Trial reportObesity (Silver Spring, Md.)2014
Steps ahead: a randomized trial to reduce unhealthy weight gain in the Lower Mississippi Delta.
Trial report in Obesity (Silver Spring, Md.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01584596 (Steps Ahead, Adapting Physical Activity Guidelines for the Lower Mississippi Delta Population), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled 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.
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.
Steps Ahead, Adapting Physical Activity Guidelines for the Lower Mississippi Delta Population
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of physical activity monitors in adults: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- Cardiometabolic risk factor response to a lifestyle intervention: a randomized trial.Metabolic syndrome and related disorders · 2015Trial
- A scoping review of e/mHealth interventions for weight management in racial and ethnic minority adults in the United States.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026Article
- Effectiveness and Components of Health Behavior Interventions on Increasing Physical Activity Among Healthy Young and Middle-Aged Adults: A Systematic Review with Meta-Analyses.Behavioral sciences (Basel, Switzerland) · 2024Review
- The Effectiveness of MyPlate and Paleolithic-based Diet Recommendations, both with and without Exercise, on Aerobic Fitness, Muscular Strength and Anaerobic Power in Young Women: A Randomized Clinical Trial.International journal of exercise science · 2018Article
- Step Tracking with Goals Increases Children's Weight Loss in Behavioral Intervention.Childhood obesity (Print) · 2017Article
- Disparities in chronic medical conditions in the Mid-South.Ethnicity & health · 2017Article
- Sociodemographic Patterns of Chronic Disease: How the Mid-South Region Compares to the Rest of the Country.American journal of preventive medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveThe Lower Mississippi Delta (LMD) region of the United States is characterized by high levels of obesity and physical inactivity. The objective was to test the effectiveness of adapting the 2010 Dietary Guidelines for Americans (DG), with and without a physical activity (PA) component, for attenuating weight gain.
methodsOverall, 121 white and African-American adults (35-64 years; body mass index 25-34.9 kg/m(2)) were randomized to a DG only group (n = 61) or a DG + PA group (n = 60). Both groups received a 12-week dietary education and behavior change intervention. The DG + PA group also received PA education and a pedometer. Changes in weight (kg), %weight, and waist circumference (WC; cm) were determined. Analyses considered all completers (n = 99) and those who engaged with ≥80% of the intervention (n = 83). General linear models compared mean changes between groups after adjustment for baseline values, race, and sex.
resultsWeight, %weight, and WC significantly decreased from baseline to follow-up in both groups (p < 0.05; unadjusted values). Adjusted analysis showed a main effect of group for weight (p = 0.041) and %weight (p = 0.047) in the completers analysis, and WC (p = 0.046) in the ≥80% attendance analysis, with the DG + PA group improving weight-related outcomes more.
conclusionsLow-burden behavioral interventions could be effective strategies in attenuating unhealthy weight gain in the LMD.
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Registered trials
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