Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children

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Verbestel, Vera, De Henauw, S., Barba, G., Eiben, Gabriele, Gallois, K., Hadjigeorgiou, Charalampos, Konstabel, Kenn, Maes, L., Marild, Staffan, Molnár, D., Moreno, Luis A., Oja, L., Pitsiladis, Yannis, Ahrens, W., Pigeot, Iris and De Bourdeaudhuij, Ilse (2015) Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children Obesity Reviews, 16 (S2). pp. 57-67. ISSN 1467-7881

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Abstract

This paper reports on the effectiveness of the prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) intervention on objectively measured physical activity (PA) and sedentary time (ST) in 2- to 9.9-year-old European boys and girls.  METHODS: The intervention was evaluated after 2 years through a non-randomized cluster-controlled trial in eight European countries (one control and one intervention community per country). All children in the intervention group received a culturally adapted childhood obesity prevention programme through the community, schools/kindergartens and family. A random sub-sample of children participating in the IDEFICS study wore an accelerometer at baseline and follow-up for at least 3 days (n = 9,184). Of this sample, 81% provided valid accelerometer data at baseline (n = 7,413; 51% boys; 6.21 ± 1.76 years; boys: 617 ± 170 cpm day(-1) ; girls 556 ± 156 cpm day(-1) ) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2 years later.  RESULTS: In boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2 years. Strong temporal effects were found in the total sample of boys and girls: the percentage of time spent in light PA per day decreased by 4 percentage points in both boys and girls between baseline and follow-up (both: p < 0.001), while time spent in ST per day increased by 4 percentage points in both sexes over time (both: p < 0.001). Percentage of time spent in moderate-to-vigorous PA per day remained stable over time in boys and girls.  CONCLUSION: Despite the socio-ecological approach and implementation of a culturally adapted intervention in each country, no effects of the IDEFICS intervention were found on children's objectively measured PA and ST. Behavioural interventions for children may need to enhance specificity and intensity at the family level using other behaviour change techniques and more direct strategies to reach parents.

Item Type: Journal article
Subjects: C000 Biological and Biomedical Sciences > C600 Sport and Exercise Science
L000 Social Sciences > L300 Sociology > L311 Sport and Leisure
C000 Biological and Biomedical Sciences > C400 Genetics
C000 Biological and Biomedical Sciences > C400 Genetics > C420 Human genetics
C000 Biological and Biomedical Sciences > C400 Genetics > C490 Genetics not elsewhere classified
B000 Health Professions > B100 Anatomy Physiology and Pathology
B000 Health Professions > B100 Anatomy Physiology and Pathology > B120 Physiology
B000 Health Professions > B100 Anatomy Physiology and Pathology > B110 Anatomy
B000 Health Professions > B100 Anatomy Physiology and Pathology > B190 Anatomy, Physiology and Pathology not elsewhere classified
DOI (a stable link to the resource): 10.1111/obr.12348
Depositing User: Converis
Date Deposited: 03 Aug 2016 03:01
Last Modified: 03 Aug 2016 10:01
URI: http://eprints.brighton.ac.uk/id/eprint/15854

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