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Embedding weight management into safety-net pediatric primary care: randomized controlled trial

Overview of attention for article published in International Journal of Behavioral Nutrition and Physical Activity, January 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (81st percentile)

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Title
Embedding weight management into safety-net pediatric primary care: randomized controlled trial
Published in
International Journal of Behavioral Nutrition and Physical Activity, January 2018
DOI 10.1186/s12966-017-0639-z
Pubmed ID
Authors

Judith Wylie-Rosett, Adriana E. Groisman-Perelstein, Pamela M. Diamantis, Camille C. Jimenez, Viswanathan Shankar, Beth A. Conlon, Yasmin Mossavar-Rahmani, Carmen R. Isasi, Sarah N. Martin, Mindy Ginsberg, Nirupa R. Matthan, Alice H. Lichtenstein

Abstract

Implementing evidence-based recommendations for treating pediatric overweight and obesity is challenging in low-resource settings. We conducted a randomized controlled trial to evaluate the effects of implementing the American Academy of Pediatrics overweight/obesity recommendations using a Standard Care approach alone or with the addition of an enhanced program in a safety-net pediatric primary care setting (located in Bronx, New York, United States). In a 12-month trial, families of children (age 7-12 years; body mass index ≥85th American percentile for age and sex; 74% self-identified as Hispanic/Latino; n = 360) were randomly assigned to receive Standard Care Alone or Standard Care + Enhanced Program. An English/Spanish bilingual staff provided the Standard Care Alone consisting of quarterly semi-structured pediatrician visits targeting family-based behavioral changes. The Standard Care + Enhanced Program was enriched with eight Skill-Building Core and monthly Post-Core Support sessions. The mean body mass index Z-score declined in both arms (P < 0.01) with no significant difference between the Standard Care Alone (0.12 kg [SE: 0.03]) and Standard Care + Enhanced Program (0.15 kg [SE: 0.03]) arm (P = 0.15). Compared to the Standard Care Alone, the Standard Care + Enhanced Program resulted in significantly greater improvements in total cholesterol (P = 0.05), low-density lipoprotein cholesterol (P = 0.04), aspartate aminotransferase (P = 0.02), and alanine transaminase (P = 0.03) concentrations. Safety-net primary care settings can provide efficacious pediatric weight management services. Targeted family-based behavioral counseling helps overweight/obese children achieve a modest body mass index Z-score improvement. A more intensive lifestyle intervention program may improve some metabolic parameters. ClinicalTrials.gov Identifier: NCT00851201 . Registered 23 February 2009.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 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 157 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 157 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 21 13%
Student > Master 18 11%
Researcher 17 11%
Student > Doctoral Student 10 6%
Student > Postgraduate 7 4%
Other 26 17%
Unknown 58 37%
Readers by discipline Count As %
Nursing and Health Professions 30 19%
Medicine and Dentistry 28 18%
Social Sciences 9 6%
Psychology 7 4%
Biochemistry, Genetics and Molecular Biology 6 4%
Other 22 14%
Unknown 55 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 9. 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 02 February 2018.
All research outputs
#3,711,318
of 23,018,998 outputs
Outputs from International Journal of Behavioral Nutrition and Physical Activity
#1,157
of 1,940 outputs
Outputs of similar age
#83,061
of 441,076 outputs
Outputs of similar age from International Journal of Behavioral Nutrition and Physical Activity
#25
of 32 outputs
Altmetric has tracked 23,018,998 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,940 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.8. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
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 441,076 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 81% of its contemporaries.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.