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1.

001-es BibID:BIBFORM084103
Első szerző:Anastasiou, Costas A.
Cím:Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study / Costas A. Anastasiou, Evaggelia Fappa, Konstantina Zachari, Christina Mavrogianni, Vicky Van Stappen, Jemina Kivelä, Eeva Virtanen, Esther M. González-Gil, Paloma Flores-Barrantes, Anna Nánási, Csilla Semánová, Roumyana Dimova, Natalya Usheva, Violeta Iotova, Greet Cardon, Yannis Manios, Konstantinos Makrilakis, Feel4Diabetes-study group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract BACKGROUND: Assessment of diet and physical activity and their determinants still remains a demanding task, especially when the objective is to evaluate the efficacy of lifestyle interventions. In the context of the Feel4Diabetes study (a European community based intervention study in families with school aged children and at high risk of developing diabetes), we aimed to develop questionnaires for the assessment of food-frequency and eating behaviors, and physical activity and sedentary behaviors in both parents and school-aged children and a questionnaire for overall family's energy balance-related behaviors. METHODS: Questionnaires were developed to be used in 6 countries under standardized harmonization procedures and included questions regarding not only food intake and physical activity, but also questions of their determinants. A reliability study was conducted in 191 pairs of parents and their children (N =?191). Parents completed the questionnaires on two occasions, within a 1-2?week interval. Reliability was tested by the intra-class correlation coefficients (ICC) of test-retest. RESULTS: Most of the questions in all questionnaires had excellent reliability, assessed as an ICC of >?0.810. Mean ICCs for food-frequency and eating behaviors questionnaires were 0.838 and 0.787, and for physical activity and sedentary behaviors questionnaires were 0.734 and 0.793, in adults and children respectively. Mean ICC for overall family's energy balance-related behaviors and their determinants was 0.659. CONCLUSION: The developed questionnaires showed acceptable reliability and may be valuable tools in the assessment of children's and parents' behaviors related to diet, physical activity, sedentary behavior and overall energy balance in school- and community-based interventions.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Diet
Energy balance behaviors
Nutrition
Physical activity
Questionnaire
Reliability
Sedentary lifestyle
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 1 (2020), p. 1-7. -
További szerzők:Fappa, Evaggelia Zachari, Konstantina Mavrogianni, Christina Van Stappen, Vicky Kivelä, Jemina Virtanen, Eeva González-Gil, Esther Flores-Barrantes, Paloma Nánási Anna (1995-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Dimova, Roumyana Usheva, Natalya Iotova, Violeta Cardon, Greet Manios, Yannis Makrilakis, Konstantinos Kolozsvári László Róbert (1977-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Feel4Diabetes-Study Group
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2.

001-es BibID:BIBFORM084102
Első szerző:Androutsos, Odysseas
