Evidence map›Paper›PMID 25578925›Full record

Trial reportJournal of the Academy of Nutrition and Dietetics2015

The effectiveness of two community-based weight loss strategies among obese, low-income US Latinos.

Lisa Goldman Rosas, Sreedevi Thiyagarajan, Benjamin Alan Goldstein, Rebecca Lucia Drieling, Priscilla Padilla Romero, Jun Ma, Veronica Yank, Randall Scott Stafford

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Academy of Nutrition and Dietetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 11 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  6. Long-term effects of weight-reducing diets in people with hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Review
  19. Review
  20. Review
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

8 authors.

Lisa Goldman Rosas
Sreedevi Thiyagarajan
Benjamin Alan Goldstein
Rebecca Lucia Drieling
Priscilla Padilla Romero
Jun Ma
Veronica Yank
Randall Scott Stafford

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
Case-Management & Environmental Support to Sustain Weight Loss & Reduce CHD RiskR01HL089448 · NHLBI · STANFORD UNIVERSITY · PI STAFFORD, RANDALL SCOTT · 2008 to 2012
$3.7M
Translating Clinical Decision Making into Systems of Care: A Mid-Career MentorK24HL086703 · NHLBI · STANFORD UNIVERSITY · PI STAFFORD, RANDALL SCOTT · 2007 to 2016
$1.5M
Understanding and predicting cardiac events in HD using real-time EHRsK25DK097279 · NIDDK · STANFORD UNIVERSITY · PI GOLDSTEIN, BENJAMIN ALAN · 2013 to 2017
$797k
NCATS NIH HHS UL1 TR001085NCRR NIH HHS UL1 RR025744NHLBI NIH HHS K24 HL086703NHLBI NIH HHS R01 HL089448NIDDK NIH HHS K25 DK097279
6 · The paper itself

Abstract

backgroundLatino immigrants have high rates of obesity and face barriers to weight loss.

objectiveTo evaluate the effectiveness of a case-management (CM) intervention with and without community health workers (CHWs) for weight loss.

designThis was a 2-year, randomized controlled trial comparing two interventions with each other and with usual care (UC). PARTICIPANTS/

settingEligible participants included Latinos with a body mass index of 30 to 60 and one or more heart disease risk factors. The 207 participants recruited during 2009-2010 had a mean age of 47 years and were mostly women (77%). At 24 months, 86% of the sample was assessed.

interventionThe CM+CHW (n=82) and CM (n=84) interventions were compared with each other and with UC (n=41). Both included an intensive 12-month phase followed by 12 months of maintenance. The CM+CHW group received home visits.

main outcome measuresWeight change at 24 months. STATISTICAL ANALYSES: Generalized estimating equations using intent-to-treat.

resultsAt 6 months, mean weight loss in the CM+CHW arm was -2.1 kg (95% CI -2.8 to -1.3) or -2% of baseline weight (95% CI -1% to -2%) compared with -1.6 kg (95% CI -2.4 to -0.7; % weight change, -2%, -1%, and -3%) in CM and -0.9 kg (95% CI -1.8 to 0.1; % weight change, -1%, 0%, and -2%) in UC. By 12 and 24 months, differences narrowed and CM+CHW was no longer statistically distinct. Men achieved greater weight loss than women in all groups at each time point (P<0.05). At 6 months, men in the CM+CHW arm lost more weight (-4.4 kg; 95% CI -6.0 to -2.7) compared with UC (-0.4 kg; 95% CI -2.4 to 1.5), but by 12 and 24 months differences were not significant.

conclusionsThis study demonstrated that incorporation of CHWs may help promote initial weight loss, especially among men, but not weight maintenance. Additional strategies to address social and environmental influences may be needed for Latino immigrant populations.

Indexed as

Community Health ServicesHispanic or LatinoPovertyWeight LossAdultBlood GlucoseBlood PressureBody Mass IndexCommunity Health WorkersDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedObesitySex FactorsBlood GlucoseCommunity Health WorkersHispanic AmericansObesityRandomized Controlled TrialWeight loss

Identifiers

PMID25578925
PMCPMC4380577

What OpenQuestion holds

Textmetadata
LicenceTDM
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.