Evidence map›Paper›PMID 29084439›Full record

Trial reportClinical pediatrics2018

Physician Weight-Related Counseling Is Unrelated to Extreme Weight Loss Behaviors Among Overweight and Obese Adolescents.

Terrill Bravender, Pauline Lyna, Cynthia J Coffman, Michael E Bodner, Truls Østbye, Stewart C Alexander, Pao-Hwa Lin, Kathryn I Pollak

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 75% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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

8 authors at 6 institutions in 2 countries.

Terrill Bravender1 University of Michigan, Ann Arbor, MI, USA.
Pauline Lyna2 Duke Cancer Institute, Durham, NC, USA.
Cynthia J Coffman3 Duke University, Durham, NC, USA.
Michael E Bodner5 Trinity Western University, Langley, British Columbia, Canada.
Truls Østbye2 Duke Cancer Institute, Durham, NC, USA.
Stewart C Alexander6 Purdue University, West Lafayette, IN, USA.
Pao-Hwa Lin3 Duke University, Durham, NC, USA.
Kathryn I Pollak2 Duke Cancer Institute, Durham, NC, USA.
Duke Cancer InstituteDuke University · USDurham VA Medical Center · USPurdue University West Lafayette · USUniversity of Michigan–Ann Arbor · USWestern University · CA

Funding

Teen CHAT:Improving physician communication with adolescents about healthy weightR01HL092403 · NHLBI · DUKE UNIVERSITY · PI POLLAK, KATHRYN I · 2009 to 2013
$3.6M
NHLBI NIH HHS R01 HL092403
6 · The paper itself

Abstract

Some physicians may be hesitant to counsel overweight and obese adolescents about weight because of concerns that such counseling may result in extreme weight loss behaviors and the subsequent development of eating disorders. We compared self-reported extreme weight loss behaviors in 535 overweight/obese adolescents prior to receiving weight-related counseling during primary care visits, and again after 3 months. We found no change in fasting (7.7% vs 6.3%, P = .45), and decreases in diet pill use (4.1% vs 1.7%, P = .003) and laxative use/vomiting (2.6% vs 1.0%, P = .02). Three months following their medical appointment, patients were also less likely to report trying to lose weight in general (80.0% vs 75.6%, P = .04). Physicians should be reassured that providing weight-related counseling to their obese adolescents is unlikely to induce extreme weight loss behaviors. Frequent counseling may be required in order to help patients maintain motivation to attain a healthy weight.

Indexed as

Physician-Patient RelationsWeight LossAdolescentAdolescent BehaviorBody Mass IndexDiet, ReducingDirective CounselingFeeding and Eating DisordersFemaleFollow-Up StudiesHealth BehaviorHumansMaleObesityOverweightRisk Assessmentadolescentseating disordersobesityprimary care

Identifiers

PMID29084439
PMCPMC6822899
OpenAlexW2765988496

What OpenQuestion holds

Textmetadata
LicenceTDM
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.