Evidence map›Paper›PMID 28687677›Full record

Trial reportArchives of disease in childhood2017

A community-based motivational personalised lifestyle intervention to reduce BMI in obese adolescents: results from the Healthy Eating and Lifestyle Programme (HELP) randomised controlled trial.

Deborah Christie, Lee Duncan Hudson, Sanjay Kinra, Ian Chi Kei Wong, Irwin Nazareth, Tim J Cole, Ulla Sovio, John Gregson, Anthony S Kessel, Anne Mathiot and 5 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of disease in childhood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 7 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

14 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Review
  12. Article
  13. Effectiveness of an Innovative Sensory Approach to Improve Children's Nutritional Choices.International journal of environmental research and public health · 2021
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Deborah ChristieUniversity College London Hospitals and UCL Institute of Epidemiology and Health Care, London, UK.
Lee Duncan HudsonGreat Ormond Street Hospital for Children, London, UK.
Sanjay KinraDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Ian Chi Kei WongUniversity College London School of Pharmacy, London, UK.
Irwin NazarethPrimary Care and Population Health, UCL Institute of Epidemiology & Health, London, UK.
Tim J ColePopulation, Policy and Practice Programme, UCL Institute of Child Health, London, UK.
Ulla SovioDepartment of Obstetrics and Gynaecology, University of Cambridge, Cambridge, UK.
John GregsonLondon School of Hygiene and Tropical Medicine, London, UK.
Anthony S KesselLondon School of Hygiene and Tropical Medicine, London, UK.
Anne MathiotPopulation, Policy and Practice Programme, UCL Institute of Child Health, London, UK.
Stephen MorrisUCL Institute of Epidemiology & Health, London, UK.
Monica PancaUCL Institute of Epidemiology & Health, London, UK.
Silvia CostaUCL Institute of Epidemiology & Health, London, UK.
Rebecca HoltUCL Institute of Epidemiology & Health, London, UK.
Russell M VinerPopulation, Policy and Practice Programme, UCL Institute of Child Health, London, UK.

Funding

Medical Research Council MR/K023187/1Medical Research Council MR/M012069/1
6 · The paper itself

Abstract

objectiveApproximately 7% of children and young people aged 5-15 years in the UK have obesity at a level likely to be associated with comorbidities. The majority of multicomponent lifestyle programmes have limited applicability and generalisability for British adolescents.The Healthy Eating and Lifestyle Programme (HELP) was a specific adolescent-focused intervention, designed for obese 12 to 18-year-olds seeking help to manage their weight. Participants were randomised to the 12-session HELP intervention or standard care. The primary outcome was difference in mean body mass index (BMI) (kg/m SUBJECTS: 174 subjects were randomised (87 in each arm), of whom 145 (83%) provided primary outcome data at week 26.

resultsAt week 26 there were no significant effects of the intervention on BMI (mean change in BMI 0.18 kg/m

conclusionAt minimum this study reinforces the need for higher level, structured interventions to tackle the growing public health burden of obesity in the UK and internationally.The HELP intervention was no more effective than a single educational session for reducing BMI in a community sample of obese adolescents.Further work is needed to understand how weight management programmes can be delivered effectively to young people from diverse and deprived backgrounds in which childhood obesity is common. The study has significant implications in terms of informing public health interventions to tackle childhood obesity. TRIAL REGISTRATION NUMBER: ISRCTN: ISRCTN99840111.

Indexed as

Healthy LifestyleAdolescentBody Mass IndexCommunity Health ServicesFemaleHumansMaleMotivational InterviewingPatient CompliancePediatric ObesityRisk Factorsadolescent healthchild psychologylifestyle interventionobesity

Identifiers

PMID28687677
PMCPMC5537518

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.