Evidence map›Paper›PMID 25886540›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2015

The long-term effect of screening and lifestyle counseling on changes in physical activity and diet: the Inter99 Study - a randomized controlled trial.

Sophie Baumann, Ulla Toft, Mette Aadahl, Torben Jørgensen, Charlotta Pisinger

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00289237 (A Randomised Non-pharmacological Intervention Study for Prevention of Ischaemic Heart Disease Inter99), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.6field-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.

NCT00289237 nacompletednot on this map

A Randomised Non-pharmacological Intervention Study for Prevention of Ischaemic Heart Disease Inter99

TypeinterventionalSponsorGlostrup University Hospital, CopenhagenRan1999 to 2011Enrolled61,301ConditionsCHD, AMI, CVD, Type 2 DiabetesArmsLifestyle intervention
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Risk scoring for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
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  11. Public Awareness and Perceptions of Colorectal Cancer Prevention: a Cross-Sectional Survey.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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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

5 authors at 3 institutions in 2 countries.

Sophie BaumannUniversity Medicine Greifswald, Institute of Social Medicine and Prevention, Walther-Rathenau-Str. 48, DE-17475, Greifswald, Germany. sophie.baumann@uni-greifswald.de.
Ulla ToftResearch Centre for Prevention and Health, Building 84/85, Glostrup Hospital, Ndr, Ringvej, DK-2600, Glostrup, Denmark. ulla.toft@regionh.dk.
Mette AadahlResearch Centre for Prevention and Health, Building 84/85, Glostrup Hospital, Ndr, Ringvej, DK-2600, Glostrup, Denmark. mette.aadahl@regionh.dk.
Torben JørgensenResearch Centre for Prevention and Health, Building 84/85, Glostrup Hospital, Ndr, Ringvej, DK-2600, Glostrup, Denmark. torben.joergensen@regionh.dk.
Charlotta PisingerResearch Centre for Prevention and Health, Building 84/85, Glostrup Hospital, Ndr, Ringvej, DK-2600, Glostrup, Denmark. charlotta.pisinger@regionh.dk.
Aalborg University · DKUniversitätsmedizin Greifswald · DEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMulti-factorial intervention studies have been found to be successful in the initiation of lifestyle changes. However, little is known about the longer-term maintenance of health behavior improvements. The purpose of this study was to investigate whether improvements in physical activity and dietary habits achieved in a population-based multi-factorial lifestyle intervention of five years duration were maintained five years after intervention activities have ended.

methodsThe study was a population-based randomized controlled trial, Inter99 (1999-2006), Copenhagen, Denmark. Over five years, all participants in the intervention group (n = 6,091) received individual lifestyle counseling; participants at high risk of ischemic heart disease - according to pre-specified criteria - were also offered group-based counseling. The control group (n = 3,324) was followed by questionnaires. Both groups were followed one, three, five, and ten years after baseline. Changes in physical activity and dietary habits (intake of vegetables, fruit, fish, and saturated fat) during and after the intervention were investigated using random-coefficient models.

resultsFive years after the intervention, women in the intervention group reported greater improvements in the intake of fruit (M Δ = 90.2 g/week, p = 0.041) and less intake of saturated fat (OR = 0.30, 95% CI: 0.17-0.54) than the control group. Men in the intervention group reported greater improvements in physical activity (M Δ = 19.6 min/week, p = 0.003) and less intake of saturated fat (OR = 0.31, 95% CI: 0.17-0.56) than the control group. Improvements in the intake of vegetables and fish achieved during the intervention were not maintained in the longer-term.

conclusionsScreening and lifestyle counseling had sustained effects on physical activity and dietary habits five years after its discontinuation. The patterns of long-term changes in lifestyle differed across behaviors and between men and women.

trial registrationClinicalTrials.gov ( NCT00289237 ).

Indexed as

CounselingDietExerciseFeeding BehaviorHealth BehaviorHealth PromotionLife StyleAdultDenmarkFemaleFollow-Up StudiesHumansMaleMiddle AgedMotor ActivityOdds Ratio

Identifiers

PMID25886540
PMCPMC4352560
OpenAlexW2048232994

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.