一项针对八个欧洲国家预防儿童肥胖的社区导向型环境干预措施的行为效应。IDEFICS研究的主要结果。

Behavioural effects of a community-oriented setting-based intervention for prevention of childhood obesity in eight European countries. Main results from the IDEFICS study.

作者信息

De Bourdeaudhuij I, Verbestel V, De Henauw S, Maes L, Huybrechts I, Mårild S, Eiben G, Moreno L A, Barba G, Kovács É, Konstabel K, Tornaritis M, Gallois K, Hebestreit A, Pigeot I

机构信息

Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium.

Department of Public Health, Ghent University, Ghent, Belgium.

出版信息

Obes Rev. 2015 Dec;16 Suppl 2:30-40. doi: 10.1111/obr.12347.

DOI:10.1111/obr.12347

PMID:26707014

Abstract

OBJECTIVE

The objective of this paper is to evaluate the behavioural effects, as reported by the parents of the participating boys and girls, of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) intervention.

METHODS

The effectiveness of the IDEFICS intervention was evaluated through a cluster-controlled trial in eight European countries (control and intervention communities in each country) including more than 16,000 children. The 2- to 9.9-year-old children in the intervention group were exposed to a culturally adapted intervention that aimed to prevent childhood obesity through the community, schools/kindergartens and family. Parents completed questionnaires to measure water, soft drink and fruit juice intake; fruit and vegetable intake; daily TV viewing and other sedentary behaviours; daily physical activity levels and strengthening of the parent-child relationships at baseline and follow-up (2 years later). Mixed models with an additional random effect for country were used to account for the clustered study design, and results were stratified by sex.

RESULTS

The pan-European analysis revealed no significant time by condition interaction effects, neither for boys nor girls, i.e. the analysis revealed no intervention effects on the behaviours of the IDEFICS children as reported by their parents (F = 0.0 to 3.3, all p > 0.05). Also very few significances were found in the country-specific analyses. Positive intervention effects were only found for sport club participation in Swedish boys, for screen time in weekends for Spanish boys and for TV viewing in Belgian girls.

CONCLUSION

Although no expected intervention effects as reported by the parents on diet, physical activity and sedentary behaviours could be shown for the overall IDEFICS cohort, a few favourable intervention effects were found on specific behaviours in some individual countries. More in-depth analyses of the process evaluation data are needed to obtain more insight into the relationship between the level of exposure to the intervention and its effect.

摘要

目的

本文旨在评估由参与研究的男孩和女孩的父母报告的IDEFICS（儿童和婴儿饮食与生活方式所致健康影响的识别与预防）干预措施的行为效果。

方法

通过在八个欧洲国家（每个国家的对照社区和干预社区）开展的整群对照试验，对包括16000多名儿童在内的IDEFICS干预措施的有效性进行评估。干预组中2至9.9岁的儿童接受了一项根据文化调整的干预措施，该措施旨在通过社区、学校/幼儿园和家庭预防儿童肥胖。父母在基线和随访时（2年后）完成问卷，以测量水、软饮料和果汁摄入量；水果和蔬菜摄入量；每日看电视及其他久坐行为；每日身体活动水平以及亲子关系的强化情况。使用带有国家额外随机效应的混合模型来考虑整群研究设计，并按性别对结果进行分层。

结果

泛欧洲分析显示，无论男孩还是女孩，均未发现条件与时间的交互作用显著，即分析显示，父母报告的IDEFICS儿童的行为未受干预影响（F = 0.0至3.3，所有p>0.05）。在各国的具体分析中也很少发现显著结果。仅在瑞典男孩的体育俱乐部参与情况、西班牙男孩周末的屏幕使用时间以及比利时女孩的看电视情况方面发现了积极的干预效果。