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

Vera Verbestel, S. De Henauw, G. Barba, Gabriele Eiben, K. Gallois, Charalampos Hadjigeorgiou, Kenn Konstabel, L. Maes, Staffan Marild, D. Molnár, Luis A. Moreno, L. Oja, Yannis Pitsiladis, W. Ahrens, Iris Pigeot, Ilse De Bourdeaudhuij

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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.
Original languageEnglish
Pages (from-to)57-67
Number of pages11
JournalObesity Reviews
Volume16
Issue numberS2
DOIs
Publication statusPublished - 1 Dec 2015

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Exercise
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Pediatric Obesity
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Verbestel, V., De Henauw, S., Barba, G., Eiben, G., Gallois, K., Hadjigeorgiou, C., ... De Bourdeaudhuij, I. (2015). Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children. Obesity Reviews, 16(S2), 57-67. https://doi.org/10.1111/obr.12348
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 ; De Bourdeaudhuij, Ilse. / Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children. In: Obesity Reviews. 2015 ; Vol. 16, No. S2. pp. 57-67.
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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.",
author = "Vera Verbestel and {De Henauw}, S. and G. Barba and Gabriele Eiben and K. Gallois and Charalampos Hadjigeorgiou and Kenn Konstabel and L. Maes and Staffan Marild and D. Moln{\'a}r and Moreno, {Luis A.} and L. Oja and Yannis Pitsiladis and W. Ahrens and Iris Pigeot and {De Bourdeaudhuij}, Ilse",
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Verbestel, V, De Henauw, S, Barba, G, Eiben, G, Gallois, K, Hadjigeorgiou, C, Konstabel, K, Maes, L, Marild, S, Molnár, D, Moreno, LA, Oja, L, Pitsiladis, Y, Ahrens, W, Pigeot, I & De Bourdeaudhuij, I 2015, 'Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children', Obesity Reviews, vol. 16, no. S2, pp. 57-67. https://doi.org/10.1111/obr.12348

Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children. / 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; De Bourdeaudhuij, Ilse.

In: Obesity Reviews, Vol. 16, No. S2, 01.12.2015, p. 57-67.

Research output: Contribution to journalArticle

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T1 - Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children

AU - Verbestel, Vera

AU - De Henauw, S.

AU - Barba, G.

AU - Eiben, Gabriele

AU - Gallois, K.

AU - Hadjigeorgiou, Charalampos

AU - Konstabel, Kenn

AU - Maes, L.

AU - Marild, Staffan

AU - Molnár, D.

AU - Moreno, Luis A.

AU - Oja, L.

AU - Pitsiladis, Yannis

AU - Ahrens, W.

AU - Pigeot, Iris

AU - De Bourdeaudhuij, Ilse

PY - 2015/12/1

Y1 - 2015/12/1

N2 - 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.

AB - 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.

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DO - 10.1111/obr.12348

M3 - Article

VL - 16

SP - 57

EP - 67

JO - Obesity Reviews

JF - Obesity Reviews

SN - 1467-7881

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