Evidence map›Paper›PMID 21494229›Full record

Trial reportObesity (Silver Spring, Md.)2012

Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal women.

Karen E Foster-Schubert, Catherine M Alfano, Catherine R Duggan, Liren Xiao, Kristin L Campbell, Angela Kong, Carolyn E Bain, Ching-Yun Wang, George L Blackburn, Anne McTiernan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 229 papers, 40 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 40 pooled it
13.3field-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.

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

229 citing papers in PubMed, 40 syntheses or guidelines pooled it, 453 citations in OpenAlex.

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  18. Impact of different training modalities on anthropometric outcomes in patients with obesity: A systematic review and network meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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169 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

10 authors at 5 institutions in 2 countries.

Karen E Foster-SchubertFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Catherine M Alfano
Catherine R Duggan
Liren Xiao
Kristin L Campbell
Angela Kong
Carolyn E Bain
Ching-Yun Wang
George L Blackburn
Anne McTiernan
Fred Hutch Cancer Center · USHarvard University · USNational Cancer Institute · USUniversity of British Columbia · CAUniversity of Washington · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Thomas James Lynch · 1985 to 2026
$296.4M
Preventing obesity in low income working adultsU54CA116847 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MCTIERNAN, ANNE M. · 2005 to 2010
$12.6M
Institute for Translational Health Science (KL2)KL2RR025015 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$9.3M
UIC CANCER PREVENTION &CONTROL RESEARCH TRAINING GRANTR25CA057699 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI FITZGIBBON, MARIAN L. · 1992 to 2017
$8.2M
Cancer Prevention Trng-Nutrition, Exercise &GeneticsR25CA094880 · NCI · UNIVERSITY OF WASHINGTON · PI WHITE, EMILY · 2002 to 2016
$7.3M
EXERCISE, DIET, AND SEX HORMONES IN POSTMENOPAUSAL WOMENR01CA105204 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MCTIERNAN, ANNE M. · 2004 to 2008
$3.3M
Hu1D10 in CLL: CLINICAL AND LABORATORY STUDIESR01CA102504 · NCI · OHIO STATE UNIVERSITY · PI BYRD, JOHN C · 2003 to 2006
$1.2M
NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA102504NCI NIH HHS R01 CA105204NCI NIH HHS R25 CA057699NCI NIH HHS R25 CA094880NCI NIH HHS R25 CA94880NCI NIH HHS U54 CA116847NCI NIH HHS U54-CA116847NCRR NIH HHS 5KL2RR025015-03NCRR NIH HHS KL2 RR025015
6 · The paper itself

Abstract

Lifestyle interventions for weight loss are the cornerstone of obesity therapy, yet their optimal design is debated. This is particularly true for postmenopausal women; a population with a high prevalence of obesity yet toward whom fewer studies are targeted. We conducted a year-long, 4-arm randomized trial among 439 overweight-to-obese postmenopausal sedentary women to determine the effects of a calorie-reduced, low-fat diet (D), a moderate-intensity, facility-based aerobic exercise program (E), or the combination of both interventions (D+E), vs. a no-lifestyle-change control (C) on change in body weight and composition. The group-based dietary intervention had a weight-reduction goal of ≥10%, and the exercise intervention consisted of a gradual escalation to 45-min aerobic exercise 5 day/week. Participants were predominantly non-Hispanic whites (85%) with a mean age of 58.0 ± 5.0 years, a mean BMI of 30.9 ± 4.0 kg/m(2) and an average of 47.8 ± 4.4% body fat. Baseline and 12-month weight and adiposity measures were obtained by staff blinded to participants' intervention assignment. Three hundred and ninety nine women completed the trial (91% retention). Using an intention-to-treat analysis, average weight loss at 12 months was -8.5% for the D group (P < 0.0001 vs. C), -2.4% for the E group (P = 0.03 vs. C), and -10.8% for the D+E group (P < 0.0001 vs. C), whereas the C group experienced a nonsignificant -0.8% decrease. BMI, waist circumference, and % body fat were also similarly reduced. Among postmenopausal women, lifestyle-change involving diet, exercise, or both combined over 1 year improves body weight and adiposity, with the greatest change arising from the combined intervention.

Indexed as

Body CompositionDietExerciseLife StylePostmenopauseWeight LossAdipose TissueAdiposityBody Mass IndexCaloric RestrictionDiet, Fat-RestrictedFemaleHumansIntention to Treat AnalysisMiddle AgedObesity

Identifiers

PMID21494229
PMCPMC3406229
OpenAlexW2002336468

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.