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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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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 Egyéb
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001-es BibID:	BIBFORM085540
Első szerző:	Virtanen, Eeva
Cím:	Feel4Diabetes healthy diet score : development and evaluation of clinical validity / Virtanen Eeva, Kivelä Jemina, Wikström Katja, Lambrinou Christina-Paulina, De Miguel-Etayo Pilar, Huys Nele, Vraukó-Tóth Katalin, Moreno Luis A., Usheva Natalya, Chakarova Nevena, Rado Sándorné A., Iotova Violeta, Makrilakis Konstantinos, Cardon Greet, Liatis Stavros, Manios Yannis, Lindström Jaana, Feel4Diabetes research group
Dátum:	2020
ISSN:	1472-6823
Megjegyzések:	Background: The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. Methods: Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson's correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson's correlations were studied between baseline and 1 year score, within the control group only. Results: The mean total score was 52.8 ? 12.8 among women and 46.6 ? 12.8 among men (p < 0.001). The total score and its components differed between countries. The change in the Healthy Diet Score was significantly correlated with changes in BMI, waist circumference, and total and LDL cholesterol. The Healthy Diet Score as well as its components at baseline were significantly correlated with the values at year 1, in the control group participants. (Continued from previous page) Conclusion: The Feel4Diabetes Healthy Diet Score is a reproducible method to capture the dietary information collected with the Feel4Diabetes questionnaire and measure the level of and changes in the adherence to the dietary goals of the intervention. It gives a simple parameter that associates with clinical risk factors in a meaningful manner.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Diet Diet score Evaluation Intervention Risk factors Type 2 diabetes Validity
Megjelenés:	BMC Endocrine Disorders. - 20 : Suppl. 2 (2020), p. 1-10. -
További szerzők:	Kivelä, Jemina Wikström, Katja Lambrinou, Christina-Paulina De Miguel-Etayo, Pilar Huys, Nele Tóth-Vraukó Katalin Moreno, Luis A. Usheva, Natalya Chakarova, Nevena Radó Sándor Istvánné (1976-) (diplomás ápoló) Iotova, Violeta Makrilakis, Konstantinos Cardon, Greet Liatis, Stavros Manios, Yannis Lindström, Jaana Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
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