Evidence map›Paper›PMID 30856205›Full record

Trial reportPloS one2019

Effects of a nutritional intervention using pictorial representations for promoting knowledge and practices of healthy eating among Brazilian adolescents.

Laís Gomes Fonseca, Maria Natacha Toral Bertolin, Muriel Bauermann Gubert, Eduardo Freitas da Silva

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Development and Validation of a Photographic Food Atlas for Portion Size Estimation and Educational Use in Türkiye.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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

4 authors.

Laís Gomes FonsecaDepartment of Nutrition, University of Brasilia, Brasilia, Federal District, Brazil.ORCID 0000-0002-0384-3025
Maria Natacha Toral BertolinDepartment of Nutrition, University of Brasilia, Brasilia, Federal District, Brazil.
Muriel Bauermann GubertDepartment of Nutrition, University of Brasilia, Brasilia, Federal District, Brazil.
Eduardo Freitas da SilvaDepartment of Statistics, University of Brasilia, Brasilia, Federal District, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the effect of a nutritional intervention involving a problem-raising approach and the use of pictorial representations on the promotion of knowledge and practices of healthy eating among adolescents. This randomized study included 461 adolescents from public schools in Brasilia, Federal District, Brazil (intervention group: 273 students from four schools; control group: 188 students from three schools). Mean age was 14.8±1.0, and 52.9% were boys. The intervention consisted of three meetings with interactive activities about principles of healthy eating, food classification, importance of reading labels and analyzing food advertising critically, and representations of healthy and unhealthy meals and their sugar, salt, and fat content. Pictorial materials consisted of food drawings, food models, and a food packaging model. Controls were not exposed to any activity. Dietary knowledge, consumption, and behaviors were the variables of interest. The intervention group showed a higher mean score of correct answers to questions about dietary knowledge than the control group (p = 0.0006), with higher odds of correctly answering questions about in natura (OR: 3.7; 95% CI: 1.9-6.6), minimally processed (OR: 3.6; 95% CI: 1.9-6.4), processed (OR: 2.2; 95% CI: 1.1-4.3), and ultra-processed foods (OR: 3.5; 95% CI: 1.8-6.6) and composition of ultra-processed foods (OR: 2.4; 95% CI: 1.3-4.4). Participants in the intervention group were also 2.5 times more likely to correctly answer questions about the importance of the dietary environment (95% CI: 1.1-5.5) and caution with food advertising (95% CI: 1.2-5.3) than controls. Increased weekly consumption of vegetables (p = 0.0077; OR: 2.4; 95% CI: 1.26-4.51) and reduced consumption of soft drinks (p = 0.0212; OR: 0.36; 95% CI: 0.15-0.86) were observed in the intervention group compared to the control group. The proposed intervention increased adolescents' knowledge and improved some of their dietary habits. Educational activities using a problem-raising approach and pictorial representations of food appear to be effective in promoting healthy eating practices among adolescents.

Indexed as

Diet, HealthyFeeding BehaviorHealth Knowledge, Attitudes, PracticeAdolescentBrazilCase-Control StudiesEarly Intervention, EducationalFemaleHealth EducationHealth PromotionHumansMaleMealsSchoolsStudentsVisual Perception

Identifiers

PMID30856205
PMCPMC6411163

What OpenQuestion holds

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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.