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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:	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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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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