Evidence map›Paper›PMID 27244788›Full record

Trial reportPediatrics2016

Two-Year BMI Outcomes From a School-Based Intervention for Nutrition and Exercise: A Randomized Trial.

Laura M Bogart, Marc N Elliott, Burton O Cowgill, David J Klein, Jennifer Hawes-Dawson, Kimberly Uyeda, Mark A Schuster

Abstract readRandomized Controlled Trial
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 15 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

40 citing papers in PubMed, 15 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024
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  13. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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  16. Article
  17. Effectiveness of school-based intervention in obese children.Journal of family medicine and primary care · 2026
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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

7 authors.

Laura M BogartDivision of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; RAND Corporation, Santa Monica, California; lbogart@rand.org.
Marc N ElliottRAND Corporation, Santa Monica, California;
Burton O CowgillDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California; and.
David J KleinDivision of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; RAND Corporation, Santa Monica, California;
Jennifer Hawes-DawsonRAND Corporation, Santa Monica, California;
Kimberly UyedaCommunity Partners and Medi-Cal Programs, Student Health and Human Services, Los Angeles Unified School District, Los Angeles, California.
Mark A SchusterDivision of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;

Funding

A Community-Academic Partnership to Address Disparities in Obesity Among YouthR24MD001648 · NIMHD · RAND CORPORATION · PI SCHUSTER, MARK A. · 2005 to 2015
$7.8M
NIMHD NIH HHS R24 MD001648
6 · The paper itself

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.

Indexed as

Body Mass IndexDietExerciseSchool Health ServicesAdolescentChildFemaleFood ServicesHealth PromotionHumansIntention to Treat AnalysisLinear ModelsLos AngelesMaleOverweightPediatric Obesity

Identifiers

PMID27244788
PMCPMC4845865

What OpenQuestion holds

Textmetadata
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.