Evidence map›Paper›PMID 39521923›Full record

Trial reportInternational journal of obesity (2005)2025

Effectiveness of a health promotion program on overweight in vulnerable children from primary schools (BeE-school): A cluster-randomized controlled trial.

Juliana Martins, Cláudia Augusto, Maria José Silva, Ana Duarte, Silvana Peixoto Martins, Henedina Antunes, Paulo Novais, Beatriz Pereira, Paula Veiga, Rafaela Rosário

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Juliana MartinsSchool of Nursing, University of Minho, Braga, Portugal.ORCID 0000-0002-6957-9335
Cláudia AugustoSchool of Nursing, University of Minho, Braga, Portugal.ORCID 0000-0001-5450-7307
Maria José SilvaSchool of Nursing, University of Minho, Braga, Portugal.
Ana DuarteSchool of Nursing, University of Minho, Braga, Portugal.ORCID 0000-0002-9741-8141
Silvana Peixoto MartinsUICISA:E,The Health Sciences Research Unit: Nursing, School of Nursing of Coimbra, Coimbra, Portugal.
Henedina AntunesPaediatric Gastroenterology, Hepatology and Nutrition Unit and Clinical Academic Center, Unidade Local de Saúde de Braga, Braga, Portugal.
Paulo NovaisALGORITMI Research Center, Department of Informatics, School of Engineering, University of Minho, Braga, Portugal.
Beatriz PereiraCIEC: Research Center of Child Studies, Institute of Education, University of Minho, Braga, Portugal.
Paula VeigaSchool of Economics and Management, University of Minho, Braga, Portugal.
Rafaela RosárioSchool of Nursing, University of Minho, Braga, Portugal. rrosario@ese.uminho.pt.ORCID 0000-0001-6986-0007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a complex, multifactorial disease with rising global prevalence. Considering its significant association with lower socioeconomic status, implementing obesity prevention programs in vulnerable school-age children is particularly pertinent. This cluster-randomized controlled trial aims to evaluate the effectiveness of a health promotion program on overweight in vulnerable children from primary schools.

methodsThe BeE-school study involved 735 children (51.7% boys, average age 7.7 (1.2) years old) from 10 primary schools in the Northern region of Portugal, identified as Educational Territories for Priority Intervention. After the initial assessment, the schools were randomized into two groups: one receiving the intervention (4 schools, n = 353) and the other not (6 schools, n = 382). The intervention included education and training teachers for 16 weeks, their implementation in the classroom, and giving families challenges every two weeks during this length of time. The program's effectiveness was assessed short-term, immediately post-intervention (for 95.5% of participants) and long-term, one year after (for 50.8%). We considered the difference in BMI z-scores (BMIz), waist-to-height ratio and waist-to-weight ratio, from baseline to post-intervention and follow-up assessment.

resultsIn post-intervention, intervened children presented a significant reduction in all the three measures of adiposity: BMIz (B = -0.098, 95% CI: -0.156 to -0.040, p = 0.001), waist-to-height ratio (B = -0.007, 95% CI: -0.010 to -0.003, p < 0.001) and waist-to-weight ratio (B = -0.121, 95% CI: -0.193 to -0.048, p = 0.001). One year after the intervention ended the decrease in BMIz remained significant (B = -0.114, 95% CI: -0.213 to -0.015, p = 0.023).

conclusionConclusion: The school-based intervention, focusing on teacher training in health promotion and involving families, proved to be effective in improving body composition in socially vulnerable children.

Indexed as

Health PromotionOverweightPediatric ObesitySchool Health ServicesBody Mass IndexChildFemaleHumansMalePortugalProgram EvaluationSchoolsVulnerable Populations

Identifiers

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Registered trials

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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.