Evidence map›Paper›PMID 30948579›Full record

SynthesisBMJ open2019

Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review.

Josephine Gwynn, Kyra Sim, Tania Searle, Alistair Senior, Amanda Lee, Julie Brimblecombe

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
8.3field-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

35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. A Socio-Cognitive Review of Healthy Eating Programs in Australian Indigenous Communities.International journal of environmental research and public health · 2022
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  10. Food intake in an Australian Aboriginal rural community facing food and water security challenges: A cross-sectional survey.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
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  11. Exploration of barriers and enablers to diabetes care for Aboriginal people on rural Ngarrindjeri Country.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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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

6 authors at 4 institutions in 3 countries.

Josephine GwynnFaculty of Health Sciences, University of Sydney, Camperdown, New South Wales, Australia.ORCID 0000-0001-8760-0786
Kyra SimCharles Perkins Centre, University of Sydney, Camperdown, New South Wales, Australia.
Tania SearleDepartment of Sociology, Flinders University, Adelaide, South Australia, Australia.
Alistair SeniorCharles Perkins Centre, University of Sydney, Camperdown, New South Wales, Australia.
Amanda LeeSchool of Public Health, University of Queensland, Herston, Queensland, Australia.
Julie BrimblecombeDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
The University of Sydney · AUAustralian Regenerative Medicine Institute · AUFlinders University · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review the literature on nutrition interventions and identify which work to improve diet-related and health outcomes in Australian Aboriginal and Torres Strait Islander people. STUDY

designSystematic review of peer-reviewed literature. DATA SOURCES: MEDLINE, PubMed, Embase, Science Direct, CINAHL, Informit, PsychInfo and Cochrane Library, Australian Indigenous Health InfoNet. STUDY SELECTION: Peer-reviewed article describing an original study; published in English prior to December 2017; inclusion of one or more of the following outcome measures: nutritional status, food/dietary/nutrient intake, diet-related biomedical markers, anthropometric or health measures; and conducted with Australian Aboriginal and Torres Strait Islander people. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data and applied the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. A purpose designed tool assessed community engagement in research, and a framework was applied to interventions to report a score based on numbers of settings and strategies. Heterogeneity of studies precluded a meta-analysis. The effect size of health outcome results were estimated and presented as forest plots.

resultsThirty-five articles (26 studies) met inclusion criteria; two rated moderate in quality; 12 described cohort designs; 18 described interventions in remote/very remote communities; none focused solely on urban communities; and 11 reported moderate or strong community engagement. Six intervention types were identified. Statistically significant improvements were reported in 14 studies of which eight reported improvements in biochemical/haematological markers and either anthropometric and/or diet-related outcomes.

conclusionsStore-based intervention with community health promotion in very remote communities, fiscal strategies and nutrition education and promotion programmes show promise. Future dietary intervention studies must be rigorously evaluated, provide intervention implementation details explore scale up of programmes, include urban communities and consider a multisetting and strategy approach. Strong Aboriginal and Torres Strait Islander community engagement is essential for effective nutrition intervention research and evaluation. PROSPERO REGISTRATION NUMBER: CRD42015029551.

Indexed as

Health PromotionHealth Services, IndigenousAustraliaCounselingHumansNutritional StatusNutrition Surveysindigenousprimary carepublic health

Identifiers

PMID30948579
PMCPMC6500365
OpenAlexW2930951109

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.