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

V. Verbestel; S. De Henauw; G. Barba; G. Eiben; K. Gallois; C. Hadjigeorgiou; K. Konstabel; L. Maes; S. Mårild; D. Molnár; L. A. Moreno; L. Oja; Y. Pitsiladis; W. Ahrens; I. Pigeot; I. De Bourdeaudhuij; IDEFICS Consortium

doi:10.1111/obr.12348

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

V. Verbestel^*, S. De Henauw, G. Barba, G. Eiben, K. Gallois, C. Hadjigeorgiou, K. Konstabel, L. Maes, S. Mårild, D. Molnár, L. A. Moreno, L. Oja, Y. Pitsiladis, W. Ahrens, I. Pigeot, I. De Bourdeaudhuij, IDEFICS Consortium

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › peer-review

26 Citations (Scopus)

Abstract

Background: 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 2years 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 3days (n=9,184). Of this sample, 81% provided valid accelerometer data at baseline (n=7,413; 51% boys; 6.21±1.76years; boys: 617±170cpmday^-1; girls 556±156cpmday^-1) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2years later.

Results: In boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2years. 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 language	English
Pages (from-to)	57-67
Number of pages	11
Journal	Obesity Reviews
Volume	16
Issue number	S2
DOIs	https://doi.org/10.1111/obr.12348
Publication status	Published - Dec 2015

Scopus Subject Areas

Endocrinology, Diabetes and Metabolism
Public Health, Environmental and Occupational Health

User-Defined Keywords

Children
Multi-level intervention
Physical activity
Sedentary time

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/obr.12348

Cite this

Verbestel, V., De Henauw, S., Barba, G., Eiben, G., Gallois, K., Hadjigeorgiou, C., Konstabel, K., Maes, L., Mårild, S., Molnár, D., Moreno, L. A., Oja, L., Pitsiladis, Y., Ahrens, W., Pigeot, I., De Bourdeaudhuij, I., & IDEFICS Consortium (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

@article{b1df0f93fc794cc99ec64cc680e5b06b,

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

abstract = "Background: 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 2years 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 3days (n=9,184). Of this sample, 81% provided valid accelerometer data at baseline (n=7,413; 51% boys; 6.21±1.76years; boys: 617±170cpmday-1; girls 556±156cpmday-1) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2years later.Results: In boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2years. 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.",

keywords = "Children, Multi-level intervention, Physical activity, Sedentary time",

author = "V. Verbestel and {De Henauw}, S. and G. Barba and G. Eiben and K. Gallois and C. Hadjigeorgiou and K. Konstabel and L. Maes and S. M{\aa}rild and D. Moln{\'a}r and Moreno, {L. A.} and L. Oja and Y. Pitsiladis and W. Ahrens and I. Pigeot and {De Bourdeaudhuij}, I. and {IDEFICS Consortium}",

note = "Publisher Copyright: {\textcopyright} 2015 World Obesity",

year = "2015",

month = dec,

doi = "10.1111/obr.12348",

language = "English",

volume = "16",

pages = "57--67",

journal = "Obesity Reviews",

issn = "1467-7881",

publisher = "Wiley-Blackwell Publishing Ltd",

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Verbestel, V, De Henauw, S, Barba, G, Eiben, G, Gallois, K, Hadjigeorgiou, C, Konstabel, K, Maes, L, Mårild, S, Molnár, D, Moreno, LA, Oja, L, Pitsiladis, Y, Ahrens, W, Pigeot, I, De Bourdeaudhuij, I & IDEFICS Consortium 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

TY - JOUR

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

AU - Verbestel, V.

AU - De Henauw, S.

AU - Barba, G.

AU - Eiben, G.

AU - Gallois, K.

AU - Hadjigeorgiou, C.

AU - Konstabel, K.

AU - Maes, L.

AU - Mårild, S.

AU - Molnár, D.

AU - Moreno, L. A.

AU - Oja, L.

AU - Pitsiladis, Y.

AU - Ahrens, W.

AU - Pigeot, I.

AU - De Bourdeaudhuij, I.

AU - IDEFICS Consortium

PY - 2015/12

Y1 - 2015/12

N2 - Background: 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 2years 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 3days (n=9,184). Of this sample, 81% provided valid accelerometer data at baseline (n=7,413; 51% boys; 6.21±1.76years; boys: 617±170cpmday-1; girls 556±156cpmday-1) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2years later.Results: In boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2years. 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 - Background: 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 2years 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 3days (n=9,184). Of this sample, 81% provided valid accelerometer data at baseline (n=7,413; 51% boys; 6.21±1.76years; boys: 617±170cpmday-1; girls 556±156cpmday-1) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2years later.Results: In boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2years. 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.

KW - Children

KW - Multi-level intervention

KW - Physical activity

KW - Sedentary time

UR - http://www.scopus.com/inward/record.url?scp=84955282489&partnerID=8YFLogxK

U2 - 10.1111/obr.12348

DO - 10.1111/obr.12348

M3 - Journal article

C2 - 26707016

AN - SCOPUS:84955282489

SN - 1467-7881

VL - 16

SP - 57

EP - 67

JO - Obesity Reviews

JF - Obesity Reviews

IS - S2

ER -

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

Abstract

Scopus Subject Areas

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UN SDGs

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