Evidence map›Paper›PMID 30277030›Full record

Trial reportObesity (Silver Spring, Md.)2018

Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military: A Randomized Controlled Trial.

Rebecca A Krukowski, Marion E Hare, Gerald W Talcott, Leslie A Gladney, Karen C Johnson, Phyllis A Richey, Mehmet Kocak, Patrick L Keller, Ann Hryshko-Mullen, Robert C Klesges

Open access · bronzeAbstract readRandomized Controlled Trial
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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  3. A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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  11. Prevention and intervention against obesity and overweight in the military: a systematic review.Journal of occupational medicine and toxicology (London, England) · 2025
    Review
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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

10 authors at 3 institutions in 1 country.

Rebecca A KrukowskiDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0001-9193-2783
Marion E HareDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Gerald W TalcottUniversity of Tennessee Health Science Center, Lackland Air Force Base, San Antonio, Texas, USA.
Leslie A GladneyUniversity of Tennessee Health Science Center, Lackland Air Force Base, San Antonio, Texas, USA.
Karen C JohnsonDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0002-3493-4077
Phyllis A RicheyDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Mehmet KocakDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Patrick L KellerDefense Institute for Medical Operations, Joint Base San Antonio, Lackland Air Force Base, San Antonio, Texas, USA.
Ann Hryshko-MullenDepartment of Mental Health, Wilford Hall Ambulatory Surgical Center, San Antonio, Lackland Air Force Base, San Antonio, Texas, USA.
Robert C KlesgesDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
University of Tennessee Health Science Center · USJoint Base San Antonio · USWilford Hall Ambulatory Surgical Center · US

Funding

Dissemination of the Look Ahead Weight Management Treatment in the MilitaryR01DK097158 · NIDDK · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI KRUKOWSKI, REBECCA A. · 2012 to 2016
$2.9M
NIDDK NIH HHS R01 DK097158
6 · The paper itself

Abstract

objectiveThe purpose of this study, "Fit Blue," was to compare a translation of the Look AHEAD (Action for Heath in Diabetes) intensive lifestyle intervention with a self-paced version of the same intervention among active duty military personnel.

methodsActive duty military personnel (N = 248; 49% male, 34% racial minority) with overweight or obesity were randomized to 12-month distance-based (i.e., phone and email) parallel programs, counselor-initiated (CI) condition or self-paced (SP) condition, from 2014 to 2016. Trained lay interventionists were retired military personnel or had extensive familiarity with the military.

resultsThe CI condition had greater weight loss at 4 months (CI: mean ± SD = -3.2 ± 3.4 kg; SP: -0.6 ± 2.9 kg; P < 0.0001) and at 12 months (CI: mean ± SD = -1.9 ± 4.1 kg; SP: -0.1 ± 3.8 kg; P < 0.001). Participants in the CI condition also had a greater percent weight loss at both 4 months (CI: 3.5% ± 3.8, SP: 0.6% ± 3.1; P < 0.0001) and 12 months (CI: 2.1% ± 4.7, SP: 0.0% ± 4.0; P < 0.001). In addition, a greater proportion of CI participants lost 5% or more at 4 months (CI: 29.8%, SP: 10.5%; P < 0.001) and at 12 months (CI: 29.5%, SP: 15.6%; P < 0.05).

conclusionsThe CI behavioral weight loss intervention translated from Look AHEAD was well received and is a promising approach for managing weight in an active duty military population.

Indexed as

Life StyleAdolescentAdultBehavior TherapyFemaleHumansMaleMiddle AgedMilitary PersonnelObesityUnited StatesYoung Adult

Identifiers

PMID30277030
PMCPMC6173202
OpenAlexW2894922159

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.