Evidence map›Paper›PMID 25963602›Full record

Trial reportJournal of the Academy of Nutrition and Dietetics2015

Reduction in food away from home is associated with improved child relative weight and body composition outcomes and this relation is mediated by changes in diet quality.

Myra Altman, Jodi Cahill Holland, Delaney Lundeen, Rachel P Kolko, Richard I Stein, Brian E Saelens, R Robinson Welch, Michael G Perri, Kenneth B Schechtman, Leonard H Epstein and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized 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. It is linked to trial NCT00759746 (Childhood Obesity Treatment), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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.

NCT00759746 nacompletednot on this map

Childhood Obesity Treatment: A Maintenance Approach

TypeinterventionalSponsorWashington University School of MedicineRan2009 to 2013Enrolled482ConditionsChildhood Overweight, Childhood ObesityArmsSFM+ Low Dose, Weight Maintenance Education, SFM+ High Dose
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Content and Validity of Claims Made about Food Parenting Practices in United Kingdom Online News Articles.International journal of environmental research and public health · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. An examination of the interpersonal model of binge eating over the course of treatment.European eating disorders review : the journal of the Eating Disorders Association · 2020
    Article
  16. Article
  17. Article
  18. Changes in diet quality and home food environment in preschool children following weight management.The international journal of behavioral nutrition and physical activity · 2019
    Article
  19. Article
  20. Article
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.

Myra Altman
Jodi Cahill Holland
Delaney Lundeen
Rachel P Kolko
Richard I Stein
Brian E Saelens
R Robinson Welch
Michael G Perri
Kenneth B Schechtman
Leonard H Epstein
Denise E Wilfley

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Karyn A Esser, Todd Manini · 2007 to 2026
$22.8M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
CHILDHOOD OBESITY TREATMENT: A MAINTENANCE APPROACHR01HD036904 · NICHD · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1999 to 2010
$6.8M
CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
NUTRITION-BEHAVIORAL CARDIOVASCULAR DISEASE PREVENTIONT32HL007456 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1985 to 2014
$2.9M
Clinical Research in Eating Disorders and ObesityK24MH070446 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2004 to 2013
$1.4M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS UL1 TR000448NCRR NIH HHS KL2 RR024994NCRR NIH HHS KL2RR024994NCRR NIH HHS UL1 RR024992NHLBI NIH HHS 5T32HL007456NHLBI NIH HHS T32 HL007456NIA NIH HHS P30 AG028740NICHD NIH HHS 5-RO1HD036904NICHD NIH HHS R01 HD036904NIMH NIH HHS 5K24MH070446NIMH NIH HHS K24 MH070446NIMH NIH HHS T32 MH018269
6 · The paper itself

Abstract

backgroundReducing consumption of food away from home is often targeted during pediatric obesity treatment, given the associations with weight status and gain. However, the effects of this dietary change on weight loss are unknown.

objectiveOur aim was to evaluate associations between changes in dietary factors and child anthropometric outcomes after treatment. It is hypothesized that reduced consumption of food away from home will be associated with improved dietary intake and greater reductions in anthropometric outcomes (standardized body mass index [BMI] and percent body fat), and the relationship between food away from home and anthropometric outcomes will be mediated by improved child dietary intake.

designWe conducted a longitudinal evaluation of associations between dietary changes and child anthropometric outcomes. Child diet (three 24-hour recalls) and anthropometric data were collected at baseline and 16 weeks. PARTICIPANTS/

settingParticipants were 170 overweight and obese children ages 7 to 11 years who completed a 16-week family-based behavioral weight-loss treatment as part of a larger multi-site randomized controlled trial conducted in two cohorts between 2010 and 2011 (clinical research trial).

interventionDietary treatment targets during family-based behavioral weight-loss treatment included improving diet quality and reducing food away from home.

main outcome measuresThe main outcome measures in this study were child relative weight (standardized BMI) and body composition (percent body fat). STATISTICAL ANALYSES: We performed t tests and bootstrapped single-mediation analyses adjusting for relevant covariates.

resultsAs hypothesized, decreased food away from home was associated with improved diet quality and greater reductions in standardized BMI (P<0.05) and percent body fat (P<0.01). Associations between food away from home and anthropometric outcomes were mediated by changes in diet quality. Specifically, change in total energy intake and added sugars mediated the association between change in food away from home and standardized BMI, and change in overall diet quality, fiber, added sugars, and added fats mediated the association between change in food away from home and percent body fat. Including physical activity as a covariate did not significantly impact these findings.

conclusionsThese results suggest that reducing food away from home can be an important behavioral target for affecting positive changes in both diet quality and anthropometric outcomes during treatment.

Indexed as

Behavior TherapyChild Nutritional Physiological PhenomenaDiet, ReducingFamily TherapyLife StyleAdiposityBody Mass IndexChildCohort StudiesDietary SucroseEnergy IntakeFast FoodsFemaleHumansLongitudinal StudiesMaleDietary SucroseDiet qualityFood away from homeObesityPediatric

Identifiers

PMID25963602
PMCPMC4555092

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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.