Trial reportArchives of pediatrics & adolescent medicine2010
The Memphis Girls' health Enrichment Multi-site Studies (GEMS): an evaluation of the efficacy of a 2-year obesity prevention program in African American girls.
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. Cited by 54 papers, 11 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
54 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions to increase the consumption of water among children: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Pooled it
- Identification and evaluation of risk of generalizability biases in pilot versus efficacy/effectiveness trials: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2020Pooled 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
- Factors associated with water consumption among children: a systematic review.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health.The Cochrane database of systematic reviews · 2019Pooled it
- Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis.Nutrition reviews · 2018Pooled it
- 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 · 2015Pooled it
- Pooled it
- 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 · 2013Pooled it
- Two Family Interventions to Reduce BMI in Low-Income Urban Youth: A Randomized Trial.Pediatrics · 2019Trial
- Project SHINE: effects of a randomized family-based health promotion program on the physical activity of African American parents.Journal of behavioral medicine · 2018Trial
- Impact of Age and Race on Outcomes of a Program to Prevent Excess Weight Gain and Disordered Eating in Adolescent Girls.Nutrients · 2017Trial
- Mobile technology for obesity prevention: a randomized pilot study in racial- and ethnic-minority girls.American journal of preventive medicine · 2014Trial
- Childhood Obesity Prevention and Treatment Research (COPTR): interventions addressing multiple influences in childhood and adolescent obesity.Contemporary clinical trials · 2013Trial
- The COPE healthy lifestyles TEEN randomized controlled trial with culturally diverse high school adolescents: baseline characteristics and methods.Contemporary clinical trials · 2013Trial
- Butterfly Girls; promoting healthy diet and physical activity to young African American girls online: rationale and design.BMC public health · 2013Trial
- Family-based hip-hop to health: outcome results.Obesity (Silver Spring, Md.) · 2013Trial
- Methods and baseline characteristics of a randomized trial treating early childhood obesity: the Positive Lifestyles for Active Youngsters (Team PLAY) trial.Contemporary clinical trials · 2012Trial
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectiveTo determine the efficacy of a 2-year obesity prevention program in African American girls.
designMemphis GEMS (Girls' health Enrichment Multi-site Studies) was a controlled trial in which girls were randomly assigned to an obesity prevention program or alternative intervention.
settingLocal community centers and YWCAs (Young Women's Christian Associations) in Memphis, Tennessee.
participantsGirls aged 8 to 10 years (N = 303) who were identified by a parent or guardian as African American and who had a body mass index (BMI) at or higher than the 25th percentile for age or 1 parent with a BMI of 25 or higher.
interventionsGroup behavioral counseling to promote healthy eating and increased physical activity (obesity prevention program) or self-esteem and social efficacy (alternative intervention).
main outcome measureThe BMI at 2 years.
resultsThe BMI increased in all girls with no treatment effect (obesity prevention minus alternative intervention) at 2 years (mean, 0.09; 95% confidence interval [CI], -0.40 to 0.58). Two-year treatment effects in the expected direction were observed for servings per day of sweetened beverages (mean, -0.19; 95% CI, -0.39 to 0.09), water (mean, 0.21; 95% CI, 0.03 to 0.40), and vegetables (mean, 0.15; 95% CI,-0.02 to 0.30), but there were no effects on physical activity. Post hoc analyses suggested a treatment effect in younger girls (P for interaction = .08). The mean BMI difference at 2 years was -2.41 (95% CI, -4.83 to 0.02) in girls initially aged 8 years and -1.02 (95% CI, -2.31 to 0.27) in those initially aged 10 years.
conclusionsThe lack of significant BMI change at 2 years indicates that this intervention alone is insufficient for obesity prevention. Effectiveness may require more explicit behavior change goals and a stronger physical activity component as well as supportive changes in environmental contexts.
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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.