The effect of a cluster-randomized controlled trial on lifestyle behaviors among families at risk for developing type 2 diabetes across Europe: the Feel4Diabetes-study
| العنوان: | The effect of a cluster-randomized controlled trial on lifestyle behaviors among families at risk for developing type 2 diabetes across Europe: the Feel4Diabetes-study |
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| المؤلفون: | Marieke De Craemer, Nataliya Usheva, Violeta Iotova, Vicky Van Stappen, Esther M González-Gil, Yannis Manios, Greet Cardon, Anett S. Rado, Katja Wikström, Ruben Brondeel, Jemina Kivela, Christina Mavrogianni, Pilar De Miquel-Etayo, Anna Nánási |
| المصدر: | International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-19 (2021) The International Journal of Behavioral Nutrition and Physical Activity INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY Digibug. Repositorio Institucional de la Universidad de Granada instname Zaguán. Repositorio Digital de la Universidad de Zaragoza Digibug: Repositorio Institucional de la Universidad de Granada Universidad de Granada (UGR) |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Gerontology, Lifestyle intervention, RC620-627, European community, Physical Therapy, Behavioural sciences, Medicine (miscellaneous), 030209 endocrinology & metabolism, Physical Therapy, Sports Therapy and Rehabilitation, Type 2 diabetes, Sports Therapy and Rehabilitation, Disease cluster, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, medicine, Medicine and Health Sciences, media_common.cataloged_instance, Humans, Eating behavior, Family, 030212 general & internal medicine, European union, Child, Nutritional diseases. Deficiency diseases, Exercise, Life Style, media_common, Nutrition and Dietetics, Physical activity, Research, Prevention, Sedentary behavior, medicine.disease, 3. Good health, Europe, Diabetes Mellitus, Type 2, Public aspects of medicine, RA1-1270, Psychology |
| الوصف: | The Feel4Diabetes-study has received funding from the European Union's Horizon 2020 research and innovation programme [Grant Agreement: n degrees 643708]. The content of this article reflects only the authors' views and the European Community is not liable for any use that may be made of the information contained therein. Background: This study investigated the effect of the Feel4Diabetes-intervention, a 2-year multilevel intervention, on energy balance-related behaviors among European families at risk for developing type 2 diabetes. Intervention effects on self-reported physical activity, sedentary behavior and eating behaviors were investigated across and within the participating countries: Belgium, Finland, Greece, Spain, Hungary and Bulgaria. Methods: Families were recruited through schools, located in low socio-economic status areas. In total, 4484 families at risk for developing type 2 diabetes were selected using the FINDRISC-questionnaire. Parents' and children's energy balance-related behaviors data were collected by questionnaires at three time points (baseline, mid- and post intervention). Families assigned to the intervention group were invited to participate in a 2-year school-, community-, and family-based intervention to promote a healthier lifestyle, including counseling sessions (first intervention year) and text messages (second intervention year). Families assigned to the control group received standard care, including medical check-up results and recommendations and tips regarding a healthy lifestyle. To assess the intervention-effects, Mixed Models were conducted using the R-Package "lmer "with R v3.2. Results: Significant intervention effects were found on a certain number of families' lifestyle behaviors. Significant favorable intervention effects were detected on parents' water consumption and consumption of fruit and vegetables, and on children's consumption of sweets and moderate-to-vigorous physical activity. Analyses by country revealed significant favorable intervention effects on water consumption and on moderate-to-vigorous physical activity in Belgian parents and on fruit and vegetable consumption among Belgian children, on sweets consumption among Spanish parents and children, and on moderate-to-vigorous physical activity among Finnish children. Unfavorable intervention effects were found on the consumption of soft drinks and sugar-containing juices among Hungarian children and parents, while when examining the intervention effects for the overall population and per country, 10 from the 112 investigated outcome variables were improved in the intervention group compared to the control group (9%). Conclusions: The Feel4Diabetes-intervention managed to improve a certain number of targeted lifestyle behaviors while the intervention was not effective on a large number of targeted lifestyle behaviors. The findings of the current study are encouraging, but further research is needed on how we can further improve effectiveness of lifestyle interventions to prevent type 2 diabetes in families at risk. European Union's Horizon 2020 research and innovation programme 643708 |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1479-5868 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4b90ee030711dcc5f00f64a74dba59a https://doaj.org/article/edae1c3a7a8249deae38af164c211e5c |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a4b90ee030711dcc5f00f64a74dba59a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14795868 |
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