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Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component

(2020) BMC ENDOCRINE DISORDERS. 20(Supplement 2).
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Abstract
Background: Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies. Methods: Studies published between 2000 and January 2015 were retrieved from scientific electronic databases and grey literature. The databases used included MEDLINE/PubMed, Web-of-Science, CINAHL and Scopus. Included studies had to be experimental controlled studies and had duration over 1 school year, had family involvement, combined PA and dietary behaviors and were implemented in school setting. A complementary search was executed to update the review to cover the period from February 2015 to January 2019. Results: From the studies examined (n=425), 27 intervention programs (33 publications) fulfilled the inclusion criteria. Among these, 15 presented significant effect on weight status and/ or overweight/ obesity or clinical indices, 3 presented significant effect on most energy balance-related behaviors (EBRBs) while 9 presented significant effect on some/few EBRBs or determinants. Strategies implemented in effective interventions were: teachers acting as role-models and being actively involved in the delivery of the intervention, school policies supporting the availability of healthy food and beverage choices and limiting unhealthy snacks, changes in the schoolyard, in the recess rules and in the physical education classes to increase physical activity, and involving parents in the intervention via assignments, meetings, informative material and encouraging them to improve the home environment. Use of incentives for children, social marketing techniques, collaboration with local stakeholders were found to increase effectiveness. Programs that focused only on educational sessions and material for parents, without promoting relevant environmental and policy changes, were found to be less effective. Cultural adaptations have been suggested to increase the intervention’s acceptance in specific or vulnerable population groups. Conclusions: Several effective strategies were identified in the reviewed programs. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives.
Keywords
Endocrinology, Diabetes and Metabolism, General Medicine, Obesity prevention, Type 2 diabetes prevention, Primary school children, Families, School based intervention, PROMOTING PHYSICAL-ACTIVITY, FOLLOW-UP, NUTRITION EDUCATION, RISK-FACTORS, CHILDREN, OVERWEIGHT, HEALTH, PROGRAM, PREVALENCE, ADULTHOOD

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MLA
Lambrinou, Christina-Paulina, et al. “Effective Strategies for Childhood Obesity Prevention via School Based, Family Involved Interventions : A Critical Review for the Development of the Feel4Diabetes-Study School Based Component.” BMC ENDOCRINE DISORDERS, vol. 20, no. Supplement 2, 2020, doi:10.1186/s12902-020-0526-5.
APA
Lambrinou, C.-P., Androutsos, O., Karaglani, E., Cardon, G., Huys, N., Wikström, K., … Manios, Y. (2020). Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component. BMC ENDOCRINE DISORDERS, 20(Supplement 2). https://doi.org/10.1186/s12902-020-0526-5
Chicago author-date
Lambrinou, Christina-Paulina, Odysseas Androutsos, Eva Karaglani, Greet Cardon, Nele Huys, Katja Wikström, Jemina Kivelä, et al. 2020. “Effective Strategies for Childhood Obesity Prevention via School Based, Family Involved Interventions : A Critical Review for the Development of the Feel4Diabetes-Study School Based Component.” BMC ENDOCRINE DISORDERS 20 (Supplement 2). https://doi.org/10.1186/s12902-020-0526-5.
Chicago author-date (all authors)
Lambrinou, Christina-Paulina, Odysseas Androutsos, Eva Karaglani, Greet Cardon, Nele Huys, Katja Wikström, Jemina Kivelä, Winne Ko, Ernest Karuranga, Kaloyan Tsochev, Violeta Iotova, Roumyana Dimova, Pilar De Miguel-Etayo, Esther González-Gil, Hajnalka Tamás, Zoltán Jancso, Stavros Liatis, Konstantinos Makrilakis, and Yannis Manios. 2020. “Effective Strategies for Childhood Obesity Prevention via School Based, Family Involved Interventions : A Critical Review for the Development of the Feel4Diabetes-Study School Based Component.” BMC ENDOCRINE DISORDERS 20 (Supplement 2). doi:10.1186/s12902-020-0526-5.
Vancouver
1.
Lambrinou C-P, Androutsos O, Karaglani E, Cardon G, Huys N, Wikström K, et al. Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component. BMC ENDOCRINE DISORDERS. 2020;20(Supplement 2).
IEEE
[1]
C.-P. Lambrinou et al., “Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component,” BMC ENDOCRINE DISORDERS, vol. 20, no. Supplement 2, 2020.
@article{8660874,
  abstract     = {Background: Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies. 

Methods: Studies published between 2000 and January 2015 were retrieved from scientific electronic databases and grey literature. The databases used included MEDLINE/PubMed, Web-of-Science, CINAHL and Scopus. Included studies had to be experimental controlled studies and had duration over 1 school year, had family involvement, combined PA and dietary behaviors and were implemented in school setting. A complementary search was executed to update the review to cover the period from February 2015 to January 2019. 

Results: From the studies examined (n=425), 27 intervention programs (33 publications) fulfilled the inclusion criteria. Among these, 15 presented significant effect on weight status and/ or overweight/ obesity or clinical indices, 3 presented significant effect on most energy balance-related behaviors (EBRBs) while 9 presented significant effect on some/few EBRBs or determinants. Strategies implemented in effective interventions were: teachers acting as role-models and being actively involved in the delivery of the intervention, school policies supporting the availability of healthy food and beverage choices and limiting unhealthy snacks, changes in the schoolyard, in the recess rules and in the physical education classes to increase physical activity, and involving parents in the intervention via assignments, meetings, informative material and encouraging them to improve the home environment. Use of incentives for children, social marketing techniques, collaboration with local stakeholders were found to increase effectiveness. Programs that focused only on educational sessions and material for parents, without promoting relevant environmental and policy changes, were found to be less effective. Cultural adaptations have been suggested to increase the intervention’s acceptance in specific or vulnerable population groups. 

Conclusions: Several effective strategies were identified in the reviewed programs. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives.},
  articleno    = {52},
  author       = {Lambrinou, Christina-Paulina and Androutsos, Odysseas and Karaglani, Eva and Cardon, Greet and Huys, Nele and Wikström, Katja and Kivelä, Jemina and Ko, Winne and Karuranga, Ernest and Tsochev, Kaloyan and Iotova, Violeta and Dimova, Roumyana and De Miguel-Etayo, Pilar and González-Gil, Esther and Tamás, Hajnalka and Jancso, Zoltán and Liatis, Stavros and Makrilakis, Konstantinos and Manios, Yannis},
  issn         = {1472-6823},
  journal      = {BMC ENDOCRINE DISORDERS},
  keywords     = {Endocrinology,Diabetes and Metabolism,General Medicine,Obesity prevention,Type 2 diabetes prevention,Primary school children,Families,School based intervention,PROMOTING PHYSICAL-ACTIVITY,FOLLOW-UP,NUTRITION EDUCATION,RISK-FACTORS,CHILDREN,OVERWEIGHT,HEALTH,PROGRAM,PREVALENCE,ADULTHOOD},
  language     = {eng},
  number       = {Supplement 2},
  pages        = {20},
  title        = {Effective strategies for childhood obesity prevention via school based, family involved interventions : a critical review for the development of the Feel4Diabetes-study school based component},
  url          = {http://dx.doi.org/10.1186/s12902-020-0526-5},
  volume       = {20},
  year         = {2020},
}

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