Evidence map›Paper›PMID 25702630›Full record

Trial reportPediatric obesity2016

Outcomes of a 1-year randomized controlled trial to evaluate a behavioral 'stepped-down' weight loss intervention for adolescent patients with obesity.

G Norman, J Huang, E P Davila, J K Kolodziejczyk, J Carlson, J R Covin, M Gootschalk, K Patrick

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatric obesity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 9 pooled it
5.3field-weighted citation impact, top 5% 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.

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

18 citing papers in PubMed, 9 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  10. Childhood obesity (Print) · 2020
    Trial
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  15. 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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  16. Article
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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

8 authors at 1 institution in 1 country.

G NormanDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
J HuangDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
E P DavilaDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
J K KolodziejczykDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
J CarlsonDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
J R CovinDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
M GootschalkDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
K PatrickDepartment of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
University of California, San Diego · US

Funding

UCSD Integrated Cardiovascular Epidemiology FellowshipT32HL079891 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Matthew A Allison · 2007 to 2026
$6.7M
PACE-PC: Primary Care Management of Adolescent ObesityR01CA121300 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PATRICK, KEVIN · 2006 to 2010
$2.2M
NCI NIH HHS R01 CA121300NHLBI NIH HHS T32 HL079891
6 · The paper itself

Abstract

backgroundStepped-care approaches to weight loss have shown some success among adults. A 'stepped-down' version of the stepped-care approach to adolescent weight loss has never been evaluated.

objectivesWe conducted a one-year randomized controlled trial to compare a stepped-down weight loss intervention versus enhanced usual care (EUC).

methodsStudy participants were obese adolescents age 11-13 (N = 106, 51% girls, and 82% Hispanic) recruited from primary care clinics in San Diego, California. The stepped-down intervention was delivered through clinician and health educator counseling (in-person and by phone) and mailed content. The intervention consisted of four-month 'steps' beginning with the most intensive contact followed by reduced contact if treatment goals were met. The EUC group received an initial physician visit, one session with a health counselor, and monthly mailed materials. Body mass index (BMI kg/m(2) ) was measured at baseline, 4, 8, and 12 months. Mixed-model regression analyses were stratified by sex.

resultsResults indicated a clinically significant treatment effect for boys on BMI (p < 0.001) but not girls. No between group differences were found for adiposity and biometric outcomes. Only 13% of intervention participants succeeded in stepping down from step 1 to step 2 or step 3.

conclusionsA stepped-down approach to weight loss showed some evidence of efficacy for weight loss in boys but not girls. The findings suggest the program as designed was not intensive enough to result in weight loss in this population segment.

Indexed as

Behavior TherapyAdolescentAdolescent BehaviorBody Mass IndexCaliforniaChildDirective CounselingFemaleHumansMalePediatric ObesityProgram EvaluationWeight LossWeight Reduction ProgramsAdolescentsobesityprimary-care interventionstepped-down

Identifiers

PMID25702630
PMCPMC4544661
OpenAlexW1924414584

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.