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ArticleJMIR research protocols2018

A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children: Protocol for a Randomized Controlled Trial (Iran Healthy Start Study).

Atieh Mehdizadeh, Mohsen Nematy, Majid Khadem-Rezaiyan, Majid Ghayour-Mobarhan, Mohammad Ali Sardar, Anne Leis, Louise Humbert, Mathieu Bélanger, Hassan Vatanparast

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 7 pooled it
0.5field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 7 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
    Pooled it
  5. Pooled it
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  7. Pooled it
  8. 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

9 authors at 3 institutions in 2 countries.

Atieh Mehdizadeh *School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.ORCID http://orcid.org/0000-0001-5948-1775
Mohsen Nematy *School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.ORCID http://orcid.org/0000-0003-3202-2709
Majid Khadem-RezaiyanSchool of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.ORCID http://orcid.org/0000-0003-2698-176X
Majid Ghayour-MobarhanSchool of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.ORCID http://orcid.org/0000-0002-1081-6754
Mohammad Ali SardarSchool of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.ORCID http://orcid.org/0000-0001-6338-9998
Anne LeisCollege of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.ORCID http://orcid.org/0000-0003-3417-9208
Louise HumbertCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.ORCID http://orcid.org/0000-0002-3522-435X
Mathieu BélangerDepartment of Family Medicine, Université de Sherbrooke, Moncton, NB, Canada.ORCID http://orcid.org/0000-0001-9446-6538
Hassan VatanparastCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.ORCID http://orcid.org/0000-0003-2621-8385
Mashhad University of Medical Sciences · IRUniversity of Saskatchewan · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world.

objectiveThis study aims to introduce the design and evaluation plan of "Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani"-the customized Iranian version of Canadian Healthy Start/Départ Santé health promotion program-which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children.

methodsWe will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life.

resultsThe project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018.

conclusionsThe double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting.

trial registrationInternational Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/11329.

Indexed as

childhood obesityhealthy eatingHealthy Start/Depart SanteinterventionIranparentphysical activity

Identifiers

PMID30578226
PMCPMC6324517
OpenAlexW2890262442

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.