Evidence map›Paper›PMID 23843020›Full record

Trial reportJournal of general internal medicine2013

Weight loss success in metabolic syndrome by telephone interventions: results from the SHINE Study.

Ruth S Weinstock, Paula M Trief, Donald Cibula, Philip C Morin, Linda M Delahanty

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00749606 (Weight Loss in Primary Care), which is not on this map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 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.

NCT00749606 nacompletednot on this map

Weight Loss in Primary Care: a Translation of the Diabetes Prevention Program

TypeinterventionalSponsorState University of New York - Upstate Medical UniversityRan2009 to 2014Enrolled257ConditionsObesityArmsIndividual telephone intervention, Group telephone intervention
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ruth S WeinstockSUNY Upstate Medical University, 750 East Adams Street (CWB 353), Syracuse, NY, 13210, USA, weinstor@upstate.edu.
Paula M Trief
Donald Cibula
Philip C Morin
Linda M Delahanty

Funding

Weight Loss in Primary Care: A Translation of the Diabetes Prevention ProgramR18DK078553 · NIDDK · UPSTATE MEDICAL UNIVERSITY · PI TRIEF, PAULA MARY, WEINSTOCK, RUTH S · 2008 to 2012
$3.2M
NIDDK NIH HHS R18 DK078553NIDDK NIH HHS R18-DK078553
6 · The paper itself

Abstract

backgroundThe Diabetes Prevention Program (DPP) intensive lifestyle intervention resulted in significant weight loss, reducing the development of diabetes, but needs to be adapted to primary care provider (PCP) practices.

objectivesTo compare a DPP-translation using individual (IC) vs. conference (CC) calls delivered by PCP staff for the outcome of percent weight loss over 2 years.

designRandomized clinical trial.

settingFive PCP sites.

participantsObese patients with metabolic syndrome, without diabetes (IC, n = 129; CC, n = 128).

interventionTelephone delivery of the DPP Lifestyle Balance intervention [16-session core curriculum in year 1, 12-session continued telephone contact in year 2 plus telephone coaching sessions (dietitians). MAIN MEASURES: Weight (kg), body mass index (BMI), and waist circumference. KEY

resultsBASELINE DATA: age = 52 years, BMI = 39 kg/m(2), 75 % female, 85 % non-Hispanic White, 13 % non-Hispanic Black, and 48 % annual incomes <$40,000/year. In the intention-to-treat analyses at year 2, mean percent weight loss was -5.6 % (CC, p < 0.001) and -1.8 % (IC, p = 0.046) and was greater for CC than for IC (p = 0.016). At year 2, mean weight loss was 6.2 kg (CC) and 2.2 kg (IC) (p < 0.001). There was similar weight loss at year 1, but between year 1 and year 2 CC participants continued to lose while IC participants regained. At year 2, 52 % and 43 % (CC) and 29 % and 22 % (IC) of participants lost at least 5 % and 7 % of initial weight. BMI also decreased more for CC than IC (-2.1 kg/m(2) vs. -0.8 kg/m(2) p < 0.001). Waist circumference decreased by 3.1 cm (CC) and 2.4 cm (IC) at year 2. Completers (≥9 of 16 sessions; mean 13.3 sessions) lost significantly more weight than non-completers (mean 4.3 sessions).

conclusionsPCP staff delivery of the DPP lifestyle intervention by telephone can be effective in achieving weight loss in obese people with metabolic syndrome. Greater weight loss may be attained with a group telephone intervention.

Indexed as

Risk Reduction BehaviorTelephoneAdultAgedEarly Medical InterventionExerciseFemaleFollow-Up StudiesHumansMaleMetabolic SyndromeMiddle AgedNutrition AssessmentObesityWeight LossWeight Reduction Programs

Identifiers

PMID23843020
PMCPMC3832730

What OpenQuestion holds

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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.