Evidence map›Paper›PMID 36944986›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2023

Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial.

Sarah L Ullevig, Deborah Parra-Medina, Yuanyuan Liang, Jeffrey Howard, Erica Sosa, Vanessa M Estrada-Coats, Vanessa Errisuriz, Shiyu Li, Zenong Yin

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

Trial report in The international journal of behavioral nutrition and physical activity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03590834 (Obesity Prevention in Head Start), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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.

NCT03590834 nacompletednot on this map

Obesity Prevention in Head Start: Míranos! Program

TypeinterventionalSponsorThe University of Texas at San AntonioRan2018 to 2023Enrolled525ConditionsObesity, Healthy Eating, Physical Activity, Health Knowledge, Attitudes, PracticeArmsCenter-based Intervention, Home-based Intervention, Active Control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
  3. 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

9 authors at 4 institutions in 1 country.

Sarah L UllevigCollege for Health, Community and Policy, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, USA.
Deborah Parra-MedinaLatino Research Institute, University of Texas at Austin, 210 W. 24th Street, GWB 1.102, Austin, TX, 78712, USA. parramedina@austin.utexas.edu.ORCID 0000-0002-5505-524X
Yuanyuan LiangDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, 660 W. Redwood Street, Baltimore, MD, USA.
Jeffrey HowardDepartment of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, USA.
Erica SosaDepartment of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, USA.
Vanessa M Estrada-CoatsDepartment of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, USA.
Vanessa ErrisurizLatino Research Institute, University of Texas at Austin, 210 W. 24th Street, GWB 1.102, Austin, TX, 78712, USA.
Shiyu LiSchool of Nursing, UT Health San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, USA.
Zenong YinDepartment of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, USA.
The University of Texas at San Antonio · USThe University of Texas at Austin · USThe University of Texas Health Science Center at San Antonio · USUniversity of Maryland, Baltimore · US

Funding

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
Obesity Prevention in Head Start: The Miranos! ProgramR01DK109323 · NIDDK · UNIVERSITY OF TEXAS SAN ANTONIO · PI PARRA-MEDINA, DEBORAH, YIN, ZENONG · 2016 to 2020
$3.2M
NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK109323NIDDK NIH HHS R01DK109323
6 · The paper itself

Abstract

backgroundWidespread establishment of home-based healthy energy balance-related behaviors (EBRBs), like diet, physical activity, sedentary behavior, screen time, and sleep, among low-income preschool-aged children could curb the childhood obesity epidemic. We examined the effect of an 8-month multicomponent intervention on changes in EBRBs among preschool children enrolled in 12 Head Start centers.

methodsThe Head Start (HS) centers were randomly assigned to one of three treatment arms: center-based intervention group (CBI), center-based plus home-based intervention group (CBI + HBI), or control. Before and following the intervention, parents of 3-year-olds enrolled in participating HS centers completed questionnaires about their child's at-home EBRBs. Adult-facilitated physical activity (PA) was measured by an index based on questions assessing the child's level of PA participation at home, with or facilitated by an adult. Fruit, vegetable, and added sugar intake were measured via a short food frequency questionnaire, and sleep time and screen time were measured using 7-day logs. A linear mixed effects model examined the intervention's effect on post-intervention changes in PA, intake of fruit, vegetable, and added sugar, sleep time, and screen time from baseline to post-intervention.

resultsA total of 325 parents participated in the study (CBI n = 101; CBI + HBI n = 101; and control n = 123). Compared to control children, CBI and CBI + HBI parents reported decreases in children's intake of added sugar from sugar-sweetened beverages. Both CBI and CBI + HBI parents also reported smaller increases in children's average weekday screen time relative to controls. In addition, CBI + HBI parents reported CBI + HBI parents reported increases in children's adult-facilitated PA, fruit and vegetable intake, and daily sleep time during weekdays (excluding weekends) and the total week from baseline to post-intervention, while children in the CBI increased sleep time over the total week compared to the children in the control group.

conclusionsParent engagement strengthened the improvement in parent-reported EBRBs at home in young children participating in an evidence-based obesity prevention program in a childcare setting. Future studies should investigate equity-related contextual factors that influence the impact of obesity prevention in health-disparity populations.

trial registrationClinicalTrials.gov, NCT03590834. Registered July 18, 2018, https://clinicaltrials.gov/ct2/show/NCT03590834.

Indexed as

Pediatric ObesityAdultChildChild, PreschoolHealth BehaviorHispanic or LatinoHumansParentsSugarsVegetablesSugarsInterventionNutritionPreschool childrenScreen timeSleep

Identifiers

PMID36944986
PMCPMC10029790
OpenAlexW4328130074

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read32
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.