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The effects of hypo...
The effects of hypothetical behavioral interventions on the 13-year incidence of overweight/obesity in children and adolescents
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Bornhorst, C. (author)
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Pigeot, I. (author)
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De Henauw, S. (author)
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Formisano, A. (author)
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- Lissner, Lauren, 1956 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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Molnar, D. (author)
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Moreno, L. A. (author)
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Tornaritis, M. (author)
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Veidebaum, T. (author)
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Vrijkotte, T. (author)
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Didelez, V. (author)
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Wolters, M. (author)
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: International Journal of Behavioral Nutrition and Physical Activity. - 1479-5868. ; 20:1
- Related links:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- Background In view of the high burden of childhood overweight/obesity (OW/OB), it is important to identify targets for interventions that may have the greatest effects on preventing OW/OB in early life. Using methods of causal inference, we studied the effects of sustained behavioral interventions on the long-term risk of developing OW/OB based on a large European cohort.Methods Our sample comprised 10 877 children aged 2 to < 10 years at baseline who participated in the well-phenotyped IDEFICS/I.Family cohort. Children were followed from 2007/08 to 2020/21. Applying the parametric g-formula, the 13-year risk of developing OW/OB was estimated under various sustained hypothetical interventions on physical activity, screen time, dietary intake and sleep duration. Interventions imposing adherence to recommendations (e.g. maximum 2 h/day screen time) as well as interventions 'shifting' the behavior by a specified amount (e.g. decreasing screen time by 30 min/day) were compared to 'no intervention' (i.e. maintaining the usual or so-called natural behavior). Separately, the effectiveness of these interventions in vulnerable groups was assessed.Results The 13-year risk of developing OW/OB was 30.7% under no intervention and 25.4% when multiple interventions were imposed jointly. Meeting screen time and moderate-to-vigorous physical activity (MVPA) recommendations were found to be most effective, reducing the incidence of OW/OB by -2.2 [-4.4;-0.7] and -2.1 [-3.7;-0.8] percentage points (risk difference [95% confidence interval]), respectively. Meeting sleep recommendations (-0.6 [-1.1;-0.3]) had a similar effect as increasing sleep duration by 30 min/day (-0.6 [-0.9;-0.3]). The most effective intervention in children of parents with low/medium educational level was being member in a sports club; for children of mothers with OW/OB, meeting screen time recommendations and membership in a sports club had the largest effects.Conclusions While the effects of single behavioral interventions sustained over 13 years were rather small, a joint intervention on multiple behaviors resulted in a relative reduction of the 13-year OW/OB risk by between 10 to 26%. Individually, meeting MVPA and screen time recommendations were most effective. Nevertheless, even under the joint intervention the absolute OW/OB risk remained at a high level of 25.4% suggesting that further strategies to better prevent OW/OB are required.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Causal inference
- Childhood obesity
- IDEFICS/I.Family cohort
- Modifiable
- risk factor
- Observational data
- Parametric g-formula
- obesity prevention program
- coronary-heart-disease
- life-style factors
- childhood obesity
- physical-activity
- consensus statement
- recommended
- amount
- american academy
- sleep
- risk
- Nutrition & Dietetics
- Physiology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Bornhorst, C.
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Pigeot, I.
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De Henauw, S.
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Formisano, A.
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Lissner, Lauren, ...
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Molnar, D.
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show more...
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Moreno, L. A.
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Tornaritis, M.
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Veidebaum, T.
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Vrijkotte, T.
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Didelez, V.
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Wolters, M.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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University of Gothenburg