Evidence map›Paper›PMID 32978121›Full record

Trial reportBMJ open diabetes research & care2020

Does the effect of lifestyle intervention for individuals with diabetes vary by food insecurity status? A preplanned subgroup analysis of the REAL HEALTH randomized clinical trial.

Seth A Berkowitz, Yuchiao Chang, Bianca Porneala, Sara J Cromer, Deborah J Wexler, Linda M Delahanty

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02320253 (REAL HEALTH-Diabetes), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 12% of its field
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.

NCT02320253 nacompletednot on this map

REAL HEALTH-Diabetes: Reach Ahead for Lifestyle and Health-Diabetes

TypeinterventionalSponsorMassachusetts General HospitalRan2014 to 2021Enrolled211ConditionsType 2 Diabetes Mellitus, ObesityArmsIn Person Group (IP), Telephone Conference Call Group (TCC), Medical Nutrition Therapy (MNT)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. 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 at 3 institutions in 1 country.

Seth A BerkowitzDivision of General Medicine & Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Yuchiao ChangDepartment of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Bianca PornealaDivision of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sara J CromerDiabetes Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Deborah J WexlerDepartment of Medicine, Harvard Medical School, Boston, Massachusetts, USA Delahanty.linda@mgh.harvard.edu DWEXLER@mgh.harvard.edu.
Linda M DelahantyDepartment of Medicine, Harvard Medical School, Boston, Massachusetts, USA Delahanty.linda@mgh.harvard.edu DWEXLER@mgh.harvard.edu.ORCID 0000-0002-1525-3559
Harvard University · USMassachusetts General Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
REAL HEALTH-Diabetes: REach Ahead for Lifestyle and Health-DiabetesR18DK102737 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI DELAHANTY, LINDA MICHELE, WEXLER, DEBORAH J · 2014 to 2018
$3.2M
Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NIDDK NIH HHS K23 DK109200NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R18 DK102737NIDDK NIH HHS T32 DK007028
6 · The paper itself

Abstract

introductionWe aimed to test the effectiveness of a lifestyle intervention (LI) for individuals with food insecurity and type 2 diabetes. RESEARCH DESIGN AND

methodsAdults with type 2 diabetes, body mass index ≥25 kg/m

resultsOf 208 participants, 13% were food insecure. Those with food insecurity were more likely to be racial/ethnic minorities (p<0.001) and have lower education (p<0.001). LI, versus MNT, led to greater weight loss at 6 months (5.1% lost vs 1.1% lost; p<0.0001) and 12 months (4.7% lost vs 2.0% lost; p=0.0005). The intervention effect was similar regardless of food security status (5.1% bodyweight lost vs 1.1% in food secure participants and 5.1% bodyweight lost vs 1.3% in food insecure participants at 6 months; 4.7% bodyweight lost vs 2.1% in food secure participants and 4.5% bodyweight lost vs 0.9% in food insecure participants at 12 months; p for interaction=0.99).

conclusionsThe REAL HEALTH-Diabetes lifestyle intervention led to meaningful weight loss for individuals with food insecurity and type 2 diabetes. TRIAL REGISTRATION NUMBER: NCT02320253.

Indexed as

Diabetes Mellitus, Type 2AdultFood InsecurityGlycated HemoglobinHumansLife StyleWeight LossGlycated Hemoglobindiabetes mellitustype 2weight reduction programs

Identifiers

PMID32978121
PMCPMC7520816
OpenAlexW3087906810

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.