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  • 1.
    Gwozdz, Wencke
    et al.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Ctr Corp Social Responsibil, Copenhagen, Denmark.
    Sousa-Poza, Alfonso
    Univ Hohenheim, Inst Hlth Care & Publ Management, D-70599 Stuttgart, Germany.
    Reisch, Lucia A.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Ctr Corp Social Responsibil, Copenhagen, Denmark.
    Bammann, Karin
    Univ Bremen, Bremen Inst Prevent Res & Social Med, D-28359 Bremen, Germany.;Univ Bremen, Human & Hlth Sci, D-28359 Bremen, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, Gothenburg, Sweden..
    Kourides, Yiannis
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Kovacs, Eva
    Univ Pecs, Dept Paediat, Med, Pecs, Hungary.
    Lauria, Fabio
    CNR, Inst Food Sci & Technol, Rome, Italy.
    Konstabel, Kenn
    Univ Tartu, Inst Psychol Social Sci & Educ, Tartu, Estonia.
    Santaliestra-Pasias, Alba M.
    Univ Zaragoza, Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Vyncke, Krishna
    Univ Ghent, Univ Hosp, Dept Publ Hlth Med & Hlth Sci, B-9000 Ghent, Belgium.
    Pigeot, Iris
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat Math & Comp Sci, D-28359 Bremen, Germany.
    Peer effects on obesity in a sample of European children2015In: Economics and Human Biology, ISSN 1570-677X, E-ISSN 1873-6130, Vol. 18, p. 139-152Article in journal (Refereed)
    Abstract [en]

    This study analyzes peer effects on childhood obesity using data from the first two waves of the IDEFICS study, which applies several anthropometric and other measures of fatness to approximately 14,000 children aged two to nine participating in both waves in 16 regions of eight European countries. Peers are defined as same-sex children in the same school and age group. The results show that peer effects do exist in this European sample but that they differ among both regions and different fatness measures. Peer effects are larger in Spain, Italy, and Cyprus - the more collectivist regions in our sample - while waist circumference generally gives rise to larger peer effects than BMI. We also provide evidence that parental misperceptions of their own children's weight goes hand in hand With fatter peer groups, supporting the notion that in making such assessments, parents compare their children's weight with that of friends and schoolmates. 

  • 2.
    Verbestel, Vera
    et al.
    Univ Ghent, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Bammann, Karin
    Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.;BIPS Inst Epidemiol & Prevent Res GmbH, Bremen, Germany.
    Barba, Gianvincenzo
    CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, Avellino, Italy.
    Hadjigeorgiou, Charalambos
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Konstabel, Kenn
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Kovacs, Eva
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Pitsiladis, Yannis
    Univ Glasgow, Coll Med Vet & Life Sci, Glasgow, Lanark, Scotland.
    Reisch, Lucia
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Santaliestra-Pasias, Alba M.
    Univ Zaragoza, Univ Sch Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Maes, Lea
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    De Bourdeaudhuij, Ilse
    Univ Ghent, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    Are context-specific measures of parental-reported physical activity and sedentary behaviour associated with accelerometer data in 2-9-year-old European children?2015In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 18, no 5, p. 860-868Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of the present study was to investigate if context-specific measures of parental-reported physical activity and sedentary behaviour are associated with objectively measured physical activity and sedentary time in children. Design: Cross-sectional study. Setting: Seven European countries taking part in the IDEFICS (Identification and Prevention of Dietary-and Lifestyle-induced Health Effects in Children and Infants) study. Subjects: Data were analysed from 2-9-year-old children (n 5982) who provided both parental-reported and accelerometer-derived physical activity/sedentary behaviour measures. Parents reported their children's daily screen-time, weekly sports participation and daily outdoor playtime by means of the Outdoor Playtime Checklist (OPC) and Outdoor Playtime Recall Questions (OPRQ). Results: Sports participation, OPC-and OPRQ-derived outdoor play were positively associated with accelerometer-derived physical activity. Television viewing and computer use were positively associated with accelerometer-derived sedentary time. All parental-reported measures that were significantly associated with accelerometer outcomes explained only a minor part of the variance in accelerometer-derived physical activity or sedentary time. Conclusions: Parental-reported measures of physical activity and sedentary behaviour are not useful as a proxy for 2-9-year-old children's physical activity and sedentary time. Findings do not preclude the use of context-specific measures but imply that conclusions should be limited to the context-specific behaviours that are actually measured. Depending on the aim of the study, future research should carefully consider the choice of measurements, including the use of subjective or objective measures of the behaviour of interest or a combination of both.

  • 3.
    Verbestel, Vera
    et al.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Maes, Lea
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Haerens, Leen
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.;Univ Ghent, Res Fdn Flanders, B-9000 Ghent, Belgium.
    Marild, Staffan
    Univ Gothenburg, Dept Pediat, Queen Silivia Childrens Univ, S-41685 Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, S-40530 Gothenburg, Sweden.
    Lissner, Lauren
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, S-40530 Gothenburg, Sweden.
    Moreno, Luis A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev, Res Grp, Univ Sch Hlth Sci, Zaragoza 50009, Spain.
    Frauca, Natalia Lascorz
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev, Res Grp, Univ Sch Hlth Sci, Zaragoza 50009, Spain.
    Barba, Gianvincenzo
    CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, I-83100 Avellino, Italy.
    Kovacs, Eva
    Univ Pecs, Dept Pediat, H-7623 Pecs, Hungary.
    Konstabel, Kenn
    Natl Inst Hlth Dev, EE-50410 Tallinn, Estonia.
    Tornaritis, Michael
    Res & Educ Inst Child Hlth, CY-2027 Strovolos, Cyprus.
    Gallois, Katharina
    Univ Bremen, Bremen Inst Prevent Res & Social Med BIPS, D-28359 Bremen, Germany.
    Hassel, Holger
    Univ Bremen, Bremen Inst Prevent Res & Social Med BIPS, D-28359 Bremen, Germany / Univ Appl Sci, Hsch Coburg, Coburg, Germany.
    De Bourdeaudhuij, Ilse
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: the IDEFICS intervention2011In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 8, article id 82Article in journal (Refereed)
    Abstract [en]

    Background: The prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries. The aim of the present manuscript was to describe the content and developmental process of the IDEFICS intervention. Methods: The intervention mapping protocol (IMP) was used to develop the community-based intervention for the prevention of childhood obesity in 3 to 10 years old children. It is a theory-and evidence-based tool for the structured planning and development of health promotion programs that requires the completion of six different steps. These steps were elaborated by two coordinating centers and discussed with the other participating centers until agreement was reached. Focus group research was performed in all participating centers to provide an informed basis for intervention development. Results: The application of the IMP resulted in an overall intervention framework with ten intervention modules targeting environmental and personal factors through the family, the school and the community. The summary results of the focus group research were used to inform the development of the overall intervention. The cultural adaptation of the overall intervention was realised by using country specific focus group results. The need for cultural adaptation was considered during the entire process to improve program adoption and implementation. A plan was developed to evaluate program effectiveness and quality of implementation. Conclusions: The IDEFICS project developed a community-based intervention for the prevention of childhood obesity by using to the intervention mapping heuristic. The IDEFICS intervention consists of a general and standardized intervention framework that allows for cultural adaptation to make the intervention feasible and to enhance deliverability in all participating countries. The present manuscript demonstrates that the development of an intervention is a long process that needs to be done systematically. Time, human resources and finances need to be planned beforehand to make interventions evidence-based and culturally relevant.

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