Evidence map›Paper›PMID 31303190›Full record

Trial reportPublic health nutrition2019

Effects of a multipronged beverage intervention on young children's beverage intake and weight: a cluster-randomized pilot study.

Anna H Grummon, Michael D Cabana, Amelie A Hecht, Abbey Alkon, Charles E McCulloch, Claire D Brindis, Anisha I Patel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Pooled it
  5. Trial
  6. Article
  7. Review
  8. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
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

7 authors.

Anna H GrummonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-8705-038X
Michael D CabanaDepartment of Pediatrics, University of California San Francisco, San Francisco, CA, USA.
Amelie A HechtDepartment of Health Policy and Management, Johns Hopkins University, Baltimore, MD, USA.
Abbey AlkonSchool of Nursing, Department of Family Health Care Nursing, University of California San Francisco, San Francisco, CA, USA.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Claire D BrindisDepartment of Pediatrics, University of California San Francisco, San Francisco, CA, USA.
Anisha I PatelDepartment of Pediatrics, Stanford University, 1265 Welch Road MSOB X240, Mailcode 5459, Stanford, CA 94305, USA.

Funding

POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Community Partnering to Encourage Healthy Beverage Intake through Child CareK23HD067305 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PATEL, ANISHA INDRAVADAN · 2011 to 2015
$698k
NICHD NIH HHS K23 HD067305NICHD NIH HHS P2C HD050924NICHD NIH HHS T32 HD007168
6 · The paper itself

Abstract

objectiveTo evaluate whether a multipronged pilot intervention promoting healthier beverage consumption improved at-home beverage consumption and weight status among young children.

designIn this exploratory pilot study, we randomly assigned four childcare centres to a control (delayed-intervention) condition or a 12-week intervention that promoted consumption of healthier beverages (water, unsweetened low- or non-fat milk) and discouraged consumption of less-healthy beverages (juice, sugar-sweetened beverages, high-fat or sweetened milk). The multipronged intervention was delivered via childcare centres; simultaneously targeted children, parents and childcare staff; and included environmental changes, policies and education. Outcomes were measured at baseline and immediately post-intervention and included children's (n 154) at-home beverage consumption (assessed via parental report) and overweight/obese status (assessed via objectively measured height and weight). We estimated intervention impact using difference-in-differences models controlling for children's demographics and classroom.

settingTwo northern California cities, USA, 2013-2014.

participantsChildren aged 2-5 years and their parents.

resultsRelative to control group children, intervention group children reduced their consumption of less-healthy beverages from baseline to follow-up by 5·9 ounces/d (95 % CI -11·2, -0·6) (-174·5 ml/d; 95 % CI -331·2, -17·7) and increased their consumption of healthier beverages by 3·5 ounces/d (95 % CI -2·6, 9·5) (103·5 ml/d; 95 % CI -76·9, 280·9). Children's likelihood of being overweight decreased by 3 percentage points (pp) in the intervention group and increased by 3 pp in the control group (difference-in-differences: -6 pp; 95 % CI -15, 3).

conclusionsOur exploratory pilot study suggests that interventions focused comprehensively on encouraging healthier beverage consumption could improve children's beverage intake and weight. Findings should be confirmed in longer, larger studies.

Indexed as

Body WeightBeveragesCaliforniaChild Day Care CentersChild Nutritional Physiological PhenomenaChild, PreschoolCluster AnalysisDiet, HealthyFeeding BehaviorFemaleHealth PromotionHumansMaleObesityOverweightPilot ProjectsBeverage consumptionChild careEarly childhoodObesity prevention interventionOverweight/obesitySugar-sweetened beveragesWater

Identifiers

PMID31303190
PMCPMC6750979

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.