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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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2.

001-es BibID:BIBFORM105600
035-os BibID:(scopus)85104047850 (wos)000636800500007
Első szerző:Flores-Barrantes, Paloma
Cím:Step Count Associations Between Adults at Risk of Developing Diabetes and Their Children : The Feel4Diabetes Study / Flores-Barrantes Paloma, Cardon Greet, Iglesia Iris, Moreno Luis A., Androutsos Odysseas, Manios Yannis, Kivelä Jemina, Lindström Jaana, De Craemer Marieke, Feel4Diabetes Study Group
Dátum:2021
ISSN:1543-3080 1543-5474
Megjegyzések:Abstract 2 Background: Type 2 diabetes mellitus (T2DM) is a worldwide public health problem. Shared risk factors (e.g., 3 low physical activity levels) between parents at risk and their children should be addressed to prevent the 4 development of the disease. The aim of this study was to determine the association of objectively measured step 5 counts per day between parents at risk of developing T2DM and their 6- to 10-year-old children. 6 Methods: Baseline data from the "Families across Europe following a Healthy Lifestyle 4 Diabetes prevention" 7 (Feel4Diabetes-study) study were analyzed. Two hundred fifty dyads of children and one parent (54.4% girls and 8 77.6% mothers) from Belgium were included. Step counts per day during 5 consecutive days (3 weekdays and 2 9 weekend days) from parents and their children were objectively measured with ActiGraph accelerometers. 10 Results: Adjusted linear regression models indicated that parents' and children's step counts were significantly 11 associated during all days (?=0.245), weekdays (?=0.205), and weekend days (?=0.316) (p<0.002 in all cases). 12 Specifically, mother-daughter associations during all days (?=0.294) and weekend days (?=0.418) (p<0.001 in 13 both cases) and father-son step counts during weekdays (?=0.422) and when considering all days (?=0.467) were 14 significant (p<0.02 in both cases). 15 Conclusion: There is a positive association between step counts from adults at risk of developing T2DM and their 16 children, especially in the mother-daughter and father-son dyads.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Type 2 Diabetes Mellitus
physical activity
parents
children
Megjelenés:Journal of Physical Activity & Health. - 18 : 4 (2021), p. 374-381. -
További szerzők:Cardon, Greet Iglesia, Iris Moreno, Luis A. Androutsos, Odysseas Manios, Yannis Kivelä, Jemina Lindström, Jaana De Craemer, Marieke Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Nánási Anna (1995-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Semánová Csilla (1991-) (PhD hallgató) Antal Emese Radó Sándor Istvánné (1976-) (diplomás ápoló) Feel4Diabetes-Study Group
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3.

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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4.

