Evidence map›Paper›PMID 24649831›Full record

Trial reportBMC pediatrics2014

Feasibility and impact of Creciendo Sanos, a clinic-based pilot intervention to prevent obesity among preschool children in Mexico City.

Gloria Oliva Martínez-Andrade, Elizabeth M Cespedes, Sheryl L Rifas-Shiman, Guillermina Romero-Quechol, Marco Aurelio González-Unzaga, María Amalia Benítez-Trejo, Samuel Flores-Huerta, Chrissy Horan, Jess Haines, Elsie M Taveras and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01539070 (Design and Feasibility of a Clinical-based Intervention to Prevent Obesity in Preschool Children), which is not on this map. Cited by 28 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 20 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT01539070 nacompletednot on this map

Design and Feasibility of a Clinical-based Intervention to Prevent Obesity in Preschool Children

TypeinterventionalSponsorCoordinación de Investigación en Salud, MexicoRan2012 to 2013Enrolled306ConditionsChildhood ObesityArmsEating and physical activity counseling
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 20 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  3. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
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  8. Interventions to Prevent Obesity in Mexican Children and Adolescents: Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2022
    Pooled it
  9. Experiential Learning Interventions and Healthy Eating Outcomes in Children: A Systematic Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  10. Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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  15. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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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

12 authors at 6 institutions in 3 countries.

Gloria Oliva Martínez-Andrade
Elizabeth M CespedesObesity Prevention Program, Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 3rd Floor, Boston, MA 02215, USA. emc611@mail.harvard.edu.
Sheryl L Rifas-Shiman
Guillermina Romero-Quechol
Marco Aurelio González-Unzaga
María Amalia Benítez-Trejo
Samuel Flores-Huerta
Chrissy Horan
Jess Haines
Elsie M Taveras
Ricardo Pérez-Cuevas
Matthew W Gillman
Harvard Pilgrim Health Care · USMexican Social Security Institute · MXSecretaria de Salud · MXHarvard University · USMaineGeneral Medical Center · USUniversity of Guelph · CA

Funding

TRAINING GRANT IN ACADEMIC NUTRITIONT32DK007703 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTOPHER P DUGGAN, Frank B Hu · 1994 to 2026
$7.8M
NIDDK NIH HHS T32 DK007703
6 · The paper itself

Abstract

backgroundMexico has the highest adult overweight and obesity prevalence in the Americas; 23.8% of children <5 years old are at risk for overweight and 9.7% are already overweight or obese. Creciendo Sanos was a pilot intervention to prevent obesity among preschoolers in Instituto Mexicano del Seguro Social (IMSS) clinics.

methodsWe randomized 4 IMSS primary care clinics to either 6 weekly educational sessions promoting healthful nutrition and physical activity or usual care. We recruited 306 parent-child pairs: 168 intervention, 138 usual care. Children were 2-5 years old with WHO body mass index (BMI) z-score 0-3. We measured children's height and weight and parents reported children's diet and physical activity at baseline and 3 and 6-month follow-up. We analyzed behavioral and BMI outcomes with generalized mixed models incorporating multiple imputation for missing values.

results93 (55%) intervention and 96 (70%) usual care families completed 3 and 6-month follow-up. At 3 months, intervention v. usual care children increased vegetables by 6.3 servings/week (95% CI, 1.8, 10.8). In stratified analyses, intervention participants with high program adherence (5-6 sessions) decreased snacks and screen time and increased vegetables v. usual care. No further effects on behavioral outcomes or BMI were observed. Transportation time and expenses were barriers to adherence. 90% of parents who completed the post-intervention survey were satisfied with the program.

conclusionsAlthough satisfaction was high among participants, barriers to participation and retention included transportation cost and time. In intention to treat analyses, we found intervention effects on vegetable intake, but not other behaviors or BMI.

trial registrationClinicalTrials.gov NCT01539070.Comisión Nacional de Investigación Científica del IMSS: 2009-785-120.

Indexed as

Body Mass IndexChild, PreschoolDouble-Blind MethodFeasibility StudiesFemaleHumansMaleMexicoObesityPilot ProjectsTime FactorsUrban Health

Identifiers

PMID24649831
PMCPMC3999907
OpenAlexW2161843806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.