Evidence map›Paper›PMID 33843562›Full record

Trial reportPublic health nutrition2022

Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study.

Yannis Manios, Katrina A Lambert, Eva Karaglani, Christina Mavrogianni, Luis A Moreno Aznar, Violeta Iotova, Anna Świąder-Leśniak, Berthold Koletzko, Greet Cardon, Odysseas Androutsos and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 1 synthesis or guideline 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
  2. Trial
  3. Article
  4. Review
  5. 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

12 authors at 8 institutions in 7 countries.

Yannis ManiosDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El Venizelou Avenue, Kallithea 17671, Athens, Greece.
Katrina A LambertDepartment of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0002-9079-999X
Eva KaraglaniDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El Venizelou Avenue, Kallithea 17671, Athens, Greece.
Christina MavrogianniDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El Venizelou Avenue, Kallithea 17671, Athens, Greece.
Luis A Moreno AznarGENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, C/Corona de Aragon, Zaragoza, Spain.
Violeta IotovaDepartment of Pediatrics, Medical University Varna, Varna, Bulgaria.
Anna Świąder-LeśniakThe Children's Memorial Health Institute, Warsaw, Poland.
Berthold KoletzkoLudwig-Maximilians-Universität Munich, Dr von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany.
Greet CardonDepartment of Movement and Sports Sciences, Ghent University, Watersportlaan 2, Ghent, Belgium.
Odysseas AndroutsosDepartment of Nutrition and Dietetics, School of Physical Education, Sport Science and Dietetics, University of Thessaly, Volos, Greece.
George MoschonisDepartment of Dietetics, Nutrition and Sport, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0003-3009-6675
Toy Box Study Group
Harokopio University of Athens · GRLa Trobe University · AUChildren's Memorial Health Institute · PLGhent University · BELudwig-Maximilians-Universität München · DEMedical University of Varna · BGUniversidad de Zaragoza · ESUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effect of the intervention implemented in the ToyBox-study on changes observed in age- and sex-specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change.

designA multicomponent, kindergarten-based, family-involved intervention with a cluster-randomised design. A standardised protocol was used to measure children's body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socio-economic status and school were used.

settingSelected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain).

participantsA sample of 6268 preschoolers aged 3·5-5·5 years (51·9 % boys).

resultsThere was no intervention effect on the change in children's BMI percentile. However, parents' underestimation of their children's actual weight status, parental overweight and mothers' pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children's BMI percentile in multivariate modelling.

conclusionsAs part of a wide public health initiative or as part of a counseling intervention programme, it is important to assist parents/caregivers to correctly perceive their own and their children's weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.

Indexed as

Pediatric ObesityWeight PerceptionBody Mass IndexBody WeightChild, PreschoolFemaleHumansMaleOverweightParentsPregnancyProspective StudiesLifestylePerinatalPreschool

Identifiers

PMID33843562
PMCPMC9991669
OpenAlexW3154485115

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.