001-es BibID:BIBFORM081886
035-os BibID:(cikkazonosító)100 (WoS)000494653500003 (Scopus)85074544908
Első szerző:Latomme, Julie
Cím:Do physical activity and screen time mediate the association between European fathers' and their children's weight status? Cross-sectional data from the Feel4Diabetes-study / Julie Latomme, Nele Huys, Greet Cardon, Philip J. Morgan, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther M. González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László R. Kolozsvári, Yannis Manios, Marieke De Craemer, Feel4Diabetes-study group
Dátum:2019
ISSN:1479-5868
Megjegyzések:Abstract BACKGROUND: Most research on parenting and childhood obesity and obesity-related behaviours has focused on mothers while fathers have been underrepresented. Yet, recent literature has suggested that fathers uniquely influence their children's lifestyle behaviours, and hence could also affect their weight status, but this has not yet been scientifically proven. Therefore, the present study aimed to determine whether the association between fathers' weight status and their children's weight status is mediated by fathers' and children's movement behaviours (i.e. physical activity (PA) and screen time (ST)). METHODS: Cross-sectional data of 899 European fathers and their children were analyzed. Fathers/male caregivers (mean age =?43.79???5.92?years, mean BMI =?27.08???3.95) completed a questionnaire assessing their own and their children's (mean age =?8.19???0.99?years, 50.90% boys, mean BMIzscore =?0.44???1.07) movement behaviours. Body Mass Index (BMI, in kg/m2) was calculated based on self-reported (fathers) and objectively measured (children) height and weight. For children, BMI z-scores (SD scores) were calculated to obtain an optimal measure for their weight status. Serial mediation analyses were performed using IBM SPSS 25.0 Statistics for Windows to test whether the association between fathers' BMI and children's BMI is mediated by fathers' PA and children's PA (model 1) and fathers' ST and children's ST (model 2), respectively. RESULTS: The present study showed a (partial) mediation effect of fathers' PA and children's PA (but not father's ST and children's ST) on the association between fathers' BMI and children's BMI (model for PA; coefficient: 0.001, 95% CI: [0.0001, 0.002]; model for ST; coefficient: 0.001, 95% CI: [0.000, 0.002]). Furthermore, fathers' movement behaviours (PA and ST) were positively associated with their children's movement behaviours (PA and ST) (model for PA, coefficient: 0.281, SE: 0.023, p <?0.001; model for ST, coefficient: 0.345, SE: 0.025, p?<?0.001). CONCLUSIONS: These findings indicate that the influence of fathers on their children's weight status partially occurs through the association between fathers' PA and children's PA (but not their ST). As such, intervening by focusing on PA of fathers but preferably of both members of the father-child dyad (e.g. engaging fathers and their children in co-PA) might be a novel and potentially effective strategy for interventions aiming to prevent childhood overweight and obesity. Longitudinal studies or intervention studies confirming these findings are however warranted to make meaningful recommendations for health intervention and policy.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:International Journal of Behavioral Nutrition and Physical Activity. - 16 : 1 (2019), p. 1-11. -
További szerzők:Huys, Nele Cardon, Greet Morgan, Philip Lateva, Mina Chakarova, Nevena Kivelä, Jemina Lindström, Jaana Androutsos, Odysseas González-Gil, Esther De Miguel-Etayo, Pilar Nánási Anna (1995-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Manios, Yannis De Craemer, Marieke Feel4Diabetes-Study Group
Pályázati támogatás:ID: 643708
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Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM076247
035-os BibID:(cikkazonosító)2599 (Scopus)85057074399 (WOS)000451640500273
Első szerző:Latomme, Julie
Cím:The Association between Children's and Parents' Co-TV Viewing and Their Total Screen Time in Six European Countries : cross-Sectional Data from the Feel4diabetes-Study / Julie Latomme, Vicky Van Stappen, Greet Cardon, Philip J. Morgan, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther M. González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László R. Kolozsvári, Yannis Manios, Marieke De Craemer
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:In many European children, high levels of screen time can be found, which is associated with several adverse health outcomes. Therefore, there is a need for identifying effective intervention strategies that reduce screen time in children. A factor that may contribute to excessive screen time in children may be "co-TV viewing" (i.e., the time that parents and children spend on watching TV together), as parents often recognize the importance of limiting children's (individual) screen time, but often encourage TV viewing as a family because of its perceived benefits (e.g., educational purposes). The primary aim of this study was to investigate the (sex-specific) association between co-TV viewing and both children's and parents' screen time, and these associations were investigated across and within six European countries. In total, 10,969 parents (Meanage = 40.7 ? 5.3 years, MeanBMI = 24.4 ? 4.6) of primary school children (Meanage = 8.2 ? 1.0 years, 49.0% boys, MeanBMI = 17.3 ? 2.8) completed a questionnaire assessing co-TV viewing and screen time. Multilevel regression analyses were conducted. Across countries, positive associations were found between co-TV viewing and both children's (? = 11.85, SE = 3.69, p < 0.001) and parents' screen time (? = 14.47, SE = 4.43, p = 0.001). Similar associations were found in most (but not all) countries. The results suggest that targeting co-TV viewing might be a promising intervention strategy because of its potential to limit screen time of both children and parents.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 11 (2018), p. 1-18. -
További szerzők:Van Stappen, Vicky Cardon, Greet Morgan, Philip Lateva, Mina Chakarova, Nevena Kivelä, Jemina Lindström, Jaana Androutsos, Odysseas González-Gil, Esther De Miguel-Etayo, Pilar Nánási Anna (1995-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Manios, Yannis De Craemer, Marieke
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6.

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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7.

001-es BibID:BIBFORM076342
035-os BibID:(Scopus)85058737260 (WOS)000456527000231 (cikkazonosító)2840
Első szerző:Van Stappen, Vicky
Cím:Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe : the Feel4Diabetes Study / Vicky Van Stappen, Julie Latomme, Greet Cardon, Ilse De Bourdeaudhuij, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László R. Kolozsvári, Yannis Manios, Marieke De Craemer, Feel4Diabetes-Study Group
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, Finland, Hungary, Greece and Spain). In each country, three focus groups were conducted with parents, one with teachers and one with local community workers. Data were analysed using a deductive framework approach with a manifest content analysis using the software NVivo. The present study identified barriers on four levels (individual, interpersonal, organisational and macro level) of a socio-ecological model of health behaviour. From parents' perspectives, both general barriers (e.g., financial limitations and lack of time) and country-specific barriers (e.g., organisational difficulties and inappropriate work environment) were identified. Additional barriers (e.g., lack of parental knowledge and lack of parental skills) were provided by other stakeholders (i.e., teachers and local community workers). The results of this study demonstrate the additional value of including multiple perspectives when developing a lifestyle intervention aiming to prevent type 2 diabetes in vulnerable groups. Future lifestyle interventions are recommended to include multiple components (family, school, and community) and could be implemented across European countries if country-specific adaptations are allowed
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 12 (2018), p. 2840. -
További szerzők:Latomme, Julie Cardon, Greet De Bourdeaudhuij, Ilse Lateva, Mina Chakarova, Nevena Kivelä, Jemina Lindström, Jaana Androutsos, Odysseas González-Gil, Esther De Miguel-Etayo, Pilar Nánási Anna (1995-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Manios, Yannis De Craemer, Marieke Feel4Diabetes-Study Group
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Intézményi repozitóriumban (DEA) tárolt változat
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