Evidence map›Paper›PMID 40075128›Full record

Trial reportInternational journal of obesity (2005)2025

Long-term results of a digital treatment tool as an add-on to pediatric obesity lifestyle treatment: a 3-year pragmatic clinical trial.

Emilia Hagman, Louise Lindberg, Resthie R Putri, Andreas Drangel, Claude Marcus, Pernilla Danielsson

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  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.

Emilia HagmanDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1433-2295
Louise LindbergDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9517-5000
Resthie R PutriDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6659-1937
Andreas DrangelEvira AB, Triewaldsgränd 2, S-111 29, Stockholm, Sweden.
Claude MarcusDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0890-2650
Pernilla DanielssonDepartment of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden. pernilla.danielsson.liljeqvist@ki.se.ORCID 0000-0002-4674-2638

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe integration of mobile health technology with physical visits shows promising one-year treatment outcomes, but long-term evidence is lacking.

objectivesTo assess three-year treatment outcomes for patients utilizing the digital treatment tool Evira in combination with physical visits, compared with standard obesity care.

methodsIn a pragmatic trial, children with obesity aged 4.0-17.9 years receiving digi-physical treatment with Evira (n = 107) were compared with a group receiving standard treatment (n = 321). Evira comprises a digitless body scale for home-weighing, a mobile application, and a web-based clinic interface, enabling easy family-clinic communication and continuous visual treatment feedback.

resultsAt the three-year follow-up, the adjusted average change in body mass index Z-score was -0.29 [95% confidence interval: -0.40, -0.18] units in the digi-physical treatment group vs. -0.12 [-0.21, -0.03] in the standard treatment group, p = 0.02, and 31.8% vs. 18.7% obtained obesity remission respectively, p = 0.0046.

conclusionOver a three-year period, the digi-physical treatment generated superior treatment effect and higher obesity remission rate than standard treatment.

Indexed as

Mobile ApplicationsPediatric ObesityAdolescentBody Mass IndexChildChild, PreschoolFemaleHumansLife StyleMaleTelemedicineTreatment Outcome

Identifiers

PMID40075128
PMCPMC12095034

What Socratic holds

Textmetadata
LicenceCC BY
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.