevalence and determinants of obesity among primary school children in Dar es Salaam, Tanzania. Arch Public Health. 2013 Oct 07; 71(1):26. PMID: 24094276.
    Citations: 21     
  36. Muhihi A, Gimbi D, Njelekela M, Shemaghembe E, Mwambene K, Chiwanga F, Malik VS, Wedick NM, Spiegelman D, Hu FB, Willett WC. Consumption and acceptability of whole grain staples for lowering markers of diabetes risk among overweight and obese Tanzanian adults. Global Health. 2013 Jun 23; 9(1):26. PMID: 23800295.
    Citations: 10     Fields:    Translation:HumansAnimals
  37. Liu E, Armstrong C, Spiegelman D, Chalamilla G, Njelekela M, Hawkins C, Hertzmark E, Li N, Aris E, Muhihi A, Semu H, Fawzi W. First-line antiretroviral therapy and changes in lipid levels over 3 years among HIV-infected adults in Tanzania. Clin Infect Dis. 2013 Jun; 56(12):1820-8. PMID: 23449270.
    Citations: 16     Fields:    Translation:Humans
  38. Muhihi AJ, Njelekela MA, Mpembeni R, Mwiru RS, Mligiliche N, Mtabaji J. Obesity, Overweight, and Perceptions about Body Weight among Middle-Aged Adults in Dar es Salaam, Tanzania. ISRN Obes. 2012; 2012:368520. PMID: 24527261.
    Citations: 23     
  39. Muhihi A, Njelekela M, Mpembeni R, Masesa Z, Kitamori K, Mori M, Kato N, Mtabaji J, Yamori Y. Physical activity and cardiovascular disease risk factors among young and middle-aged men in urban Mwanza, Tanzania. Pan Afr Med J. 2012; 11:11. PMID: 22368754.
    Citations: 12     Fields:    Translation:Humans
  40. Njelekela MA, Liu E, Mpembeni R, Muhihi A, Mligiliche N, Spiegelman D, Finkelstein JL, Fawzi WW, Willett WC, Mtabaji J. Socio-economic status, urbanization, and cardiometabolic risk factors among middle-aged adults in Tanzania. East Afr J Public Health. 2011 Sep; 8(3):216-23. PMID: 23120960.
    Citations: 6     Fields:    Translation:Humans
  41. Hamada A, Mori M, Mori H, Muhihi A, Njelekela M, Masesa Z, Mtabaji J, Yamori Y. Deterioration of traditional dietary custom increases the risk of lifestyle-related diseases in young male Africans. J Biomed Sci. 2010 Aug 24; 17 Suppl 1:S34. PMID: 20804610; PMCID: PMC2994379.
    Citations: 9     Fields:    Translation:HumansAnimals
  42. Njelekela MA, Mpembeni R, Muhihi A, Mligiliche NL, Spiegelman D, Hertzmark E, Liu E, Finkelstein JL, Fawzi WW, Willett WC, Mtabaji J. Gender-related differences in the prevalence of cardiovascular disease risk factors and their correlates in urban Tanzania. BMC Cardiovasc Disord. 2009 Jul 17; 9:30. PMID: 19615066.
    Citations: 71     Fields:    Translation:HumansPHPublic Health
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Funded by the NIH National Center for Advancing Translational Sciences through its Clinical and Translational Science Awards Program, grant number UL1TR002541.