Evidence map›Paper›PMID 19074715›Full record

SynthesisCanadian family physician Medecin de famille canadien2008

Lifestyle interventions in primary care: systematic review of randomized controlled trials.

Patrick Fleming, Marshall Godwin

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 5 pooled it
18.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  3. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2012
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Patrick FlemingPrimary Healthcare Research Unit, Memorial University of Newfoundland St John's, St John's, NL, Canada.
Marshall Godwin
Memorial University of Newfoundland · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether lifestyle counseling interventions delivered in primary care settings by primary care providers to their low-risk adult patients are effective in changing factors related to cardiovascular risk. DATA SOURCES: MEDLINE (PubMed), EMBASE, and CINAHL were searched from January 1985 to December 2007. The reference lists of all articles collected were checked to ensure that all suitable randomized controlled trials (RCTs) had been included. STUDY SELECTION: We chose RCTs on lifestyle counseling in primary care for primary prevention of cardiovascular disease. The search was limited to English-language articles involving human subjects. Studies had to have been conducted within the context of primary care, and interventions had to have been carried out by primary care providers, such as family physicians or practice nurses. Studies had to have had a control group who were managed with usual care. Outcomes of interest were cardiovascular risk scores, blood pressure, lipid levels, weight or body mass index, and morbidity and mortality. SYNTHESIS: Seven RCTs were included in the review. Only 4 studies showed any significant positive effect on the outcomes of interest, and only 2 of these showed consistent effects across several outcomes. The main effects were on blood pressure and lipid levels, but the size of these effects, while statistically significant, was small. There was no obvious benefit to one provider doing the intervention over another (eg, physician vs nurse), nor of the focus of the intervention (eg, on diet vs on exercise).

conclusionLifestyle counseling interventions delivered by primary care providers in primary care settings to patients at low risk (primary prevention) appeared to be of marginal benefit. Resources and time in primary care might be better spent on patients at higher risk of cardiovascular disease, such as those with existing heart disease or diabetes.

Indexed as

Life StyleCardiovascular DiseasesCounselingExercise TherapyHumansOutcome Assessment, Health CarePrimary Health CareRandomized Controlled Trials as TopicRisk Factors

Identifiers

PMID19074715
PMCPMC2602636
OpenAlexW1931669833

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.