Evidence map›Paper›PMID 29353440›Full record

Trial reportEuropean journal of pediatrics2018

Healthy lifestyle promotion in primary schools through the board game Kaledo: a pilot cluster randomized trial.

Emanuela Viggiano, Alessandro Viggiano, Anna Di Costanzo, Adela Viggiano, Andrea Viggiano, Eleonora Andreozzi, Vincenzo Romano, Claudia Vicidomini, Daniela Di Tuoro, Giuliana Gargano and 16 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
5.5field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

26 authors at 4 institutions in 1 country.

Emanuela ViggianoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy. emanuela.viggiano@aulss6.veneto.it.
Alessandro ViggianoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Anna Di CostanzoASL NA1 Center DSB32, Naples, Italy.
Adela ViggianoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Andrea ViggianoDepartment of Medicine and Surgery, University of Salerno, Salerno, Italy.
Eleonora AndreozziDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Vincenzo RomanoHigh School Filippo Silvestri, Naples, Italy.
Claudia VicidominiDepartment of Predictive and Prevention Medicine, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133, Milano, Italy.
Daniela Di TuoroDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Giuliana GarganoUnit of Cardiology, Hospital of Battipaglia, Battipaglia, Italy.
Lucia IncarnatoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Celeste FevolaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Pietro VoltaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Caterina TolomeoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Giuseppina ScianniDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Caterina SantangeloDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Maria ApicellaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Roberta BattistaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Maddalena RaiaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Ilaria ValentinoDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Marianna PalumboDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Giovanni MessinaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Antonietta MessinaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Marcellino MondaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Bruno De LucaDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
Salvatore AmaroDepartment of Experimental Medicine, Second University of Naples, Via Costantinopoli, 16 80138, Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITUniversity of Salerno · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The board game Kaledo was proven to be effective in improving nutrition knowledge and in modifying dietary behavior in students attending middle and high school. The present pilot study aims to reproduce these results in younger students (7-11 years old) attending primary school. A total of 1313 children from ten schools were recruited to participate in the present study. Participants were randomized into two groups: (1) the treatment group which consisted of playing Kaledo over 20 sessions and (2) the no intervention group. Anthropometric measures were carried out for both groups at baseline (prior to any treatment) and at two follow-up post-assessments (8 and 18 months). All the participants completed a questionnaire concerning physical activity and a 1-week food diary at each assessment. The primary outcomes were (i) BMI z-score, (ii) scores on physical activity, and (iii) scores on a dietary questionnaire. BMI z-score was significantly lower in the treated group compared to the control group at 8 months. Frequency and duration of self-reported physical activity were also significantly augmented in the treated group compared to the control group at both post-assessments. Moreover, a significant increase in the consumption of healthy food and a significant decrease in junk food intake were observed in the treated group.

conclusionThe present results confirm the efficacy of Kaledo in younger students in primary schools, and it can be used as a useful nutritional tool for obesity prevention programs in children. What is Known: • Kaledo is a new educational board game to improve nutrition knowledge and to promote a healthy lifestyle. • In two cluster randomized trials conducted in Campania region (Italy), we showed that Kaledo could improve nutrition knowledge and dietary behavior and have a positive effect on the BMI z-score in children with age ranging from 9 to 14 years old attending school. • Kaledo may be used as an effective tool for obesity prevention programs in middle and high school students. What is New: • Investigating the effects of Kaledo on younger primary school children (7-11 year olds), Kaledo could be an effective tool in obesity prevention programs for children as young as 7 years old.

Indexed as

Games, RecreationalHealthy LifestyleAnthropometryChildEatingExerciseFemaleHealth BehaviorHealth PromotionHumansMalePediatric ObesityPilot ProjectsSchool Health ServicesSchoolsStudentsKaledoNutritionObesityPhysical activity

Identifiers

PMID29353440
OpenAlexW2787663734

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.