Trial reportPediatrics2010
Challenge! Health promotion/obesity prevention mentorship model among urban, black adolescents.
Trial report in Pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 20 of them syntheses that pooled 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.
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.
Who cites it
75 citing papers in PubMed, 20 syntheses or guidelines pooled it, 159 citations in OpenAlex.
- Pooled it
- Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Pooled it
- Pooled it
- Effectiveness of peer-led programs for overweight and obesity in children: systematic review and meta-analysis.International journal of obesity (2005) · 2022Pooled it
- Theoretical and practical approaches for dietary behavior change in urban socioeconomically disadvantaged adolescents: a systematic review.Nutrition reviews · 2022Pooled it
- Does Motivational Interviewing Improve the Weight Management Process in Adolescents? A Systematic Review and Meta-analysis.International journal of behavioral medicine · 2022Pooled it
- Themes in Train-the-Trainer Nutrition Education Interventions Targeting Middle School Students: A Systematic Review.Nutrients · 2021Pooled it
- Effectiveness of Lifestyle Interventions for Prevention of Harmful Weight Gain among Adolescents from Ethnic Minorities: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity: A Systematic Review and Meta-analysis.JAMA network open · 2020Pooled it
- A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Pooled it
- Developing a taxonomy to characterise trusted adult support in the lives of adolescents.Journal of adolescence · 2019Pooled it
- Obesity Prevention Interventions and Implications for Energy Balance in the United States and Mexico: A Systematic Review of the Evidence and Meta-Analysis.Obesity (Silver Spring, Md.) · 2019Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Child and youth participatory interventions for addressing lifestyle-related childhood obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2016Pooled it
- Pooled it
- Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review.Global health action · 2015Pooled it
- Preconception care: nutritional risks and interventions.Reproductive health · 2014Pooled it
- A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children.BMC public health · 2014Pooled it
- The effect of community and family interventions on young people's physical activity levels: a review of reviews and updated systematic review.British journal of sports medicine · 2011Pooled it
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 7 institutions in 1 country.
Funding
Abstract
objectivesThe objective of this study was to evaluate a 12-session home/community-based health promotion/obesity prevention program (Challenge!) on changes in BMI status, body composition, physical activity, and diet.
methodsA total of 235 black adolescents (aged 11-16 years; 38% overweight/obese) were recruited from low-income urban communities. Baseline measures included weight, height, body composition, physical activity (PA), and diet. PA was measured by 7-day play-equivalent physical activity (> or =1800 activity counts per minute). Participants were randomly assigned to health promotion/obesity prevention that is anchored in social cognitive theory and motivational interviewing and was delivered by college-aged black mentors or to control. Postintervention (11 months) and delayed follow-up (24 months) evaluations were conducted. Longitudinal analyses used multilevel models with random intercepts and generalized estimating equations, controlling for baseline age/gender. Stratified analyses examined baseline BMI category.
resultsRetention was 76% over 2 years; overweight/obese status declined 5% among intervention adolescents and increased 11% among control adolescents. Among overweight/obese youth, the intervention reduced total percentage of body fat and fat mass and increased fat-free mass at delayed follow-up and increased play-equivalent physical activity at postintervention but not at delayed follow-up. Intervention adolescents declined significantly more in snack/dessert consumption than control adolescents at both follow-up evaluations.
conclusionsAt postintervention, there were intervention effects on diet and PA but not BMI category or body composition. At delayed follow-up, dietary changes were sustained and the intervention prevented an increase in BMI category. Body composition was improved for overweight/obese youth. Changes in body composition follow changes in diet and PA and may not be detected immediately after intervention.
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Registered trials
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.