Evidence map›Paper›PMID 30027297›Full record

Trial reportEuropean journal of pediatrics2018

Effect of a community-based childhood obesity intervention program on changes in anthropometric variables, incidence of obesity, and lifestyle choices in Spanish children aged 8 to 10 years.

Santiago Felipe Gómez, Rafael Casas Esteve, Isaac Subirana, Lluis Serra-Majem, Marta Fletas Torrent, Clara Homs, Rowaedh Ahmed Bawaked, Lidia Estrada, Montserrat Fíto, Helmut Schröder

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 23 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 7 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

23 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Mediterranean Diet and its Benefits on Health and Mental Health: A Literature Review.Clinical practice and epidemiology in mental health : CP & EMH · 2020
    Pooled it
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

10 authors.

Santiago Felipe GómezGasol Foundation, Sant Boi de Llobregat, Spain.
Rafael Casas EsteveSharing Healthy & Active Lifestyle, Barcelona, Spain.
Isaac SubiranaCardiovascular Epidemiology and Genetics Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
Lluis Serra-MajemReseach Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Canary Islands, Spain.
Marta Fletas TorrentNorth Metropolitan Unit of Research Support, Jordi Gol University Institute of Research in Primary Care (IDIAP Jordi Gol), Mataró, Spain.
Clara HomsGasol Foundation, Sant Boi de Llobregat, Spain.
Rowaedh Ahmed BawakedCardiovascular Risk and Nutrition Research Group, IMIM (Hospital del Mar Medical Research Institute), c/ Doctor Aiguader 88, 08003, Barcelona, Spain.
Lidia EstradaGasol Foundation, Los Angeles, CA, USA.
Montserrat FítoCIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.
Helmut SchröderCIBER Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. hschroeder@imim.es.ORCID http://orcid.org/0000-0003-2231-5081

Funding

AGAUR 2014 SGR 240Instituto de Salud Carlos III FEDER PI11/01900 and CB06/02/0029
6 · The paper itself

Abstract

Results of community-based childhood obesity intervention programs do not provide strong evidence for their effectiveness. In this study, we evaluated the effect of the Thao-Child Health Program (TCHP), a community-based, multisetting, multistrategy intervention program for healthy weight development and lifestyle choices. In four Catalan cities, a total of 2250 children aged 8 to 10 years were recruited. Two cities were randomly selected for the TCHP intervention, and two cities followed usual health care policy. Children were selected from 41 elementary schools. Weight, height, and waist circumference were measured at baseline and after a mean follow-up of 15 months. Physical activity and adherence to the Mediterranean diet were measured with validated questionnaires. Generalized estimating equations (GEE) models were fitted to determine the intervention's effect on body mass index (BMI) z-score, waist-to-height ratio, Mediterranean diet adherence, and physical activity. Fully adjusted models revealed that the intervention had no significant effect on the BMI z-score, incidence of general and abdominal obesity, Mediterranean diet adherence, and physical activity. Waist-to-height ratio was significantly lower in controls than in the intervention group at follow-up (p < 0.004).

conclusionsThe TCHP did not improve weight development, diet quality, and physical activity in the short term. What is Known: • There is inconsistent evidence for the efficacy of school-based childhood obesity prevention programs. • There is little evidence on the efficacy of childhood obesity intervention programs in other settings. What is New: • This paper contributes information about the efficacy of a multisetting and multistrategy Community Based Intervention (CBI) program that uses the municipality as its unit of randomization. • This CBI had no effect on the prevention and treatment of childhood obesity in the short term.

Indexed as

AnthropometryChildChild HealthExerciseFemaleFollow-Up StudiesHealth BehaviorHealth PromotionHumansIncidenceLife StyleMalePediatric ObesityProgram EvaluationResidence CharacteristicsSpainChildhood obesityCommunity-based interventionLifestyle

Identifiers

PMID30027297

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.