Evidence map›Paper›PMID 30717746›Full record

ArticleThe international journal of behavioral nutrition and physical activity2019

Changes in diet quality and home food environment in preschool children following weight management.

Shannon M Robson, Melissa L Ziegler, Mary Beth McCullough, Cathleen Odar Stough, Cynthia Zion, Stacey L Simon, Richard F Ittenbach, Lori J Stark

Registry-linked trialAbstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01546727 (Clinic and Home Family Based Behavioral Treatment for Obese Preschoolers), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 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.

NCT01546727 phase3completednot on this map

Clinic and Home Family Based Behavioral Treatment for Obese Preschoolers

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2012 to 2016Enrolled167ConditionsObesityArmsBehavioral Family Intervention, Motivational Interviewing
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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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

8 authors.

Shannon M RobsonDepartment of Behavioral Health and Nutrition, University of Delaware, 26 N College Avenue, Newark, DE, 19716, USA. robson@udel.edu.ORCID 0000-0003-4044-1399
Melissa L ZieglerBiostatistics Core, College of Health Sciences, University of Delaware, 540 S. College Avenue, Newark, DE, 19713, USA.
Mary Beth McCulloughPsychology Department, Suffolk University, 73 Tremont Street, Boston, MA, 02108, USA.
Cathleen Odar StoughDepartment of Psychology, University of Cincinnati, 47 W Corry Blvd Edwards 1 Bldg Suite 4130, P.O. Box 210376, Cincinnati, OH, 45219, USA.
Cynthia ZionDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 3015, Cincinnati, OH, 45229, USA.
Stacey L SimonDepartment of Pediatrics, Division of Pulmonary Medicine, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, 13123 E 16th Ave B395 Aurora, Aurora, CO, 80045, USA.
Richard F IttenbachDepartment of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave, Cincinnati, OH, 45267, USA.
Lori J StarkDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 3015, Cincinnati, OH, 45229, USA.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Clinic and Home Family Based Behavioral Treatment for Obese Preschoolers: LAUNCHR01DK091251 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI STARK, LORI J · 2011 to 2015
$3.1M
NCATS NIH HHS UL1 TR001425NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01DK091251
6 · The paper itself

Abstract

backgroundFamily-based obesity treatment interventions can successfully reduce energy intake in preschoolers. An implicit goal of obesity treatment interventions is to improve diet quality, but diet quality has been less examined as a treatment outcome in studies of preschoolers. The purpose of this study was to conduct a secondary analysis comparing the change in diet quality and home food environment in preschoolers assigned to a behavioral family-based obesity intervention (LAUNCH), motivational interviewing (MI) condition, or standard care (STC) condition.

methodsThree 24-h dietary recalls were completed at baseline and 6-months and were analyzed using NDS-R software; diet quality was assessed using the Healthy Eating Index-2010 (HEI-2010). Availability of foods and beverages in the home was assessed through direct observation using the Home Health Environment tool that classifies foods and beverages as 'red' or 'green' based upon fat and sugar content. Repeated measures linear mixed effects models were used to examine changes in diet quality and home food environment between conditions (LAUNCH, MI, STC).

resultsAt 6-months, preschoolers in the LAUNCH condition had a higher HEI-2010 total score (62.8 ± 13.7) compared to preschoolers in the MI (54.7 ± 13.4, P = 0.022) and STC (55.8 ± 11.6, P = 0.046) conditions. Regarding the home food environment, families in LAUNCH had significantly less 'red' foods in their home at 6-months (12.5 ± 3.4 'red' foods) compared to families in MI (14.0 ± 3.7 'red' foods, P = 0.030), and STC (14.3 ± 3.4 'red' foods, P = 0.006). There were no statistically significant differences across home food environments for number of 'green' foods.

conclusionFamily-based obesity treatment interventions for preschoolers can improve overall diet quality and alter the home food environment through reductions in 'red' foods.

trial registrationClinicaltrials.gov, NCT01546727 . Registered March 7, 2012.

Indexed as

Behavior TherapyFamilyFeeding BehaviorHealth BehaviorHealth PromotionBeveragesBody WeightChild, PreschoolDietDietary FatsDietary SugarsDiet, HealthyEnergy IntakeEnvironmentFamily TherapyFemaleDietary FatsDietary SugarsFamily-based obesity treatmentHealthy eating indexHome food environmentPreschool nutrition

Identifiers

PMID30717746
PMCPMC6360745

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Registered trials

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.