Cím:Intra- and inter- observer reliability of anthropometric measurements and blood pressure in primary schoolchildren and adults : the Feel4Diabetes-study / Androutsos Odysseas, Anastasiou Costas, Lambrinou Christina-Paulina, Mavrogianni Christina, Cardon Greet, Van Stappen Vicky, Kivelä Jemina, Wikström Katja, Moreno Luis A., Iotova Violeta, Tsochev Kaloyan, Chakarova Nevena, Ungvári Tímea, Jancso Zoltán, Makrilakis Konstantinos, Manios Yannis, Feel4Diabetes-study Group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract BACKGROUND: Feel4Diabetes was a large-scale, multicenter lifestyle intervention aiming to prevent type 2 diabetes among families from vulnerable population groups in six European countries (Belgium, Bulgaria, Finland, Greece, Hungary and Spain). The current study aimed to describe the process that was followed to harmonize and standardize the measurement of anthropometric (weight, height and waist circumference) and blood pressure (systolic and diastolic) indices, as well as to assess the intra- and inter- observer reliability of these measurements. METHODS: A central training workshop was conducted prior to the baseline measurements of the Feel4Diabetes-intervention. One researcher from each intervention country, as well as 12 adults and 12 children (for the anthropometric measurements) and 21 adults (for the blood pressure measurements) participated in this workshop. Technical Error of Measurement (TEM) and reliability (%R) were calculated to assess the reliability of the indices which were assessed to evaluate the outcome of the Feel4Diabetes-intervention. The Feel4Diabetes-intervention is registered at https://clinicaltrials.gov/ (NCT02393872). RESULTS: Intra-observer reliability was found to be higher than 99.5% for all anthropometric measurements in both children and adults. Inter-observer reliability was found to be higher than 98% regarding the anthropometric measurements, while for blood pressure measurements %R was 76.62 and 91.38% for systolic and diastolic blood pressure measurements, respectively. CONCLUSION: The central training of the Fee4Diabetes-intervention ensured that the data collected for the outcome evaluation of the Feel4Diabetes-intervention in the six European countries at three different time points (baseline, follow-up 1 and follow-up 2) were valid and comparable.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Children
Families
Obesity
Type 2 diabetes
Vulnerable
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 1 (2020), p. 1-6. -
További szerzők:Anastasiou, Costas A. Lambrinou, Christina-Paulina Mavrogianni, Christina Cardon, Greet Van Stappen, Vicky Kivelä, Jemina Wikström, Katja Moreno, Luis A. Iotova, Violeta Tsochev, Kaloyan Chakarova, Nevena Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Makrilakis, Konstantinos Manios, Yannis Kolozsvári László Róbert (1977-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Nánási Anna (1995-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Feel4Diabetes-Study Group
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3.

001-es BibID:BIBFORM110107
035-os BibID:(cikkazonosító)213 (scopus)85136490263 (wos)000844195000001
Első szerző:De Craemer, Marieke
Cím:Self-reported lifestyle behaviours in families with an increased risk for type 2 diabetes across six European countries : a cross-sectional analysis from the Feel4Diabetes-study / De Craemer Marieke, Van Stappen Vicky, Brondeel Ruben, Iotova Violeta, Chakarova Nevena, Rurik Imre, Lindström Jaana, Kivelä Jemina, Moreno Luis Alberto, Mavrogianni Christina, Manios Yannis, Cardon Greet, Feel4Diabetes-study group
Dátum:2022
ISSN:1472-6823
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:BMC Endocrine Disorders. - 22 : 1 (2022), p. 1-15. -
További szerzők:Van Stappen, Vicky Brondeel, Ruben Iotova, Violeta Chakarova, Nevena Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Lindström, Jaana Kivelä, Jemina Moreno, Luis A. Mavrogianni, Christina Manios, Yannis Cardon, Greet Kolozsvári László Róbert (1977-) (háziorvos) Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Nánási Anna (1995-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Antal Emese Radó Sándor Istvánné (1976-) (diplomás ápoló) Feel4Diabetes-Study Group
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4.

