Trial reportTrials2014
National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): project design and results of a randomised controlled trial of a good practice approach to treatment of adolescent obesity in Kuwait.
Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of Randomized Controlled Trials of Behavioral Interventions for the Management of Overweight and Obesity in Children That Are Delivered or Referred to by Health Providers in Primary Care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Interventions for Childhood Central Obesity: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Pooled it
- Sex differences in response to lifestyle intervention among children and adolescents: Systematic review and meta-analysis.Obesity (Silver Spring, Md.) · 2023Pooled it
- Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years.The Cochrane database of systematic reviews · 2017Pooled it
- Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses.Journal of obesity · 2017Pooled it
- Prediction of fat-free mass and fat mass from bioimpedance spectroscopy and anthropometry: a validation study in 7- to 9-year-old Kuwaiti children.Public health nutrition · 2025Article
- Review
- Clinical and school-based intervention strategies for youth obesity prevention: A systematic review.Frontiers in sports and active living · 2022Review
- What Change in Body Mass Index Is Required to Improve Cardiovascular Outcomes in Childhood and Adolescent Obesity through Lifestyle Interventions: A Meta-Regression.Childhood obesity (Print) · 2020Article
- Behavioral trials in the Arab Gulf States: A scoping review.SAGE open medicine · 2019Article
- A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Prevalence and risk factors meta-analysis.Advances in pediatric research · 2017Article
- A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Health impact and management.Advances in pediatric research · 2017Article
- Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?Current obesity reports · 2016Review
- Prevalence of cardiometabolic risk factors and metabolic syndrome in obese Kuwaiti adolescents.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew randomised controlled trials (RCTs) of interventions for the treatment of adolescent obesity have taken place outside the western world. This RCT tested whether a simple 'good practice' intervention for the treatment of adolescent obesity would have a greater impact on weight status and other outcomes than a referral to primary care (control) in adolescents in Kuwait City.
methodsWe report on an assessor-blinded RCT of a treatment intervention in 82 obese 10- to 14-year-olds (mean age 12.4, SD 1.2 years), randomised to a good practice treatment or primary care control group over 6 months. The good practice intervention was intended as relatively low intensity (6 hours contact over 24 weeks, group-based), aiming to change sedentary behaviour, physical activity, and diet. The primary outcome was a change in body mass index (BMI) Z score; other outcomes were changes in waist circumference and blood pressure.
resultsThe retention of subjects to follow up was acceptable (n = 31 from the intervention group, and n = 32 from the control group), but engagement with both the intervention and control treatment was poor. Treatment had no significant effect on BMI Z score relative to control, and no other significant benefits to intervention were observed.
conclusionsThe trial was feasible, but highlights the need to engage obese adolescents and their families in the interventions being trialled. The trial should inform the development of future adolescent obesity treatment trials in the Gulf States with the incorporation of qualitative assessment in future intervention trials.
trial registrationRCT Registered as National Adolescent Treatment Trial for Obesity in Kuwait (NATTO): http://www.controlled-trials.com/ISRCTN37457227, 1 December 2009.
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What OpenQuestion holds
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.