Evidence map›Paper›PMID 23415190›Full record

Trial reportAmerican journal of preventive medicine2013

Latino families, primary care, and childhood obesity: a randomized controlled trial.

Alexy D Arauz Boudreau, Daniel S Kurowski, Wanda I Gonzalez, Melissa A Dimond, Nicolas M Oreskovic

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 12 pooled it
7.8field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 12 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  12. 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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  16. Embedding weight management into safety-net pediatric primary care: randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2018
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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

5 authors at 3 institutions in 1 country.

Alexy D Arauz BoudreauCenter for Child and Adolescent Health Research and Policy, Massachusetts General Hospital, Mass General Hospital for Children, Boston, Massachusetts 02114, USA. aarauz@partners.org
Daniel S Kurowski
Wanda I Gonzalez
Melissa A Dimond
Nicolas M Oreskovic
Massachusetts General Hospital · USCenter for Health Care Law · USHarvard University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
NCRR NIH HHS 1 UL1 RR025758-01NCRR NIH HHS UL1 RR025758
6 · The paper itself

Abstract

backgroundFew successful treatment modalities exist to address childhood obesity. Given Latinos' strong identity with family, a family-focused intervention may be able to control Latino childhood obesity. PURPOSE: To assess the feasibility and effectiveness of a family-centered, primary care-based approach to control childhood obesity through lifestyle choices.

designRandomized waitlist controlled trial in which control participants received the intervention 6 months after the intervention group. SETTING/

participantsForty-one Latino children with BMI >85%, aged 9-12 years, and their caregivers were recruited from an urban community health center located in a predominantly low-income community.

interventionChildren and their caregivers received 6 weeks of interactive group classes followed by 6 months of culturally sensitive monthly in-person or phone coaching to empower families to incorporate learned lifestyles and to address both family and social barriers to making changes. MAIN OUTCOMES MEASURES: Caregiver report on child and child self-reported health-related quality of life (HRQoL); metabolic markers of obesity; BMI; and accelerometer-based physical activity were measured July 2010-November 2011 and compared with post-intervention assessments conducted at 6 months and as a function of condition assignment. Data were analyzed in 2012.

resultsAverage attendance rate to each group class was 79%. Socio-environmental and family factors, along with knowledge, were cited as barriers to changing lifestyles to control obesity. Caregiver proxy and child self-reported HRQoL improved for both groups with a larger but not nonsignificant difference among intervention vs control group children (p=0.33). No differences were found between intervention and control children for metabolic markers of obesity, BMI, or physical activity.

conclusionsLatino families are willing to participate in group classes and health coaching to control childhood obesity. It may be necessary for primary care to partner with community initiatives to address childhood obesity in a more intense manner.

trial registrationThis study is registered at Clinicaltrials.partners.org 2009P001721.

Indexed as

FamilyHispanic or LatinoAccelerometryBiomarkersBody Mass IndexChildDietExerciseFemaleHealth BehaviorHealth EducationHealth Knowledge, Attitudes, PracticeHumansMaleObesityPoverty AreasBiomarkers

Identifiers

PMID23415190
PMCPMC5597959
OpenAlexW2042941750

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.