Evidence map›Paper›PMID 23753095›Full record

SynthesisPediatrics2013

A systematic review of home-based childhood obesity prevention studies.

Nakiya N Showell, Oluwakemi Fawole, Jodi Segal, Renee F Wilson, Lawrence J Cheskin, Sara N Bleich, Yang Wu, Brandyn Lau, Youfa Wang

Open access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 9 pooled it
20.9field-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

56 citing papers in PubMed, 9 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Nakiya N ShowellDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, David Rubenstein Child Health Building, Baltimore, MD 21287, USA. nshowel1@jhmi.edu
Oluwakemi Fawole
Jodi Segal
Renee F Wilson
Lawrence J Cheskin
Sara N Bleich
Yang Wu
Brandyn Lau
Youfa Wang
Johns Hopkins University · USJohns Hopkins Medicine · USPediatrics and Genetics · US

Funding

MULTILEVEL SYSTEMS-ORIENTED CHILDHOOD OBESITY STUDY IN CHINAU54HD070725 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CURRIERO, FRANK · 2011 to 2016
$15.9M
Training in Comparative Effectiveness Research to Improve Family Health ServicesT32HS019488 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI DUGGAN, ANNE K · 2010 to 2010
$866k
AHRQ HHS T32 HS019488AHRQ HHS T32 HS19488-01NICHD NIH HHS U54 HD070725NICHD NIH HHS U54HD070725
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChildhood obesity is a global epidemic. Despite emerging research about the role of the family and home on obesity risk behaviors, the evidence base for the effectiveness of home-based interventions on obesity prevention remains uncertain. The objective was to systematically review the effectiveness of home-based interventions on weight, intermediate (eg, diet and physical activity [PA]), and clinical outcomes.

methodsWe searched Medline, Embase, PsychInfo, CINAHL, clinicaltrials.gov, and the Cochrane Library from inception through August 11, 2012. We included experimental and natural experimental studies with ≥1-year follow-up reporting weight-related outcomes and targeting children at home. Two independent reviewers screened studies and extracted data. We graded the strength of the evidence supporting interventions targeting diet, PA, or both for obesity prevention.

resultsWe identified 6 studies; 3 tested combined interventions (diet and PA), 1 used diet intervention, 1 combined intervention with primary care and consumer health informatics components, and 1 combined intervention with school and community components. Select combined interventions had beneficial effects on fruit/vegetable intake and sedentary behaviors. However, none of the 6 studies reported a significant effect on weight outcomes. Overall, the strength of evidence is low that combined home-based interventions effectively prevent obesity. The evidence is insufficient for conclusions about home-based diet interventions or interventions implemented at home in association with other settings.

conclusionsThe strength of evidence is low to support the effectiveness of home-based child obesity prevention programs. Additional research is needed to test interventions in the home setting, particularly those incorporating parenting strategies and addressing environmental influences.

Indexed as

Home Care ServicesAdolescentBody WeightChildChild, PreschoolCombined Modality TherapyCross-Sectional StudiesDeveloped CountriesDiet, ReducingFeeding BehaviorFemaleHumansLife StyleMaleMotor ActivityObesityBMIchildhomeinterventionobesityoverweight

Identifiers

PMID23753095
PMCPMC3691540
OpenAlexW1983552895

What OpenQuestion holds

Textmetadata
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.