Evidence map›Paper›PMID 36545748›Full record

SynthesisPediatric obesity2023

The long-term effects of primary school-based obesity prevention interventions in children: A systematic review and meta-analysis.

Michel S Smit, Mirte Boelens, Famke J M Mölenberg, Hein Raat, Wilma Jansen

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric obesity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07357857 (Effectiveness of the "High Five!" Program for Reducing the Risk of Overweight and Obesity in Early School-age Children), which is not on this map. Cited by 19 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 6 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.

NCT07357857 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness of the "High Five!" Program for Reducing the Risk of Overweight and Obesity in Early School-age Children

TypeinterventionalSponsorInstitute of Mother and Child, Warsaw, PolandRan2025 to 2025Enrolled659ConditionsOverweight, Childhood, Obesity Prevention, Blood PressureArmsHigh Five
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

5 authors.

Michel S SmitDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-4231-3972
Mirte BoelensDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-4082-5237
Famke J M MölenbergDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-5305-9730
Hein RaatDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-6000-7445
Wilma JansenDepartment of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-4453-9054

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis systematic review and meta-analysis investigate the long-term effects of primary school-based obesity prevention interventions on body-mass index (and z-scores), waist circumference (and z-scores) and weight status.

methodsFour databases were searched for studies from date of inception until June 8th, 2021. We included randomized controlled trials (RCT) and non-RCTs investigating effects ≥12 months post-intervention of primary school-based interventions with intervention duration ≥6 months and containing a diet and/or physical activity component on outcomes of interest. Articles were assessed on risk of bias and methodological quality by RoB2 and ROBINS-I. Meta-analysis was performed and results were narratively summarized. Evidence quality was assessed with GRADE.

resultsNineteen studies were included, 9 were pooled in a meta-analysis. No long-term effects were found on body-mass index (+0.06 kg/m DISCUSSION: No clear evidence regarding long-term effects of primary school-based interventions on obesity-related outcomes was found. Recommendations for further research and policy are discussed. Prospero registration ID: CRD42021240446.

Indexed as

DietObesityBody Mass IndexChildExerciseHumansSchoolselementary schoollifestylepreventionprogramsustained effect

Identifiers

PMID36545748
PMCPMC10078512

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.