Evidence map›Paper›PMID 25049340›Full record

Trial reportPediatrics2014

Treatment outcomes of overweight children and parents in the medical home.

Teresa Quattrin, James N Roemmich, Rocco Paluch, Jihnhee Yu, Leonard H Epstein, Michelle A Ecker

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Clinically effective child change in family-based behavioral treatment for pediatric obesity: An individual participant mega-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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  9. "Sacbe", a Comprehensive Intervention to Decrease Body Mass Index in Children with Adiposity: A Pilot Study.International journal of environmental research and public health · 2018
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  16. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
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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

6 authors.

Teresa QuattrinDepartment of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York; tquattrin@upa.chob.edu.
James N RoemmichDepartment of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;USDA/ARS Grand Forks Human Nutrition Research Center, Grand Forks, North Dakota; and.
Rocco PaluchDepartment of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;
Jihnhee YuDepartment of Biostatistics, University at Buffalo, Buffalo, New York.
Leonard H EpsteinDepartment of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;
Michelle A EckerDepartment of Pediatrics, University at Buffalo, Women and Children's Hospital, Buffalo, New York;

Funding

Treating Overweight Youth: A Family Based Approach in Primary CareR01HD053773 · NICHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI QUATTRIN, TERESA · 2008 to 2012
$2.5M
NICHD NIH HHS R01 HD053773
6 · The paper itself

Abstract

objectiveTo test in the primary care setting the short- and long-term efficacy of a behavioral intervention that simultaneously targeted an overweight child and parent versus an information control (IC) targeting weight control only in the child.

methodsTwo- to 5-year-old children who had BMI ≥85th percentile and an overweight parent (BMI >25 kg/m2) were randomized to Intervention or IC, both receiving diet and activity education over 12 months (13 sessions) followed by 12-month follow-up (3 sessions). Parents in the Intervention group were also targeted for weight control and received behavioral intervention. Pediatricians in 4 practices enrolled their patients with the assistance of embedded recruiters (Practice Enhancement Assistants) who assisted with treatment too.

resultsA total of 96 of the 105 children randomized (Intervention n = 46; IC n = 50) started the program and had data at baseline. Children in the Intervention experienced greater reductions in percent over BMI (group × months; P = .002) and z-BMI (group × months; P < 0.001) compared with IC throughout treatment and follow-up. Greater BMI reduction was observed over time for parents in the Intervention compared with IC (P < .001) throughout treatment and follow-up. Child weight changes were correlated with parent weight changes at 12 and 24 months (r = 0.38 and 0.26; P < .001 and P = .03).

conclusionsConcurrently targeting preschool-aged overweight and obese youth and their parents in primary care with behavioral intervention results in greater decreases in child percent over BMI, z-BMI, and parent BMI compared with IC. The difference between Intervention and IC persists after 12 months of follow-up.

Indexed as

Patient-Centered CareBehavior TherapyBody Mass IndexChild, PreschoolFamily HealthFemaleHealth BehaviorHumansMaleOverweightPatient Education as TopicTreatment Outcomeexpert committee recommendationsobesityoverweightpatient centered medical homepercent over BMIpreschool children

Identifiers

PMID25049340
PMCPMC4187232

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.