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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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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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