Evidence map›Paper›PMID 40696724›Full record

ArticlePediatric obesity2025

Community and School Programs, Policies and Environments Related to Child Dietary Intake:The Healthy Communities Study.

Gail Woodward-Lopez, Alexander C McLain, Edward A Frongillo, Natalie Colabianchi, Vicki Collie-Akers, Lorrene D Ritchie

Abstract read
In one paragraph

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Gail Woodward-LopezEmeritus Researcher, Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, California, USA.ORCID https://orcid.org/0000-0002-2745-1077
Alexander C McLainEpidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-5475-0670
Edward A FrongilloHealth Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-8265-9815
Natalie ColabianchiAssociate Dean for Research and Professor of Applied Exercise Science, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
Vicki Collie-AkersDepartment of Population Health, University of Kansas Medical Center, Kansas City, Kansas, USA.
Lorrene D RitchieDirector and Cooperative Extension Specialist, Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, California, USA.ORCID https://orcid.org/0000-0002-8038-1821

Funding

Understanding Community Obesity Initiatives and Informing Tailored Community Interventions to Reduce Childhood ObesityR01DK129307 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI PATE, RUSSELL R · 2021 to 2023
$1.5M
NIDDK NIH HHS R01 DK129307NIH HHS 1R01DK129307
6 · The paper itself

Abstract

backgroundTo reverse the epidemic of unhealthy eating and related chronic disease in the United States, intervening early in life is essential.

objectiveIdentify features of community- and school-based programmes, policies and environments related to child intake of fruits and vegetables (FV) and sugar-sweetened beverages (SSB).

methodsDietary intake of children 4-15 years old (n = 5138) from elementary and middle schools in 130 US communities was collected by survey (of parent and/or child) in 2013-2015. Features of community programs and policies (CPPs) and school environments were collected by staff surveys, direct observation, key informant interviews, and/or document review. Community characteristics included socioeconomic status and predominant race/ethnicity. Classification and regression trees identified CPP and school environment features related to child dietary intake.

resultsCommunity sociodemographic characteristics were the first-selected variables related to child intakes. Children in communities with lower socioeconomic status and larger proportions of African Americans tended to have lower FV and higher SSB intakes. Associations of dietary intake with race/ethnicity varied with SES. CPPs that addressed certain social determinants of health were related to higher FV intake among community race/ethnicity-SES sub-groups. Few other CPPs and no school environment characteristics were related to child FV or SSB intake.

conclusionFindings suggest the importance of addressing social determinants of health such as education, poverty and transportation to reduce disparities in dietary intake, and the need to tailor interventions to community characteristics. More research is needed to explore the interaction of race/ethnicity and SES on dietary intake and intervention effectiveness.

Indexed as

DietHealth PromotionNutrition PolicyPediatric ObesitySchool Health ServicesSchoolsAdolescentChildChild, PreschoolFeeding BehaviorFemaleFruitHumansMaleSocial Determinants of HealthSocioeconomic Factorschild dietary intakecommunity programs and policiesdisparitiesfruits and vegetablesschool policies and environmentssugar‐sweetened beverages

Identifiers

PMID40696724
PMCPMC12501045

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.