A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-05-26 DOI:10.1111/ijpo.70025

Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova, Imre Rurik, Peter Toprzsa, Katja Wikström, Konstantinos Makrilakis, Yannis Manios

{"title":"A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study.","authors":"Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova, Imre Rurik, Peter Toprzsa, Katja Wikström, Konstantinos Makrilakis, Yannis Manios","doi":"10.1111/ijpo.70025","DOIUrl":null,"url":null,"abstract":"Background: Curbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.Objective: To examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.Methods: Data were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study. The intervention group received a lifestyle intervention, aiming to promote a healthy and active lifestyle. Children's anthropometrics were measured at baseline and 2-year follow-up.Results: Children with overweight, but not with obesity, at baseline randomized in the intervention group had a higher reduction in BMI z-scores compared to the control group. In logistic regression models, older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score in the intervention group. Mother's obesity and a lower family income were associated with a decreased probability of a positive weight outcome from the intervention.Conclusions: The Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70025"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Obesity","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ijpo.70025","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Curbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.

Objective: To examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.

Methods: Data were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study. The intervention group received a lifestyle intervention, aiming to promote a healthy and active lifestyle. Children's anthropometrics were measured at baseline and 2-year follow-up.

Results: Children with overweight, but not with obesity, at baseline randomized in the intervention group had a higher reduction in BMI z-scores compared to the control group. In logistic regression models, older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score in the intervention group. Mother's obesity and a lower family income were associated with a decreased probability of a positive weight outcome from the intervention.

Conclusions: The Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.

查看原文本刊更多论文

以学校为基础的肥胖预防和管理干预：有效性及其成功的决定因素。感受糖尿病研究。

背景：遏制儿童超重和肥胖的增加是公共卫生议程的重中之重。目的：考虑儿童的基线体重状况，研究2年学校干预对儿童体重指数（BMI） z-score的有效性，并确定可能预测积极体重结果的社会人口因素。方法：数据来自6个欧洲国家参与Feel4Diabetes研究的9255名5-12岁儿童。干预组接受生活方式干预，旨在促进健康和积极的生活方式。在基线和2年随访时测量儿童的人体测量学。结果：与对照组相比，干预组中超重但不肥胖的儿童在基线时的BMI z分数下降幅度更高。在logistic回归模型中，年龄较大、女性、超重或肥胖增加了干预组BMI z-score下降的可能性。母亲的肥胖和较低的家庭收入与干预后体重阳性结果的可能性降低有关。结论：Feel4Diabetes校本干预可以有效改善超重儿童的BMI z-score，但对肥胖儿童无效。家庭特征（母亲的体重和家庭收入）可能影响这些干预措施的有效性，应在相关的公共卫生工作中予以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.