Evidence map›Paper›PMID 39761686›Full record

ArticlePediatric obesity2025

The long-term effects of a school-based intervention on preventing childhood overweight: Propensity score matching analysis within the Generation R Study cohort.

Famke J M Mölenberg, Michel S Smit, Daan Nieboer, Trudy Voortman, Wilma Jansen

Abstract read
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Article in Pediatric obesity, 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
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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.

Famke J M MölenbergDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-5305-9730
Michel S SmitDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-4231-3972
Daan NieboerDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Trudy VoortmanDepartment of Epidemiology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Wilma JansenDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-4453-9054

Funding

City of Rotterdam, Department of Sport and the Erasmus Initiative Smarter Choices for Better HealthErasmus Medical Centre, Erasmus University Rotterdam and The Netherlands Organisation for Health Research and Development, The Netherlands Organisation for Scientific Research, the Ministry of Health, Welfare and Sport, and the Ministry of Youth and Families
6 · The paper itself

Abstract

backgroundThis study investigated the long-term impact of the primary school-based multicomponent lifestyle intervention "Lekker Fit!" (LF) on obesity-related outcomes, and studied whether the impact differed between population subgroups.

methodsChildren from the Generation R Study (Rotterdam, the Netherlands) were categorized into the LF group (6 years exposure, between the ages 6/7 to 12/13 years) or regular school group (no exposure). BMI and DXA-derived fat mass were assessed after 4 years of intervention (age 10 years), and 1.5 years post-intervention (age 14 years). A propensity score matching model was fitted to examine the intervention effect on BMI-z-score and percent fat mass, and we tested for differences by sex, pre-intervention weight status, ethnic background, and income.

resultsWe found no effect on BMI-z-score [0.06 (95% confidence interval [CI]: -0.04 to 0.17)] and percent fat mass (0.4%-point [95% CI: -0.2 to 1.1]) after 4 years of intervention. 1.5 years post-intervention and after 6 years of exposure, BMI-z-score (0.11 [95% CI: 0.00-0.22]) and percent fat mass (1.1%-point [95% CI: 0.2-1.9]) were significantly higher for children in the LF group. No subgroup differences were found.

conclusionFindings suggest the need for obesity prevention programs that extend beyond primary education.

Indexed as

Pediatric ObesitySchool Health ServicesAdolescentBody Mass IndexChildCohort StudiesFemaleHumansMaleNetherlandsPropensity Scorechildrenexercisehealthy lifestyleoverweightschool intervention

Identifiers

PMID39761686
PMCPMC11803176

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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.