Evidence map›Paper›PMID 35641569›Full record

Trial reportInternational journal of obesity (2005)2022

Effect of an interactive mobile health support system and daily weight measurements for pediatric obesity treatment, a 1-year pragmatical clinical trial.

Emilia Hagman, Linnea Johansson, Claude Kollin, Erik Marcus, Andreas Drangel, Love Marcus, Claude Marcus, Pernilla Danielsson

4 registry-linked trialsAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in International journal of obesity (2005), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT04323215 completednot on this map

One Year Evaluation of a Web-based System for Optimization of Behavioural Childhood Obesity Treatment

TypeobservationalSponsorKarolinska InstitutetRan2018 to 2020Enrolled156ConditionsChildhood Obesity, Treatment AdherenceArmsSupport system
NCT06236906 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Digital-Physical Family Intervention in Primary Care for Families With Obesity in Both Children and Adults

TypeinterventionalSponsorKarolinska InstitutetRan2024 to 2024Enrolled12ConditionsChildhood Obesity, mHealth, Personalized MedicineArmsDevice supported behavioural treatment
NCT06434259 completednot on this map

Long-term Results of an Interactive Mobile Health Support System and Daily Home-weighing as an add-on to Pediatric Obesity Lifestyle Treatment: A 3-year Pragmatic Clinical Trial

TypeobservationalSponsorKarolinska InstitutetRan2018 to 2022Enrolled428ConditionsChildhood Obesity, Treatment AdherenceArmsDigi-physical support system
NCT06807489 completednot on this mapstarted 2025, after this paper: background citation

Evaluation of the Risk of Developing Disordered Eating Behaviors or Eating Disorders in Children and Adolescents With Obesity Using a Digi-Physical Treatment Tool

TypeobservationalSponsorKarolinska InstitutetRan2025 to 2025Enrolled312ConditionsChildhood Obesity, Disordered Eating, Binge Eating Disorder, Anorexia NervosaArmsDigi-physical treatment tool
3 · Its place in the literature

Who cites it

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

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  9. Management of Childhood Obesity.International journal of molecular sciences · 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

8 authors.

Emilia HagmanDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Blickagången 6A, Novum, S-141 57, Huddinge, Sweden.ORCID 0000-0003-1433-2295
Linnea JohanssonDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Blickagången 6A, Novum, S-141 57, Huddinge, Sweden.ORCID 0000-0002-5576-5276
Claude KollinMartina Children's Hospital, Valhallavägen 91F, S-114 86, Stockholm, Sweden.
Erik MarcusEvira AB, Sibyllegatan 28, S-114 43, Stockholm, Sweden.ORCID 0000-0002-3749-9031
Andreas DrangelEvira AB, Sibyllegatan 28, S-114 43, Stockholm, Sweden.
Love MarcusEvira AB, Sibyllegatan 28, S-114 43, Stockholm, Sweden.ORCID 0000-0001-9966-2183
Claude MarcusDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Blickagången 6A, Novum, S-141 57, Huddinge, Sweden.
Pernilla DanielssonDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Blickagången 6A, Novum, S-141 57, Huddinge, Sweden. Pernilla.danielsson.liljeqvist@ki.se.ORCID 0000-0002-4674-2638

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric obesity lifestyle treatment is not always successful. Frequent clinical visits are of major importance to certify sufficient effect but are difficult due to the associated costs and the great demands on families. We hypothesized that an interactive digital support may reduce the need for frequent physical visits. The aim of the study was to assess 1-year weight outcome for patients using a digital support system compared with standard care.

methodsAn obesity lifestyle treatment with a digital support system was implemented in one clinic in Stockholm, Sweden. Measurements from a custom-made body scale without digits for daily home measurement of weights were transferred via Bluetooth to a mobile application, where BMI Z-score was calculated and presented graphically with an individualized weight loss target curve. An automatic transfer of data to the web-based clinic interface enables a close monitoring of treatment progress, and frequent written communication between the clinical staff and families via the application. One-year outcome was compared with a randomly retrieved, age and sex matched control group from the Swedish childhood obesity treatment register (BORIS), which received standard treatment at other clinics. Main outcome was change in BMI Z-score and missing data was imputed.

results107 children were consecutively included to digi-physical treatment and 321 children to standard care. Age range 4.1-17.4 years (67% males). The attrition rate was 36% and 46% respectively, p = 0.08. After 1 year, the mean ± SD change in BMI Z-score in the treatment group was -0.30 ± 0.39 BMI Z-score units and in the standard care group -0.15 ± 0.28, p = 0.0002. The outcome was better for both sexes and all age groups in the digi-physical treated group.

conclusionA digital support system with a personalized weight-loss target curve and daily weight measurements shared by the family and the clinic is more effective than a standard care childhood obesity treatment. CLINICALTRIAL: GOV ID: NCT04323215.

Indexed as

Pediatric ObesityTelemedicineWeight Reduction ProgramsAdolescentChildChild, PreschoolFemaleHumansLife StyleMaleSwedenTreatment Outcome

Identifiers

PMID35641569
PMCPMC9314258

What OpenQuestion holds

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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.