Evidence map›Paper›PMID 22331335›Full record

Trial reportPediatrics2012

A primary care-based, multicomponent lifestyle intervention for overweight adolescent females.

Lynn L DeBar, Victor J Stevens, Nancy Perrin, Philip Wu, John Pearson, Bobbi Jo Yarborough, John Dickerson, Frances Lynch

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06067451 (Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.), which is not on this map. Cited by 56 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 19 pooled it
10.1field-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.

NCT06067451 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.

TypeinterventionalSponsorNorthwell HealthRan2023 to 2025Enrolled80ConditionsPreDiabetes, Adolescent Obesity, Behavior, Health, Nutritional and Metabolic DiseasesArmsSMART GOALS Setting Tool/ Protocol
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 19 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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  10. 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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  11. Treatment of obesity, with a dietary component, and eating disorder risk in children and adolescents: A systematic review with meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
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  17. Effect of multidisciplinary interventions on quality of life in obese children: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Lynn L DeBarKaiser Permanente Center for Health Research, Portland, OR 97227, USA. lynn.debar@kpchr.org
Victor J Stevens
Nancy Perrin
Philip Wu
John Pearson
Bobbi Jo Yarborough
John Dickerson
Frances Lynch
Kaiser Permanente Center for Health Research · USEducation Northwest · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMost clinic-based weight control treatments for youth have been designed for preadolescent children by using family-based care. However, as adolescents become more autonomous and less motivated by parental influence, this strategy may be less appropriate. This study evaluated a primary care-based, multicomponent lifestyle intervention specifically tailored for overweight adolescent females.

methodsAdolescent girls (N = 208) 12 to 17 years of age (mean ± SD: 14.1 ± 1.4 years), with a mean ± SD BMI percentile of 97.09 ± 2.27, were assigned randomly to the intervention or usual care control group. The gender and developmentally tailored intervention included a focus on adoptable healthy lifestyle behaviors and was reinforced by ongoing feedback from the teen's primary care physician. Of those randomized, 195 (94%) completed the 6-month posttreatment assessment, and 173 (83%) completed the 12-month follow-up. The primary outcome was reduction in BMI z score.

resultsThe decrease in BMI z score over time was significantly greater for intervention participants compared with usual care participants (-0.15 in BMI z score among intervention participants compared with -0.08 among usual care participants; P = .012). The 2 groups did not differ in secondary metabolic or psychosocial outcomes. Compared with usual care, intervention participants reported less reduction in frequency of family meals and less fast-food intake.

conclusionsA 5-month, medium-intensity, primary care-based, multicomponent behavioral intervention was associated with significant and sustained decreases in BMI z scores among obese adolescent girls compared with those receiving usual care.

Indexed as

Adolescent BehaviorLife StyleWeight LossAdolescentBehavior TherapyBody Mass IndexChildCombined Modality TherapyDietExerciseFemaleFollow-Up StudiesHealth BehaviorHealth Maintenance OrganizationsHumansOverweight

Identifiers

PMID22331335
PMCPMC3289521
OpenAlexW2149597267

What OpenQuestion holds

Textmetadata
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.