Evidence map›Paper›PMID 33822933›Full record

ArticleThe Gerontologist2022

Weight Loss through Lifestyle Intervention Improves Mobility in Older Adults.

Steven M Albert, Elizabeth M Venditti, Robert M Boudreau, Lori A Kieffer, Judith R Rager, Janice C Zgibor, Joni Vander Bilt, Michelle E Danielson, Lora E Burke, Nancy W Glynn and 4 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 27% 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.

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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    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

14 authors at 2 institutions in 1 country.

Steven M AlbertDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-6786-9956
Elizabeth M VendittiDepartment of Psychiatry, University of Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-4124-6555
Robert M BoudreauDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
Lori A KiefferDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
Judith R RagerDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
Janice C ZgiborCollege of Public Health, University of South Florida, Tampa, USA.
Joni Vander BiltDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
Michelle E DanielsonDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
Lora E BurkeSchool of Nursing, University of Pittsburgh, Pennsylvania, USA.
Nancy W GlynnDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-2265-0162
John M JakicicSchool of Education, University of Pittsburgh, Pennsylvania, USA.
Kenneth J SmithDepartment of Medicine, University of Pittsburgh, Pennsylvania, USA.
Linda N SemlerSchool of Education, University of Pittsburgh, Pennsylvania, USA.
Anne B NewmanDepartment of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USUniversity of South Florida · US

Funding

TECHNOLOGY COREP30AG024827 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2004 to 2025
$4.3M
New York Regional Center for Diabetes Translation ResearchP30DK111022 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$810k
NCCDPHP CDC HHS U48 DP005001NIA NIH HHS P30 AG024827NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe high prevalence of overweight or obesity in older adults is a public health concern because obesity affects health, including the risk of mobility disability. RESEARCH DESIGN AND

methodsThe Mobility and Vitality Lifestyle Program, delivered by community health workers (CHWs), enrolled 303 community-dwelling adults to assess the impact of a 32-session behavioral weight management intervention. Participants completed the program at 26 sites led by 22 CHWs. Participation was limited to people aged 60-75 who had a body mass index (BMI) of 27-45 kg/m2. The primary outcome was the performance on the Short Physical Performance Battery (SPPB) over 12 months.

resultsParticipants were aged 67.7 (SD 4.1) and mostly female (87%); 22.7% were racial minorities. The mean (SD) BMI at baseline was 34.7 (4.7). Participants attended a median of 24 of 32 sessions; 240 (80.3%) completed the 9- or 13-month outcome assessment. Median weight loss in the sample was 5% of baseline body weight. SPPB total scores improved by +0.31 units (p < .006), gait speed by +0.04 m/s (p < .0001), and time to complete chair stands by -0.95 s (p < .0001). Weight loss of at least 5% was associated with a gain of +0.73 in SPPB scores. Increases in activity (by self-report or device) were not independently associated with SPPB outcomes but did reduce the effect of weight loss. DISCUSSION AND IMPLICATIONS: Promoting weight management in a community group setting may be an effective strategy for reducing the risk of disability in older adults.

Indexed as

Life StyleWeight LossAgedFemaleHumansIndependent LivingMaleMobility LimitationObesityOverweightCommunity health workersLifestyle interventionLower extremity strengthPhysical activityWeight management

Identifiers

PMID33822933
PMCPMC9653001
OpenAlexW3143512012

What Socratic holds

Textmetadata
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 Socratic graph.