Evidence map›Paper›PMID 29992795›Full record

Observational studyPediatric obesity2018

Associations of community programs and policies with children's dietary intakes: the Healthy Communities Study.

L D Ritchie, G Woodward-Lopez, L E Au, C M Loria, V Collie-Akers, D K Wilson, E A Frongillo, W J Strauss, A J Landgraf, J Nagaraja and 5 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Pediatric obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  7. Observational
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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

15 authors at 7 institutions in 1 country.

L D RitchieNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California, USA.ORCID 0000-0002-8038-1821
G Woodward-LopezNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California, USA.ORCID 0000-0002-2745-1077
L E AuNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California, USA.
C M LoriaNational Heart, Lung, and Blood Institute, Bethesda, Maryland, USA.
V Collie-AkersCenter for Community Health and Development, University of Kansas, Lawrence, Kansas, USA.ORCID 0000-0002-7873-5512
D K WilsonDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA.
E A FrongilloDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, USA.
W J StraussHealth Analytics Hub, LLC, Lewis Center, Ohio, USA.
A J LandgrafBattelle Health and Analytics, Columbus, Ohio, USA.
J NagarajaBattelle Health and Analytics, Columbus, Ohio, USA.
R D F SagatovBattelle Health and Analytics, Baltimore, Maryland, USA.ORCID 0000-0001-9524-4486
H L NicastroNational Heart, Lung, and Blood Institute, Bethesda, Maryland, USA.
L C NebelingNational Cancer Institute, Bethesda, Maryland, USA.
K L WebbNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California, USA.
Healthy Communities Study Team
University of California Division of Agriculture and Natural Resources · USBattelle · USNational Heart Lung and Blood Institute · USUniversity of South Carolina · USEP Analytics (United States) · USNational Cancer Institute · USUniversity of Kansas · US

Funding

DHHS HHSN268201000041CNHLBI NIH HHS HHSN268201000041Cthe Eunice Kennedy Shriver National Institute of Child Health and Development, the National Institute of Diabetes and Digestive and Kidney Disorders, the National Cancer Institute, and the National Institutes of Health Office of Behavioural and Social Sciences ResearchU.S. Office of Management and Budget 0925-0649
6 · The paper itself

Abstract

backgroundThe impact of community-based obesity prevention efforts on child nutrition has not been adequately studied.

objectiveExamine relationships between number, type and intensity of community programs and policies (CPPs) and child nutrition.

methodsAn observational study of 5138 children (grades K-8) in 130 U.S. communities was conducted in 2013-2015. CPPs were identified by 10-14 key informant interviews per community. CPPs were characterized based on: count, intensity, number of different strategies used and number of different behaviours targeted. Scores for the prior 6 years were calculated separately for CPPs that addressed primarily nutrition, primarily physical activity (PA) or total combined. Child intakes were calculated from a dietary screener and dietary behaviours were based on survey responses. Multi-level statistical models assessed associations between CPP indices and nutrition measures, adjusting for child and community-level covariates.

resultsImplementing more types of strategies across all CPPs was related to lower intakes of total added sugar (when CPPs addressed primarily PA), sugar-sweetened beverages (for nutrition and PA CPPs) and energy-dense foods of minimal nutritional value (for total CPPs). Addressing more behaviours was related to higher intakes of fruit and vegetables (for nutrition and total CPPs) and fibre (total CPPs). Higher count and intensity (PA and total CPPs) were related to more consumption of lower fat compared with higher fat milk. A higher count (PA CPPs) was related to fewer energy-dense foods and whole grains. No other relationships were significant at P < 0.05.

conclusionMultiple characteristics of CPPs to prevent obesity appear important to improve children's diets.

Indexed as

Feeding BehaviorChildChild Nutritional Physiological PhenomenaChild, PreschoolDietExerciseFemaleHumansMalePediatric ObesityPreventive Health ServicesPublic HealthUnited StatesChildhoodcommunitynutritionobesity

Identifiers

PMID29992795
PMCPMC6197888
OpenAlexW2847744098

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.