Evidence map›Paper›PMID 28915797›Full record

ArticleBMC public health2017

Effectiveness of a 16-month multi-component and environmental school-based intervention for recovery of poor income overweight/obese children and adolescents: study protocol of the health multipliers program.

Pollyanna Fernandes Patriota, Andrea Rocha Filgueiras, Viviane Belucci Pires de Almeida, Guilherme Aparecido Costa Alexmovitz, Carlos Eduardo da Silva, Vivian Fortuna Feres de Carvalho, Natália Carvalho, Maria Paula de Albuquerque, Semiramis Martins Alvares Domene, Wagner Luiz do Prado and 4 more

Registry-linked trialAbstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05467865 (A Quasi-experimental Intervention Protocol for Nutrition Education About Celiac Disease to Primary School Children), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT05467865 nacompletednot on this mapstarted 2020, after this paper: background citation

A Quasi-experimental Intervention Protocol for Nutrition Education About Celiac Disease to Primary School Children (Zeliakide Project)

TypeinterventionalSponsorUniversity of the Basque Country (UPV/EHU)Ran2020 to 2023Enrolled299ConditionsCeliac DiseaseArmsZELIAKIDE
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

14 authors.

Pollyanna Fernandes PatriotaDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil. pollypatriota2@gmail.com.
Andrea Rocha FilgueirasDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil.
Viviane Belucci Pires de AlmeidaDepartment of Public Health and Collective Health, Health and Society Institute, Federal University of São Paulo, UNIFESP, Santos, SP, Brazil.
Guilherme Aparecido Costa AlexmovitzDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil.
Carlos Eduardo da SilvaDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil.
Vivian Fortuna Feres de CarvalhoDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil.
Natália CarvalhoDepartment of Pediatrics, Federal University of São Paulo, UNIFESP, São Paulo, SP, Brazil.
Maria Paula de AlbuquerqueCenter for Recovery and Nutritional Education - CREN, São Paulo, SP, Brazil.
Semiramis Martins Alvares DomeneDepartment of Public Health and Collective Health, Health and Society Institute, UNIFESP, Santos, SP, Brazil.
Wagner Luiz do PradoDepartment of Human Movement Sciences, UNIFESP, Santos, SP, Brazil.
Gustavo Enrique Salazar TorresDepartment of Computer Science, Institute of Mathematics and Statistics, University of São Paulo, USP, São Paulo, SP, Brazil.
Ana Paula Reis de OliveiraPaulista School of Medicine, Federal University of São Paulo, UNIFESP, São Paulo, SP, Brazil.
Ricardo SessoDepartment of Nephrology, Federal University of São Paulo, UNIFESP, São Paulo, SP, Brazil.
Ana Lydia SawayaDepartment of Physiology, Federal University of São Paulo, UNIFESP, Rua Botucatu, 862, 2° andar, Vila Clementino. CEP, São Paulo, SP, 04023062, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExcess of weight is a serious public health concern in almost all countries, afflicting people of different ages and socioeconomic backgrounds. Studies have indicated the need for developing treatment strategies that intervene directly in the obesogenic environment. This study aims to evaluate the effectiveness of a multi-component and environmental school-based intervention, lasting 16 months, on the recovery of the nutritional status of low-income children and adolescents with overweight/ obesity. METHODS/STUDY

designThe study was conducted by the Center for Recovery and Nutritional Education (CREN) in São Paulo, Brazil. Two schools located in poor neighborhoods were selected for the intervention, between March 2016 and June 2017. The participants were all students aged 8 to 12 years from the two participating schools. At the beginning of the intervention, anthropometric measurements were carried out to assess the nutritional status of the students. For convenience, students from one of the schools were considered as the control group, while those from the other school formed the experimental group. The intervention in the experimental group (n = 438) consists of the following weekly activities at school: psychological counseling in groups, theoretical/practical nutrition workshops, and supervised physical education classes. In addition, theoretical and practical educational activities are held regularly for parents, teachers, and cooks. Students with excess of weight (≥1 body mass index [BMI] -for-age Z score, n = 138) received clinical and nutritional care periodically at the outpatient care at CREN. Students enrolled in the control group (n = 353) participated in psychological counseling groups and theoretical/practical nutrition workshops for 6 months held in the school environment to provide motivation to entire classrooms. In the following 10 months, students with excess of weight from the control group (n = 125) were invited to attend the routine outpatient care at CREN. DISCUSSION: This study is the first to assess the effectiveness of a multi-component and environmental school-based intervention for the recovery of low-income, overweight/obese children and adolescents. If positive, the results demonstrate the feasibility for the recovery of excess of weight in populations of similar conditions and age.

trial registrationBrazilian Registry of Clinical Trials - ReBEC Primary Id Number RBR-9t2jr8 . Registration Date: Nov. 30, 2016. Retrospectively registered. Protocol version: 3.

Indexed as

PovertyAdolescentBrazilChildFemaleHumansMalePediatric ObesityProgram EvaluationProspective StudiesSchool Health ServicesStudentsClinical trialsNutrition educationObesityStudy protocolWeight reduction programs

Identifiers

PMID28915797
PMCPMC5603054

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Registered trials

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.