Evidence map›Paper›PMID 29634086›Full record

Trial reportObesity (Silver Spring, Md.)2018

Strong Hearts, Healthy Communities: A Community-Based Randomized Trial for Rural Women.

Rebecca A Seguin, Lynn Paul, Sara C Folta, Miriam E Nelson, David Strogatz, Meredith L Graham, Anna Diffenderfer, Galen Eldridge, Stephen A Parry

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Rebecca A SeguinDivision of Nutritional Sciences, Cornell University, Ithaca, New York, USA.ORCID 0000-0002-5115-2341
Lynn PaulCollege of Education, Health and Human Development, Montana State University, Bozeman, Montana, USA.ORCID 0000-0002-0581-5503
Sara C FoltaFriedman School of Nutrition, Tufts University, Boston, Massachusetts, USA.ORCID 0000-0002-4366-5622
Miriam E NelsonSustainability Institute, University of New Hampshire, Durham, New Hampshire, USA.ORCID 0000-0003-3342-9754
David StrogatzCenter for Rural Community Health, Bassett Research Institute, Cooperstown, New York, USA.ORCID 0000-0002-5805-6280
Meredith L GrahamDivision of Nutritional Sciences, Cornell University, Ithaca, New York, USA.ORCID 0000-0001-8989-1417
Anna DiffenderferMontana Dietetic Internship, Montana State University, Bozeman, Montana, USA.
Galen EldridgeMontana State University Extension, Montana State University, Bozeman, Montana, USA.ORCID 0000-0001-7611-3309
Stephen A ParryCornell Statistical Consulting Unit, Cornell University, Ithaca, New York, USA.

Funding

Strong Hearts_Healthy Communities_A Rural Community CVD Prevention ProgramR01HL120702 · NHLBI · CORNELL UNIVERSITY · PI SEGUIN-FOWLER, REBECCA ANNE · 2014 to 2017
$1.6M
NHLBI NIH HHS R01 HL120702
6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate a multilevel cardiovascular disease (CVD) prevention program for rural women.

methodsThis 6-month, community-based, randomized trial enrolled 194 sedentary rural women aged 40 or older with BMI ≥ 25 kg/m

resultsWithin-group and between-group multivariate analyses revealed that only intervention participants decreased BMI (-0.85 units; 95% CI: -1.32 to -0.39; P = 0.001) and weight (-2.24 kg; 95% CI: -3.49 to -0.99; P = 0.002). Compared with controls, intervention participants decreased BMI (difference: -0.71 units; 95% CI: -1.35 to -0.08; P = 0.03) and weight (1.85 kg; 95% CI: -3.55 to -0.16; P = 0.03) and improved C-reactive protein (difference: -1.15 mg/L; 95% CI: -2.16 to -0.15; P = 0.03) and Simple 7, a composite CVD risk score (difference: 0.67; 95% CI: 0.14 to 1.21; P = 0.01). Cholesterol decreased among controls but increased in the intervention group (-7.85 vs. 3.92 mg/dL; difference: 11.77; 95% CI: 0.57 to 22.96; P = 0.04).

conclusionsThe multilevel intervention demonstrated modest but superior and meaningful improvements in BMI and other CVD risk factors compared with the control program.

Indexed as

FemaleHumansMiddle AgedPublic HealthRural Population

Identifiers

PMID29634086
PMCPMC5915907

What OpenQuestion holds

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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.