Evidence mapPaperPMID 40419457Full record

Trial reportPediatric obesity2025

A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study.

Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova and 5 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Pediatric obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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

1 citing paper in PubMed.

  1. Trial
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

15 authors.

Matzourana ArgyropoulouDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece.ORCID https://orcid.org/0000-0003-3673-3065
Costas A AnastasiouDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece.ORCID https://orcid.org/0000-0002-3536-3034
Maria PapamichaelDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece.ORCID https://orcid.org/0000-0003-1169-7141
Greet CardonDepartment of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
Stavros LiatisFirst Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Jaana LindstromDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Luis A MorenoGrowth, Exercise, NUtrition and Development (GENUD), Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Universidad de Zaragoza, Zaragoza, Spain.ORCID https://orcid.org/0000-0003-0454-653X
Violeta IotovaDepartment of Pediatrics, Medical University, Varna, Bulgaria.
Yuliya BazdarskaDepartment of Pediatrics, Medical University, Varna, Bulgaria.
Tsvetalina TankovaDepartment of Diabetology, Clinical Center of Endocrinology, Medical University of Sofia, Sofia, Bulgaria.
Imre RurikDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.
Peter ToprzsaDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.
Katja WikströmDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Konstantinos MakrilakisFirst Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Yannis ManiosDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece.

Funding

European Union's Horizon 2020 research and innovation program 643708
6 · The paper itself

Abstract

backgroundCurbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.

objectiveTo examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.

methodsData were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study. The intervention group received a lifestyle intervention, aiming to promote a healthy and active lifestyle. Children's anthropometrics were measured at baseline and 2-year follow-up.

resultsChildren with overweight, but not with obesity, at baseline randomized in the intervention group had a higher reduction in BMI z-scores compared to the control group. In logistic regression models, older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score in the intervention group. Mother's obesity and a lower family income were associated with a decreased probability of a positive weight outcome from the intervention.

conclusionsThe Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.

Indexed as

Health PromotionPediatric ObesitySchool Health ServicesBody Mass IndexChildChild, PreschoolEuropeFemaleHumansLife StyleMaleTreatment Outcomechildrendeterminantsinterventionobesityoverweight

Identifiers

PMID40419457
PMCPMC12329621

What Socratic holds

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LicenceCC BY-NC-ND
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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.