Evidence map›Paper›PMID 25948534›Full record

ArticleThe international journal of behavioral nutrition and physical activity2015

Ignoring regression to the mean leads to unsupported conclusion about obesity.

Asheley Cockrell Skinner, Steven B Heymsfield, Angelo Pietrobelli, Myles S Faith, David B Allison

Abstract readComment
In one paragraph

Article 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. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Subjective evaluation of psychosocial well-being in children and youths with overweight or obesity: the impact of multidisciplinary obesity treatment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
  9. Review
  10. Letter to the editor.Journal of women & aging
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Asheley Cockrell SkinnerThe University of North Carolina at Chapel Hill, Chapel Hill, USA. asheley@unc.edu.
Steven B HeymsfieldPennington Biomedical Research Center, Baton Rouge, USA. Steven.Heymsfield@pbrc.edu.
Angelo PietrobelliVerona University Medical School, Verona, Italy. angpie@tin.it.
Myles S FaithThe University of North Carolina at Chapel Hill, Chapel Hill, USA. mfaith@email.unc.edu.
David B AllisonDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, USA. dallison@uab.edu.

Funding

Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Gareth R Dutton · 2000 to 2026
$31.9M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Stuart J Frank · 2013 to 2026
$19.5M
UAB Obesity Training ProgramT32DK062710 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI James O Hill, Brooks C Wingo · 2004 to 2026
$5.5M
Strengthening Causal Inference in Behavioral Obesity ResearchR25HL124208 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLISON, DAVID B, BROWN, ANDREW W · 2014 to 2023
$1.8M
The Mathematical Sciences in Obesity ResearchR25DK099080 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DAVID B ALLISON, Andrew W Brown · 2013 to 2026
$1.2M
NHLBI NIH HHS R25 HL124208NHLBI NIH HHS R25HL124208NIDDK NIH HHS P30 DK056336NIDDK NIH HHS P30DK056336NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R25 DK099080NIDDK NIH HHS R25DK099080NIDDK NIH HHS T32 DK062710NIDDK NIH HHS T32DK062710
6 · The paper itself

Abstract

Childhood obesity remains a substantial health concern for our population and thoughtful attempts to develop and evaluate the utility of programs to reduce childhood obesity levels are needed. Unfortunately, we believe the conclusion by Burke et al. that the HealthMPowers program produces positive change in body composition is incorrect because the results obtained are likely due to regression to the mean (RTM), a well-known threat to the validity of studies that is often overlooked. Using empirical data, we demonstrate that RTM is likely to be the cause for the changes reported. A more reasonable conclusion than the one of effectiveness the authors offered would be that the results did not support the effectiveness of the intervention. Public health officials, parents, school leaders, community leaders, and regulators need and deserve valid evidence free from spin on which they can base decisions.

Indexed as

Body CompositionHealth BehaviorHealth Knowledge, Attitudes, PracticeMotor ActivityFemaleHealth PromotionHumansMaleOverweightPediatric Obesity

Identifiers

PMID25948534
PMCPMC4427929

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.