Evidence map›Paper›PMID 21041592›Full record

Trial reportArchives of pediatrics & adolescent medicine2010

A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS.

Thomas N Robinson, Donna M Matheson, Helena C Kraemer, Darrell M Wilson, Eva Obarzanek, Nikko S Thompson, Sofiya Alhassan, Tirzah R Spencer, K Farish Haydel, Michelle Fujimoto and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of pediatrics & adolescent medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 78 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 18 pooled it
11.5field-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.

NCT00000615 phase2completednot on this map

Girls Health Enrichment Multi-Site Studies (GEMS)

TypeinterventionalSponsorStanford UniversityRan1999 to 2006ConditionsCardiovascular Diseases, Heart Diseases, ObesityArmsdiet, reducing
NCT00063674 nacompletednot on this map

Type 2 Diabetes Primary Prevention for At Risk Girls

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2003ConditionsObesity, Diabetes Mellitus, Pre DiabetesArmsNutrition Education, After-school dance class
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 18 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
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  8. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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  13. What childhood obesity prevention programmes work? A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
    Pooled it
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  15. Effect of childhood obesity prevention programmes on blood lipids: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2014
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  18. Family-focused physical activity, diet and obesity interventions in African-American girls: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2013
    Pooled it
  19. Trial
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Thomas N RobinsonDivision of General Pediatrics and Stanford Prevention Research Center, Stanford University School of Medicine, 1070 Arastradero Road, Palo Alto, CA 94304, USA. tom.robinson@stanford.edu
Donna M Matheson
Helena C Kraemer
Darrell M Wilson
Eva Obarzanek
Nikko S Thompson
Sofiya Alhassan
Tirzah R Spencer
K Farish Haydel
Michelle Fujimoto
Ann Varady
Joel D Killen
Arista (United States) · USStanford University · USNational Heart Lung and Blood Institute · USStanford Health Care · US

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
INNOVATIVE OBESITY PREVENTION FOR AFRICAN-AMERICAN GIRLSU01HL062663 · NHLBI · STANFORD UNIVERSITY · PI ROBINSON, THOMAS N · 1999 to 2006
$6.6M
NHLBI NIH HHS U01 HL062663NHLBI NIH HHS UO1 HL62663NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

objectiveTo test a 2-year community- and family-based obesity prevention program for low-income African American girls: Stanford GEMS (Girls' health Enrichment Multi-site Studies).

designRandomized controlled trial with follow-up measures scheduled at 6, 12, 18, and 24 months.

settingLow-income areas of Oakland, California.

participantsAfrican American girls aged 8 to 10 years (N=261) and their parents or guardians.

interventionsFamilies were randomized to one of two 2-year, culturally tailored interventions: (1) after-school hip-hop, African, and step dance classes and a home/family-based intervention to reduce screen media use or (2) information-based health education.

main outcome measureChanges in body mass index (BMI).

resultsChanges in BMI did not differ between groups (adjusted mean difference [95% confidence interval] = 0.04 [-0.18 to 0.27] per year). Among secondary outcomes, fasting total cholesterol level (adjusted mean difference, -3.49 [95% confidence interval, -5.28 to -1.70] mg/dL per year), low-density lipoprotein cholesterol level (-3.02 [-4.74 to -1.31] mg/dL per year), incidence of hyperinsulinemia (relative risk, 0.35 [0.13 to 0.93]), and depressive symptoms (-0.21 [-0.42 to -0.001] per year) decreased more among girls in the dance and screen time reduction intervention. In exploratory moderator analysis, the dance and screen time reduction intervention slowed BMI gain more than health education among girls who watched more television at baseline (P = .02) and/or those whose parents or guardians were unmarried (P = .01).

conclusionsA culturally tailored after-school dance and screen time reduction intervention for low-income, preadolescent African American girls did not significantly reduce BMI gain compared with health education but did produce potentially clinically important reductions in lipid levels, hyperinsulinemia, and depressive symptoms. There was also evidence for greater effectiveness in high-risk subgroups of girls.

Indexed as

DancingBlack or African AmericanBody Mass IndexCaliforniaChildChi-Square DistributionCultural CharacteristicsFemaleFollow-Up StudiesHealth EducationHumansLipidsObesityPovertyRegression AnalysisSedentary BehaviorLipids

Identifiers

PMID21041592
PMCPMC3763243
OpenAlexW2065761858

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.