Evidence map›Paper›PMID 23767805›Full record

ArticleChildhood obesity (Print)2013

Is BMI alone a sufficient outcome to evaluate interventions for child obesity?

Maria Kolotourou, Duncan Radley, Paul Chadwick, Lindsey Smith, Stavros Orfanos, Venediktos Kapetanakis, Atul Singhal, Tim J Cole, Paul M Sacher

Abstract read
In one paragraph

Article in Childhood obesity (Print), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Maria KolotourouMytime MEND, Bromley, Kent, United Kingdom.
Duncan Radley
Paul Chadwick
Lindsey Smith
Stavros Orfanos
Venediktos Kapetanakis
Atul Singhal
Tim J Cole
Paul M Sacher

Funding

Medical Research Council G0700961Medical Research Council MR/J004839/1
6 · The paper itself

Abstract

backgroundBMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent of effects on adiposity. We investigated whether benefits to health outcomes following the Mind, Exercise, Nutrition…Do It! (MEND) childhood obesity intervention were independent of or associated with changes in zBMI.

methodsA total of 79 obese children were measured at baseline; 71 and 42 participants were followed-up at 6 and 12 months respectively, and split into four groups depending on magnitude of change in zBMI. Differences between groups for waist circumference, cardiovascular fitness, physical and sedentary activities, and self-esteem were investigated.

resultsApart from waist circumference and its z-score, there were no differences or trends across zBMI subgroups for any outcome. Independent of the degree of zBMI change, benefits in several parameters were observed in children participating in this obesity intervention.

conclusionWe concluded that isolating a single parameter like zBMI change and neglecting other important outcomes is restrictive and may undermine the evaluation of childhood obesity intervention effectiveness.

Indexed as

Body Mass IndexPhysical FitnessChildChild Nutritional Physiological PhenomenaEvidence-Based MedicineFemaleHumansMaleNutritional StatusPediatric ObesitySelf ConceptTime FactorsUnited KingdomWaist Circumference

Identifiers

PMID23767805
PMCPMC3728723

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.