Evidence map›Paper›PMID 27889315›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2017

School-Based Obesity-Prevention Policies and Practices and Weight-Control Behaviors among Adolescents.

Nicole Larson, Cynthia S Davey, Caitlin E Caspi, Martha Y Kubik, Marilyn S Nanney

Abstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. 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

5 authors.

Nicole Larson
Cynthia S Davey
Caitlin E Caspi
Martha Y Kubik
Marilyn S Nanney

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Impacts of School Policies on Student Diet & Activity Behaviors & ObesityR01HD070738 · NICHD · UNIVERSITY OF MINNESOTA · PI NANNEY, MARILYN S. · 2011 to 2015
$1.8M
NCATS NIH HHS UL1 TR000114NICHD NIH HHS R01 HD070738
6 · The paper itself

Abstract

backgroundThe promotion of healthy eating and physical activity within school settings is an important component of population-based strategies to prevent obesity; however, adolescents may be vulnerable to weight-related messages, as rapid development during this life stage often leads to preoccupation with body size and shape.

objectiveThis study examines secular trends in secondary school curricula topics relevant to the prevention of unhealthy weight-control behaviors; describes cross-sectional associations between weight-related curricula content and students' use of weight-control behaviors; and assesses whether implementation of school-based obesity-prevention policies/practices is longitudinally related to students' weight-control behaviors.

designThe Minnesota School Health Profiles and Minnesota Student Survey (grades 9 and 12) data were used along with National Center for Education Statistics data to examine secular trends, cross-sectional associations (n=141 schools), and longitudinal associations (n=42 schools).

main outcome measuresStudents self-reported their height and weight along with past-year use of healthy (eg, exercise), unhealthy (eg, fasting), and extreme (eg, use laxatives) weight-control behaviors. STATISTICAL ANALYSES PERFORMED: Descriptive statistics, generalized estimating equations, and generalized linear regression models accounting for school-level demographics.

resultsThere was no observable pattern during the years 2008 to 2014 in the mean number of curricula topics addressing unhealthy weight-control behaviors, despite an increase in the prevalence of curricula addressing acceptance of body-size differences. Including three vs fewer weight-control topics and specifically including the topic of eating disorders in the curricula was related to a lower school-level percent of students using any extreme weight-control behaviors. In contrast, an overall measure of implementing school-based obesity-prevention policies/practices (eg, prohibited advertising) was unrelated to use of unhealthy or extreme behaviors.

conclusionsResults suggest obesity-prevention policies/practices do not have unintended consequences for student weight-control behaviors and support the importance of school-based health education as part of efforts to prevent unhealthy behaviors.

Indexed as

Body WeightBody Weight MaintenanceHealth PolicyHealth PromotionAdolescentCross-Sectional StudiesExerciseFeeding and Eating DisordersFeeding BehaviorFemaleHealth BehaviorHealth EducationHumansLongitudinal StudiesMaleMinnesotaAdolescentHealth educationObesity preventionSchool environmentWeight-control behavior

Identifiers

PMID27889315
PMCPMC5276726

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Registered trials

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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.