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The dose of behavioral interventions to prevent and treat childhood obesity: a systematic review and meta-regression

Overview of attention for article published in International Journal of Behavioral Nutrition and Physical Activity, November 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • Good Attention Score compared to outputs of the same age and source (71st percentile)

Mentioned by

news
1 news outlet
blogs
1 blog
policy
1 policy source
twitter
29 X users

Citations

dimensions_citation
40 Dimensions

Readers on

mendeley
217 Mendeley
citeulike
1 CiteULike
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Title
The dose of behavioral interventions to prevent and treat childhood obesity: a systematic review and meta-regression
Published in
International Journal of Behavioral Nutrition and Physical Activity, November 2017
DOI 10.1186/s12966-017-0615-7
Pubmed ID
Authors

William J. Heerman, Meghan M. JaKa, Jerica M. Berge, Erika S. Trapl, Evan C. Sommer, Lauren R. Samuels, Natalie Jackson, Jacob L. Haapala, Alicia S. Kunin-Batson, Barbara A. Olson-Bullis, Heather K. Hardin, Nancy E. Sherwood, Shari L. Barkin

Abstract

A better understanding of the optimal "dose" of behavioral interventions to affect change in weight-related outcomes is a critical topic for childhood obesity intervention research. The objective of this review was to quantify the relationship between dose and outcome in behavioral trials targeting childhood obesity to guide future intervention development. A systematic review and meta-regression included randomized controlled trials published between 1990 and June 2017 that tested a behavioral intervention for obesity among children 2-18 years old. Searches were conducted among PubMed (Web-based), Cumulative Index to Nursing and Allied Health Literature (EBSCO platform), PsycINFO (Ovid platform) and EMBASE (Ovid Platform). Two coders independently reviewed and abstracted each included study. Dose was extracted as intended intervention duration, number of sessions, and length of sessions. Standardized effect sizes were calculated from change in weight-related outcome (e.g., BMI-Z score). Of the 258 studies identified, 133 had sufficient data to be included in the meta-regression. Average intended total contact (# sessions x length of sessions) was 27.7 (SD 32.2) hours and average duration was 26.0 (SD 23.4) weeks. When controlling for study covariates, a random-effects meta-regression revealed no significant association between contact hours, intended duration or their interaction and effect size. This systematic review identified wide variation in the dose of behavioral interventions to prevent and treat pediatric obesity, but was unable to detect a clear relationship between dose and weight-related outcomes. There is insufficient evidence to provide quantitative guidance for future intervention development. One limitation of this review was the ability to uniformly quantify dose due to a wide range of reporting strategies. Future trials should report dose intended, delivered, and received to facilitate quantitative evaluation of optimal dose. The protocol was registered on PROSPERO (Registration # CRD42016036124 ).

X Demographics

X Demographics

The data shown below were collected from the profiles of 29 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 217 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 217 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 12%
Student > Bachelor 26 12%
Researcher 23 11%
Student > Ph. D. Student 19 9%
Student > Doctoral Student 17 8%
Other 38 18%
Unknown 67 31%
Readers by discipline Count As %
Medicine and Dentistry 48 22%
Nursing and Health Professions 33 15%
Sports and Recreations 15 7%
Social Sciences 10 5%
Psychology 9 4%
Other 23 11%
Unknown 79 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 33. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 March 2021.
All research outputs
#1,036,132
of 22,925,760 outputs
Outputs from International Journal of Behavioral Nutrition and Physical Activity
#390
of 1,936 outputs
Outputs of similar age
#23,047
of 324,341 outputs
Outputs of similar age from International Journal of Behavioral Nutrition and Physical Activity
#13
of 42 outputs
Altmetric has tracked 22,925,760 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,936 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.7. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 324,341 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 71% of its contemporaries.