Evidence map›Paper›PMID 37816943›Full record

Trial reportInternational journal of behavioral medicine2025

Moderators of a Diet and Physical Activity Intervention: who Responds Best to Sequential vs. Simultaneous Approaches.

Michele L Patel, Patricia Rodriguez Espinosa, Abby C King

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00131105 (Combining Exercise and Diet in Older Adults), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 38% 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.

NCT00131105 phase2completednot on this map

Combining Exercise and Diet in Older Adults

TypeinterventionalSponsorNational Institute on Aging (NIA)Ran2003 to 2007Enrolled200ConditionsHealth Behavior, Psychological Stress, HealthyArmsThe Stanford Active Choices program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Michele L PatelStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA. michele.patel@stanford.edu.ORCID http://orcid.org/0000-0001-5307-4861
Patricia Rodriguez EspinosaDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7578-305X
Abby C KingStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7949-8811
Stanford University · USStanford Medicine · US

Funding

CARDIOVASCULAR DISEASE PREVENTION TRAINING PROGRAMT32HL007034 · NHLBI · STANFORD UNIVERSITY · PI GARDNER, CHRISTOPHER D · 1985 to 2020
$8.7M
Optimizing self-monitoring in a digital health intervention for weight lossK23DK129805 · NIDDK · STANFORD UNIVERSITY · PI Michele Lanpher Patel · 2022 to 2026
$970k
NHLBI NIH HHS T32 HL007034NHLBI NIH HHS T32HL007034NIDDK NIH HHS K23 DK129805NIDDK NIH HHS K23DK129805
6 · The paper itself

Abstract

backgroundGiven that low physical activity levels and poor dietary intake are co-occurring risk factors for chronic disease, there is a need for interventions that target both health behaviors, either sequentially or simultaneously. Little is known about participant characteristics that are associated with better or worse response to sequential and simultaneous interventions.

methodThe 12-month Counseling Advice for Lifestyle Management (CALM) randomized trial (N = 150; M

resultsOlder age, higher baseline BMI, and lower social support were associated with higher MVPA in Exercise-First vs. Diet-First, while lower tangible support was associated with higher fruit/vegetable intake in Exercise-First but not in Diet-First. Poor sleep was associated with higher levels of MVPA in the sequential arm than in the simultaneous arm. Lower vitality was associated with greater weight loss in the sequential arm than in the simultaneous arm, while the opposite was true for those who were not married.

conclusionIdentifying moderators of treatment response can allow the behavioral medicine field to enhance intervention efficacy by matching participant subgroups to their best-fitting interventions.

trial registrationNCT00131105.

Indexed as

DietExerciseHealth BehaviorAdultAgedCounselingEnergy IntakeFemaleHumansLife StyleMaleMiddle AgedSocial SupportLifestyle interventionModeratorsMultiple health behavior changePsychosocialSequentialSimultaneous

Identifiers

PMID37816943
PMCPMC11004089
OpenAlexW4387485816

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.