Evidence map›Paper›PMID 21182791›Full record

SynthesisBMC pediatrics2010

In search of quality evidence for lifestyle management and glycemic control in children and adolescents with type 2 diabetes: A systematic review.

Steven T Johnson, Amanda S Newton, Meera Chopra, Jeanette Buckingham, Terry T K Huang, Paul W Franks, Mary M Jetha, Geoff D C Ball

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Insulin resistance in type 2 diabetic youth.Current opinion in endocrinology, diabetes, and obesity · 2012
    Review
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

8 authors at 5 institutions in 3 countries.

Steven T JohnsonCentre for Nursing & Health Studies, University Drive Athabasca University, AB, Canada.
Amanda S Newton
Meera Chopra
Jeanette Buckingham
Terry T K Huang
Paul W Franks
Mary M Jetha
Geoff D C Ball
University of Alberta · CAAthabasca University · CAEunice Kennedy Shriver National Institute of Child Health and Human Development · USMount Sinai Hospital · CAUmeå University · SE

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundOur purpose was to evaluate the impact of lifestyle behavior modification on glycemic control among children and youth with clinically defined Type 2 Diabetes (T2D).

methodsWe conducted a systematic review of studies (randomized trials, quasi-experimental studies) evaluating lifestyle (diet and/or physical activity) modification and glycemic control (HbA1c). Our data sources included bibliographic databases (EMBASE, CINAHL®, Cochrane Library, Medline®, PASCAL, PsycINFO®, and Sociological Abstracts), manual reference search, and contact with study authors. Two reviewers independently selected studies that included any intervention targeting diet and/or physical activity alone or in combination as a means to reduce HbA1c in children and youth under the age of 18 with T2D.

resultsOur search strategy generated 4,572 citations. The majority of citations were not relevant to the study objective. One study met inclusion criteria. In this retrospective study, morbidly obese youth with T2D were treated with a very low carbohydrate diet. This single study received a quality index score of < 11, indicating poor study quality and thus limiting confidence in the study's conclusions.

conclusionsThere is no high quality evidence to suggest lifestyle modification improves either short- or long-term glycemic control in children and youth with T2D. Additional research is clearly warranted to define optimal lifestyle behaviour strategies for young people with T2D.

Indexed as

Life StyleAdolescentBlood GlucoseChildCombined Modality TherapyDiabetes Mellitus, Type 2Diet, Carbohydrate-RestrictedExerciseGlycated HemoglobinHumansObesityRetrospective StudiesTreatment OutcomeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID21182791
PMCPMC3016367
OpenAlexW2111741635

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.