Evidence map›Paper›PMID 20660556›Full record

Trial reportPediatrics2010

Challenge! Health promotion/obesity prevention mentorship model among urban, black adolescents.

Maureen M Black, Erin R Hager, Katherine Le, Jean Anliker, S Sonia Arteaga, Carlo Diclemente, Joel Gittelsohn, Laurence Magder, Mia Papas, Soren Snitker and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 20 pooled it
9.7field-weighted citation impact, top 2% 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

75 citing papers in PubMed, 20 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024
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  3. 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 · 2023
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  11. 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 · 2020
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  14. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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  15. 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 · 2016
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15 more citing papers are in PubMed but not listed here.

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

12 authors at 7 institutions in 1 country.

Maureen M BlackDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201, USA. mblack@peds.umaryland.edu
Erin R Hager
Katherine Le
Jean Anliker
S Sonia Arteaga
Carlo Diclemente
Joel Gittelsohn
Laurence Magder
Mia Papas
Soren Snitker
Margarita S Treuth
Yan Wang
Pediatrics and Genetics · USJohns Hopkins University · USNational Heart Lung and Blood Institute · USUniversity of Maryland, Baltimore · USUniversity of Maryland, Baltimore County · USUniversity of Maryland Eastern Shore · USUniversity of Massachusetts Amherst · US

Funding

Zonulin Antibodies in Intestinal Permeabilitiy in IDDMM01RR016500 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI OSWALD, LYNN M · 2002 to 2009
$20.2M
Challenge in Schools: Adolescent Overweight PreventionR01HD054727 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI BLACK, MAUREEN M · 2008 to 2012
$3.0M
NCRR NIH HHS M01 RR016500NCRR NIH HHS M01 RR16500NICHD NIH HHS R01 HD054727
6 · The paper itself

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.

Indexed as

Health PromotionMentorsAdolescentBlack or African AmericanBody Mass IndexCatchment Area, HealthChildFemaleHumansMaleMotivationMotor ActivityObesityPrevalenceRetention, PsychologySocioeconomic Factors

Identifiers

PMID20660556
PMCPMC4124131
OpenAlexW2159569718

What OpenQuestion holds

Textmetadata
LicenceTDM
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.