001-es BibID:BIBFORM084101
Első szerző:Kivelä, Jemina
Cím:Obtaining evidence base for the development of Feel4Diabetes intervention to prevent type 2 diabetes : a narrative literature review / Kivelä Jemina, Wikström Katja, Virtanen Eeva, Georgoulis Michael, Cardon Greet, Civeira Fernando, Iotova Violeta, Karuranga Ernest, Ko Winne, Liatis Stavros, Makrilakis Konstantinos, Manios Yannis, Mateo-Gallego Rocío, Nanasi Anna, Rurik Imre, Tankova Tsvetalina, Tsochev Kaloyan, Van Stappen Vicky, Lindström Jaana, Feel4Diabetes research Group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract BACKGROUND: Feel4Diabetes was a school and community based intervention aiming to promote healthy lifestyle and tackle obesity for the prevention of type 2 diabetes among families in 6 European countries. We conducted this literature review in order to guide the development of evidence-based implementation of the Feel4Diabetes intervention. We focused on type 2 diabetes prevention strategies, including all the phases from risk identification to implementation and maintenance. Special focus was given to prevention among vulnerable groups and people under 45?years. METHODS: Scientific and grey literature published between January 2000 and January 2015 was searched for relevant studies using electronic databases. To present the literature review findings in a systematic way, we used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. A complementary literature search from February 2015 to December 2018 was also conducted. RESULTS: The initial review included 27 studies with a follow-up ?12?months and 9 studies with a follow-up ?6?months and with a participant mean age?<?45?years. We found out that interventions should be targeted at people at risk to improve recruiting and intervention effectiveness. Screening questionnaires (primarily Finnish Diabetes Risk Score FINDRISC) and blood glucose measurement can both be used for screening; the method does not appear to affect intervention effectiveness. Screening and recruitment is time-consuming, especially when targeting lower socioeconomic status and age under 45?years. The intervention intensity is more important for effectiveness than the mode of delivery. Moderate changes in several lifestyle habits lead to good intervention results. A minimum of 3-year follow-up seemed to be required to show a reduction in diabetes risk in high-risk individuals. In participants <?45?years, the achieved results in outcomes were less pronounced. The complementary review included 12 studies, with similar results regarding intervention targets and delivery modes, as well as clinical significance. CONCLUSION: This narrative review highlighted several important aspects that subsequently guided the development of the Feel4Diabetes high-risk intervention. Research on diabetes prevention interventions targeted at younger adults or vulnerable population groups is still relatively scarce. Feel4Diabetes is a good example of a project aiming to fill this research gap.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Families
Lifestyle intervention
Prevention
Risk factors
Type 2 diabetes
Vulnerable
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 1 (2020), p. 1-24. -
További szerzők:Wikström, Katja Virtanen, Eeva Georgoulis, Michael Cardon, Greet Civeira, Fernando Iotova, Violeta Karuranga, Ernest Ko, Winne Liatis, Stavros Makrilakis, Konstantinos Manios, Yannis Mateo-Gallego, Rocío Nánási Anna (1995-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Tankova, Tsvetalina Tsochev, Kaloyan Van Stappen, Vicky Lindström, Jaana Kolozsvári László Róbert (1977-) (háziorvos) Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Semánová Csilla (1991-) (PhD hallgató) Feel4Diabetes-Study Group
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5.

001-es BibID:BIBFORM084100
Első szerző:Kyrou, Ioannis
Cím:Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes : a narrative review with emphasis on data from Europe / Kyrou Ioannis, Tsigos Constantine, Mavrogianni Christina, Cardon Greet, Van Stappen Vicky, Latomme Julie, Kivelä Jemina, Wikström Katja, Tsochev Kaloyan, Nanasi Anna, Semanova Csilla, Mateo-Gallego Rocío, Lamiquiz-Moneo Itziar, Dafoulas George, Timpel Patrick, Schwarz Peter E. H., Iotova Violeta, Tankova Tsvetalina, Makrilakis Konstantinos, Manios Yannis, Feel4Diabetes-Study Group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract Background: Type 2 diabetes mellitus (T2DM) comprises the vast majority of all diabetes cases in adults, with alarmingly increasing prevalence over the past few decades worldwide. A particularly heavy healthcare burden of diabetes is noted in Europe, where 8.8% of the population aged 20?79 years is estimated to have diabetes according to the International Diabetes Federation. Multiple risk factors are implicated in the pathogenesis of T2DM with complex underlying interplay and intricate gene-environment interactions. Thus, intense research has been focused on studying the role of T2DM risk factors and on identifying vulnerable groups for T2DM in the general population which can then be targeted for prevention interventions. Methods: For this narrative review, we conducted a comprehensive search of the existing literature on