Evidence map›Paper›PMID 25251166›Full record

Trial reportPediatric obesity2015

Prevention of excess weight gain in paediatric primary care: beverages only or multiple lifestyle factors. The Smart Step Study, a cluster-randomized clinical trial.

N Stettler, B H Wrotniak, D L Hill, S K Kumanyika, M S Xanthopoulos, S Nihtianova, J Shults, S S Leff, A Pinto, R I Berkowitz and 1 more

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

Trial report in Pediatric obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
    Pooled it
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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

11 authors.

N StettlerFederal Health & Human Services Practice, The Lewin Group, Falls Church, VA, USA.
B H WrotniakDepartment of Physical Therapy, D'Youville College, Buffalo, NY, USA.
D L HillDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S K KumanyikaPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
M S XanthopoulosDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S NihtianovaDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J ShultsDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S S LeffDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
A PintoSchool of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
R I BerkowitzDepartments of Pediatrics, Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
M S FaithGillings School of Global Public Health, University of North Carolina - Chapel Hill, Chapel Hill, NC, USA.

Funding

Primary Care Obesity Prevention: One or Multiple TargetsR01HL084056 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI STETTLER-DAVIS, NICOLAS · 2005 to 2010
$3.7M
NHLBI NIH HHS 5R01HL084056NHLBI NIH HHS R01 HL084056
6 · The paper itself

Abstract

backgroundInsufficient evidence exists to support obesity prevention in paediatric primary care.

objectivesTo test a theory-based behaviour modification intervention delivered by trained paediatric primary care providers for obesity prevention.

methodsEfficacy trial with cluster randomization (practice level) and a 12-session 12-month sweetened beverages decrease intervention or a comprehensive dietary and physical activity intervention, compared with a control intervention among children ages 8-12 years.

resultsA low recruitment rate was observed. The increase in body mass index z-score (BMIz) for the 139 subjects (11 practices) randomized to any of the two obesity interventions (combined group) was less than that of the 33 subjects (five practices) randomized to the control intervention (-0.089, 95% confidence interval [CI]: -0.170 to -0.008, P = 0.03) with a -1.44 kg weight difference (95% CI: -2.98 to +0.10 kg, P = 0.095). The incidences of obesity and excess weight gain were lower in the obesity interventions, but the number of subjects was small. Post hoc analyses comparing the beverage only to the control intervention also showed an intervention benefit on BMIz (-0.083, 95% CI: -0.165 to -0.001, P = 0.048).

conclusionsFor participating families, an obesity prevention intervention delivered by paediatric primary care clinicians, who are compensated, trained and continuously supported by behavioural specialists, can impact children's BMIz.

Indexed as

Weight GainBehavior TherapyBeveragesBody Mass IndexChildFeeding BehaviorFemaleHumansMaleOffice VisitsPediatric ObesityPrimary Health CareBehavioural economicsbeveragesoffice visitsprimary health care

Identifiers

PMID25251166
PMCPMC4372512

What OpenQuestion holds

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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.