Evidence map›Paper›PMID 25875825›Full record

Trial reportPloS one2015

Successful up-scaled population interventions to reduce risk factors for non-communicable disease in adults: results from the International Community Interventions for Health (CIH) Project in China, India and Mexico.

Pamela A Dyson, Denis Anthony, Brenda Fenton, Denise E Stevens, Beatriz Champagne, Li-Ming Li, Jun Lv, Jorge Ramírez Hernández, K R Thankappan, David R Matthews and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

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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 at 7 institutions in 5 countries.

Pamela A DysonUniversity of Oxford, Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, OX3 7LJ, United Kingdom.
Denis AnthonyUniversity of Oxford, Harris Manchester College, Mansfield Road, Oxford, OX1 3DT, United Kingdom.
Brenda FentonMATRIX Public Health Solutions Inc, 794 Edgewood Avenue, New Haven, Connecticut, 06515, United States of America.
Denise E StevensMATRIX Public Health Solutions Inc, 794 Edgewood Avenue, New Haven, Connecticut, 06515, United States of America.
Beatriz ChampagneInterAmerican Heart Foundation Inc, 7272 Greenville Avenue, Dallas, Texas, 75231-4596, United States of America.
Li-Ming LiSchool of Public Health, Peking University Health Science Center, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
Jun LvSchool of Public Health, Peking University Health Science Center, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
Jorge Ramírez HernándezInterAmerican Heart Foundation Inc, 7272 Greenville Avenue, Dallas, Texas, 75231-4596, United States of America; National Autonomous University of Mexico, Insurgentes Cuicuilco, Coyoacán, 04530, Mexico City, Mexico.
K R ThankappanAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
David R MatthewsUniversity of Oxford, Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, OX3 7LJ, United Kingdom; University of Oxford, Harris Manchester College, Mansfield Road, Oxford, OX1 3DT, United Kingdom; Oxford NIHR Biomedical Research Centre, Oxford, United Kingdom.
Community Interventions for Health (CIH) collaboration
Heart Foundation · USPeking University · CNPublic Health Solutions · USManchester College · GBOxford Centre for Diabetes, Endocrinology and Metabolism · GBSree Chitra Thirunal Institute for Medical Sciences and Technology · INUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-communicable disease (NCD) is increasing rapidly in low and middle-income countries (LMIC), and is associated with tobacco use, unhealthy diet and physical inactivity. There is little evidence for up-scaled interventions at the population level to reduce risk in LMIC.

methodsThe Community Interventions for Health (CIH) program was a population-scale community intervention study with comparator population group undertaken in communities in China, India, and Mexico, each with populations between 150,000-250,000. Culturally appropriate interventions were delivered over 18-24 months. Two independent cross-sectional surveys of a stratified sample of adults aged 18-64 years were conducted at baseline and follow-up.

resultsA total of 6,194 adults completed surveys at baseline, and 6,022 at follow-up. The proportion meeting physical activity recommendations decreased significantly in the control group (C) (44.1 to 30.2%), but not in the intervention group (I) (38.0 to 36.1%), p<0.001. Those eating ≥ 5 portions of fruit and vegetables daily decreased significantly in C (19.2 to 17.2%), but did not change in I (20.0 to 19.6%,), p=0.013. The proportion adding salt to food was unchanged in C (24.9 to 25.3%) and decreased in I (25.9 to 19.6%), p<0.001. Prevalence of obesity increased in C (8.3 to 11.2%), with no change in I (8.6 to 9.7%,) p=0.092. Concerning tobacco, for men the difference-in-difference analysis showed that the reduction in use was significantly greater in I compared to C (p=0.014).

conclusionsUp-scaling known health promoting interventions designed to reduce the incidence of NCD in whole communities in LMIC is feasible, and has measurable beneficial outcomes on risk factors for NCD, namely tobacco use, diet, and physical inactivity.

Indexed as

AdultChinaCross-Sectional StudiesDietEatingFeeding BehaviorFemaleFruitHumansIndiaMaleMexicoMiddle AgedMotor ActivityObesityOverweightSalts

Identifiers

PMID25875825
PMCPMC4395351
OpenAlexW1970169411

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.