T2DM risk factors, focusing on studies in adult cohorts from European countries which were published in English after January 2000. Results: Multiple lifestyle-related and sociodemographic factors were identified as related to high T2DM risk, including age, ethnicity, family history, low socioeconomic status, obesity, metabolic syndrome and each of its components, as well as certain unhealthy lifestyle behaviors. As Europe has an increasingly aging population, multiple migrant and ethnic minority groups and significant socioeconomic diversity both within and across different countries, this review focuses not only on modifiable T2DM risk factors, but also on the impact of pertinent demographic and socioeconomic factors. Conclusion: In addition to other T2DM risk factors, low socioeconomic status can significantly increase the risk for prediabetes and T2DM, but is often overlooked. In multinational and multicultural regions such as Europe, a holistic approach, which will take into account both traditional and socioeconomic/socioecological factors, is becoming increasingly crucial in order to implement multidimensional public health programs and integrated community-based interventions for effective T2DM prevention.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Diet
Ethnicity
Lifestyle
Obesity
Risk factors
Socioeconomic status
Type 2 diabetes
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 1 (2020), p. 1-13. -
További szerzők:Tsigos, Constantine Mavrogianni, Christina Cardon, Greet Van Stappen, Vicky Latomme, Julie Kivelä, Jemina Wikström, Katja Tsochev, Kaloyan Nánási Anna (1995-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Mateo-Gallego, Rocío Lamiquiz-Moneo, Itziar Dafoulas, George Timpel, Patrick Schwarz, Peter E. H. Iotova, Violeta Tankova, Tsvetalina Makrilakis, Konstantinos Manios, Yannis Kolozsvári László Róbert (1977-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Ungvári Tímea Feel4Diabetes-Study Group
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6.

001-es BibID:BIBFORM085541
Első szerző:Lambrinou, Christina-Paulina
Cím:Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component / Lambrinou Christina-Paulina, Androutsos Odysseas, Karaglani Eva, Cardon Greet, Huys Nele, Wikström Katja, Kivelä Jemina, Ko Winne, Karuranga Ernest, Tsochev Kaloyan, Iotova Violeta, Dimova Roumyana, De Miguel-Etayo Pilar, M. González-Gil Esther, Tamás Hajnalka, Jancsó Zoltán, Liatis Stavros, Makrilakis Konstantinos, Manios Yannis, Feel4Diabetes-study group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Background: Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies. Methods: Studies published between 2000 and January 2015 were retrieved from scientific electronic databases and grey literature. The databases used included MEDLINE/PubMed, Web-of-Science, CINAHL and Scopus. Included studies had to be experimental controlled studies and had duration over 1 school year, had family involvement, combined PA and dietary behaviors and were implemented in school setting. A complementary search was executed to update the review to cover the period from February 2015 to January 2019. Results: From the studies examined (n = 425), 27 intervention programs (33 publications) fulfilled the inclusion criteria. Among these, 15 presented significant effect on weight status and/ or overweight/ obesity or clinical indices, 3 presented significant effect on most energy balance-related behaviors (EBRBs) while 9 presented significant effect on some/few EBRBs or determinants. Strategies implemented in effective interventions were: teachers acting as role-models and being actively involved in the delivery of the intervention, school policies supporting the availability of healthy food and beverage choices and limiting unhealthy snacks, changes in the schoolyard, in the recess rules and in the physical education classes to increase physical activity, and involving parents in the intervention via assignments, meetings, informative material and encouraging them to improve the home environment. Use of incentives for children, social marketing techniques, collaboration with local stakeholders were found to increase effectiveness. Programs that focused only on educational sessions and material for parents, without promoting relevant environmental and policy changes, were found to be less effective. Cultural adaptations have been suggested to increase the intervention's acceptance in specific or vulnerable population groups. Conclusions: Several effective strategies were identified in the reviewed programs. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Obesity prevention
Type 2 diabetes prevention
Primary school children
Families
School based
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 2 (2020), p. 1-20. -
További szerzők:Androutsos, Odysseas Karaglani, Eva Cardon, Greet Huys, Nele Wikström, Katja Kivelä, Jemina Ko, Winne Karuranga, Ernest Tsochev, Kaloyan Iotova, Violeta Dimova, Roumyana De Miguel-Etayo, Pilar González-Gil, Esther Tamás Hajnalka Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Liatis, Stavros Makrilakis, Konstantinos Manios, Yannis Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
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7.

