Evidence map›Paper›PMID 26861769›Full record

ArticleObesity (Silver Spring, Md.)2016

Guideline-concordant weight-loss programs in an urban area are uncommon and difficult to identify through the internet.

Benjamin Bloom, Ambereen K Mehta, Jeanne M Clark, Kimberly A Gudzune

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Article
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  13. Treatment of Obesity in Patients With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2017
    Article
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  15. Dietary and Behavioral Approaches in the Management of Obesity.Gastroenterology clinics of North America · 2016
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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

4 authors.

Benjamin BloomUniversity of Maryland Medical School of Medicine, Baltimore, Maryland, USA.
Ambereen K MehtaDepartment of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
Jeanne M ClarkDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kimberly A GudzuneDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WONDISFORD, FREDRIC E. · 2013 to 2017
$9.7M
Reducing obesity among public housing residents: an ecological approachK23HL116601 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GUDZUNE, KIMBERLY ANNE · 2013 to 2017
$778k
NHLBI NIH HHS K23 HL116601NHLBI NIH HHS K23HL116601NIDDK NIH HHS P30 DK079637NIDDK NIH HHS P30DK079637
6 · The paper itself

Abstract

objectiveTo determine the reliability of Internet-based information on community-based weight-loss programs and grade their degree of concordance with 2013 American Heart Association, American College of Cardiology, and The Obesity Society weight-management guidelines.

methodsAn online search was conducted for weight-loss programs in the Maryland-Washington, DC-Virginia corridor. Content analysis was performed to abstract program components from their websites, and then 80 programs were randomly selected for a telephone survey to verify this information. Reliability of Internet information was determined in comparison with telephone interview responses.

resultsOf the 191 programs, 1% were graded as high, 8% as moderate, and 91% as low with respect to guideline concordance based on website content. Fifty-two programs participated in the telephone survey (65% response rate). Program intensity, diet, physical activity, and use of behavioral strategies were underreported on websites as compared to description of these activities during the phone interview. Within the subsample, 6% of programs were graded as high based on website information, whereas 19% were graded as high after the telephone interview.

conclusionsMost weight-loss programs in an urban, mid-Atlantic region do not currently offer guideline-concordant practices and fail to disclose key information online, which may make clinician referrals challenging.

Indexed as

Guidelines as TopicDietFollow-Up StudiesHumansInformation DisseminationInformation Seeking BehaviorInternetObesityPatient Education as TopicPatient ParticipationReproducibility of ResultsSocial SupportUnited StatesUrban PopulationWeight Loss

Identifiers

PMID26861769
PMCPMC4769110

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.