Trial reportPediatrics2016
Two-Year BMI Outcomes From a School-Based Intervention for Nutrition and Exercise: A Randomized Trial.
Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 15 of them syntheses that pooled 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.
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.
Who cites it
40 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Impact of multi-component school food environment interventions on adiposity and food consumption in children and adolescents: systematic review and meta-analysis.Cadernos de saude publica · 2025Pooled it
- Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Effectiveness of Intervention Strategies to Increase Adolescents' Physical Activity and Reduce Sedentary Time in Secondary School Settings, Including Factors Related to Implementation: A Systematic Review and Meta-Analysis.Sports medicine - open · 2024Pooled it
- School-based peer education interventions to improve health: a global systematic review of effectiveness.BMC public health · 2022Pooled it
- Improving Obesogenic Dietary Behaviors among Adolescents: A Systematic Review of Randomized Controlled Trials.Nutrients · 2022Pooled it
- Efficacy of Mobile Health Applications to Improve Physical Activity and Sedentary Behavior: A Systematic Review and Meta-Analysis for Physically Inactive Individuals.International journal of environmental research and public health · 2022Pooled it
- Effectiveness of Nutritional Strategies on Improving the Quality of Diet of Children from 6 to 12 Years Old: A Systematic Review.Nutrients · 2022Pooled it
- Effects of nutritional intervention strategies in the primary prevention of overweight and obesity in school settings: systematic review and network meta-analysis.BMJ medicine · 2022Pooled it
- School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.The Cochrane database of systematic reviews · 2021Pooled it
- Themes in Train-the-Trainer Nutrition Education Interventions Targeting Middle School Students: A Systematic Review.Nutrients · 2021Pooled it
- A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Systematic Review of Setting-Based Interventions for Preventing Childhood Obesity.BioMed research international · 2021Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Effectiveness of school food environment policies on children's dietary behaviors: A systematic review and meta-analysis.PloS one · 2018Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease.The Cochrane database of systematic reviews · 2017Pooled it
- Disseminating and Implementing the Science of Pediatric Obesity Treatment and Prevention.Obesity (Silver Spring, Md.) · 2026Article
- Effectiveness of school-based intervention in obese children.Journal of family medicine and primary care · 2026Article
- Using implementation mapping to optimize the impact of Universal School meals: a type III hybrid implementation-effectiveness study protocol.Implementation science communications · 2025Article
- Evaluation of Health Education Events With a Peer-to-Peer Component in Public High Schools.Health promotion practice · 2025Article
- Anemia: Etiology, Pathophysiology, Impact, and Prevention: A Review.Iranian journal of public health · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesThis study examined the long-term effects on BMI of a randomized controlled trial of Students for Nutrition and Exercise, a 5-week, middle school-based obesity prevention intervention combining school-wide environmental changes, encouragement to eat healthy school cafeteria foods, and peer-led education and marketing.
methodsWe randomly selected schools from the Los Angeles Unified School District and assigned 5 to the intervention group and 5 to a wait-list control group. Of the 4022 seventh-graders across schools, a total of 1368 students had their height and weight assessed at baseline and 2 years' postintervention.
resultsA multivariable linear regression was used to predict BMI percentile at ninth grade by using BMI percentile at seventh grade, school indicators, and sociodemographic characteristics (child gender, age, Latino race/ethnicity, US-born status, and National School Lunch Program eligibility [as a proxy for low-income status]). Although the Students for Nutrition and Exercise intervention did not exhibit significant effects on BMI percentile overall, intervention students who were classified as obese at baseline (in seventh grade) showed significant reductions in BMI percentile in ninth grade (b = -2.33 percentiles; SE, 0.83; P = .005) compared with control students. This outcome translated into ∼9 pounds (∼4.1 kg) lower expected body weight after 2 years for an obese student in the intervention school at the mean height and age of the sample at baseline.
conclusionsMultilevel school-based interventions can have long-term effects on BMI among students who are obese. Future research should examine the mechanisms by which school-based obesity interventions can affect BMI over time.
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Registered trials
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