001-es BibID:BIBFORM084099
Első szerző:Manios, Yannis
Cím:Two-stage, school and community-based population screening successfully identifies individuals and families at high-risk for type 2 diabetes : the Feel4Diabetes-study / Yannis Manios, Christina Mavrogianni, Christina-Paulina Lambrinou, Greet Cardon, Jaana Lindström, Violeta Iotova, Tsvetalina Tankova, Fernando Civeira, Jemina Kivelä, Zoltán Jancsó, Samyah Shadid, Kaloyan Tsochev, Rocío Mateo-Gallego, Sándorné Radó, George Dafoulas, Konstantinos Makrilakis, Odysseas Androutsos, Kolozsvári László, Feel4Diabetes-study group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract Background: The implementation of population screening and early prevention strategies targeting individuals at high-risk for type 2 diabetes (T2D) seems to be a public health priority. The current work aimed to describe the screening procedure applied in the Feel4Diabetes-study and examine its effectiveness in identifying individuals and families at high risk, primarily for T2D and secondarily for hypertension, among vulnerable populations in low to middle-income countries (LMICs) and high-income countries (HICs) across Europe. Methods: A two-stage screening procedure, using primary schools as the entry-point to the community, was applied in low socioeconomic status (SES) regions in LMICs (Bulgaria-Hungary), HICs (Belgium-Finland) and HICs under austerity measures (Greece-Spain). During the first-stage screening via the school-setting, a total of 20,501 parents (mothers and/or fathers) of schoolchildren from 11,396 families completed the Finnish Diabetes Risk Score (FINDRISC) questionnaire, while their children underwent anthropometric measurements in the school setting. Parents from the identified "high-risk families" (n = 4484) were invited to participate in the second-stage screening, including the measurement of fasting plasma glucose (FPG) and blood pressure (BP). In total, 3153 parents participated in the second-stage screening (mean age 41.1 ? 5.6 years, 65.8% females). Results: Among parents who attended the second-stage screening, the prevalence of prediabetes (as defined by impaired fasting glucose; FPG 100-125 mg/dl) and T2D (FPG > 126 mg/dl) was 23.2 and 3.0% respectively, and it was found to be higher in the higher FINDRISC categories. The percentage of undiagnosed T2D among the participants identified with T2D was 53.5%. The prevalence of high normal BP (systolic BP 130-139mmHg and/ or diastolic BP 85- 89mmHg) and hypertension (systolic BP ? 140mmHg and/ or diastolic BP ? 90mmHg) was 14 and 18.6% respectively, which was also higher in the higher FINDRISC categories. The percentage of cases not receiving antihypertensive treatment among the participants identified with hypertension was 80.3%.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hypertension
School-based
Screening
Type 2 diabetes
Vulnerable groups
Megjelenés:BMC Endocrine Disorders. - 20 : S1 (2020), p. 1-12. -
További szerzők:Mavrogianni, Christina Lambrinou, Christina-Paulina Cardon, Greet Lindström, Jaana Iotova, Violeta Tankova, Tsvetalina Civeira, Fernando Kivelä, Jemina Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Shadid, Samyah Tsochev, Kaloyan Mateo-Gallego, Rocío Radó Sándor Istvánné (1976-) (diplomás ápoló) Dafoulas, George Makrilakis, Konstantinos Androutsos, Odysseas Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
Pályázati támogatás:The Feel4Diabetes-intervention is registered at https://clinicaltrials.gov/ (NCT02393872; date of trial registration: March 20, 2015).
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