Evidence map›Paper›PMID 24050419›Full record

Trial reportAmerican journal of preventive medicine2013

C-reactive protein levels in African Americans: a diet and lifestyle randomized community trial.

James R Hébert, Michael Wirth, Lisa Davis, Briana Davis, Brook E Harmon, Thomas G Hurley, Ruby Drayton, E Angela Murphy, Nitin Shivappa, Sara Wilcox and 6 more

Registry-linked trialAbstract 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. It is linked to trial NCT01760902 (Diet & Activity Community Trial), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% 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.

NCT01760902 nacompletednot on this map

Diet & Activity Community Trial: High-Risk Inflammation

TypeinterventionalSponsorUniversity of South CarolinaRan2010 to 2014Enrolled438ConditionsInflammationArmsDiet and Physical Activity
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 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

16 authors at 2 institutions in 1 country.

James R HébertCancer Prevention and Control Program (Hébert, Wirth, L. Davis, B. Davis, Harmon, Hurley, Drayton, Shivappa, Adams, Brandt, Armstead, Steck), Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Department of Epidemiology and Biostatistics (Hébert, Wirth, Shivappa, Adams, Steck, Blair), Arnold School of Public Health, University of South Carolina, Columbia, South Carolina. Electronic address: jhebert@sc.edu.
Michael Wirth
Lisa Davis
Briana Davis
Brook E Harmon
Thomas G Hurley
Ruby Drayton
E Angela Murphy
Nitin Shivappa
Sara Wilcox
Swann A Adams
Heather M Brandt
Christine E Blake
Cheryl A Armstead
Susan E Steck
Steven N Blair
University of South Carolina · USUniversity of Hawaiʻi at Mānoa · US

Funding

Nutritional & Behavioral Cancer Prevention in a Multiethnic PopulationR25CA090956 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI MASKARINEC, GERTRAUD · 2002 to 2012
$5.1M
Diet & Activity Community Trial: High-Risk Colon PolypsR24MD002769 · NIMHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2008 to 2012
$2.8M
Expanding Mentoring Capacity in High-Risk PopulationsK05CA136975 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2009 to 2013
$801k
NCI NIH HHS K05 CA136975NCI NIH HHS R25 CA090956NIMHD NIH HHS R24 MD002769
6 · The paper itself

Abstract

backgroundChronic inflammation is linked to poor lifestyle behaviors and a variety of chronic diseases that are prevalent among African Americans, especially in the southeastern U.S. PURPOSE: The goal of the study was to test the effect of a community-based diet, physical activity, and stress reduction intervention conducted in 2009-2012 on reducing serum C-reactive protein (CRP) in overweight and obese African-American adults.

methodsAn RCT intervention was designed jointly by members of African-American churches and academic researchers. In late 2012, regression (i.e., mixed) models were fit that included both intention-to-treat and post hoc analyses conducted to identify important predictors of intervention success. Outcomes were assessed at 3 months and 1 year.

resultsAt baseline, the 159 individuals who were recruited in 13 churches and had evaluable outcome data were, on average, obese (BMI=33.1 [±7.1]) and had a mean CRP level of 3.7 (±3.9) mg/L. Reductions were observed in waist-to-hip ratio at 3 months (2%, p=0.03) and 1 year (5%, p<0.01). In female participants attending ≥60% of intervention classes, there was a significant decrease in CRP at 3 months of 0.8 mg/L (p=0.05), but no change after 1 year. No differences were noted in BMI or interleukin-6.

conclusionsIn overweight/obese, but otherwise "healthy," African-American church members with very high baseline CRP levels, this intervention produced significant reductions in CRP at 3 and 12 months, and in waist-to-hip ratio, which is an important anthropometric predictor of overall risk of inflammation and downstream health effects.

trial registrationThis study is registered at www.clinicaltrials.gov NCT01760902.

Indexed as

AdultBlack or African AmericanBody Mass IndexC-Reactive ProteinDietFemaleHealth BehaviorHealth PromotionHumansLife StyleMaleMiddle AgedOverweightSocioeconomic FactorsStress, PsychologicalC-Reactive Protein

Identifiers

PMID24050419
PMCPMC3779347
OpenAlexW1808734

What OpenQuestion holds

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LicenceTDM
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.