Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study

Eva Kovács, Alfonso Siani, Kenn Konstabel, Charalambos Hadjigeorgiou, Ilse De Bourdeaudhuij, Gabriele Eiben, Lauren Lissner, Wencke Gwozdz, Lucia Reisch, Valeria Pala, Luis A. Moreno, Iris Pigeot, Hermann Pohlabeln, Wolfgang Ahrens, Denes Molnar

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    Background/objectives: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children’s health. In the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages.
    Methods: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets.
    Results: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5% of the cohort was classified in the highest category of water consumption, only 8.8% met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1%. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2%. Family life of the child measured by various indicators was considered as satisfactory in 22.8%. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9%. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1% of the children adhered to at least five of these recommendations.
    Conclusions: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.
    Background/objectives: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children’s health. In the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages.
    Methods: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets.
    Results: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5% of the cohort was classified in the highest category of water consumption, only 8.8% met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1%. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2%. Family life of the child measured by various indicators was considered as satisfactory in 22.8%. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9%. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1% of the children adhered to at least five of these recommendations.
    Conclusions: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.
    LanguageEnglish
    JournalInternational Journal of Obesity
    Volume38
    Issue numberSupplement 2
    Pages144-151
    ISSN0307-0565
    DOIs
    StatePublished - 2014

    Cite this

    Kovács, E., Siani, A., Konstabel, K., Hadjigeorgiou, C., De Bourdeaudhuij, I., Eiben, G., ... Molnar, D. (2014). Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study. International Journal of Obesity, 38(Supplement 2), 144-151. DOI: 10.1038/ijo.2014.145
    Kovács, Eva ; Siani, Alfonso ; Konstabel, Kenn ; Hadjigeorgiou, Charalambos ; De Bourdeaudhuij, Ilse ; Eiben, Gabriele ; Lissner, Lauren ; Gwozdz, Wencke ; Reisch, Lucia ; Pala, Valeria ; Moreno, Luis A. ; Pigeot, Iris ; Pohlabeln, Hermann ; Ahrens, Wolfgang ; Molnar, Denes. / Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study. In: International Journal of Obesity. 2014 ; Vol. 38, No. Supplement 2. pp. 144-151
    @article{afabf2ace349407cb5908085eaf35526,
    title = "Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study",
    abstract = "Background/objectives: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children’s health. In the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages.Methods: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets.Results: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5{\%} of the cohort was classified in the highest category of water consumption, only 8.8{\%} met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1{\%}. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2{\%}. Family life of the child measured by various indicators was considered as satisfactory in 22.8{\%}. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9{\%}. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1{\%} of the children adhered to at least five of these recommendations.Conclusions: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.",
    author = "Eva Kov{\'a}cs and Alfonso Siani and Kenn Konstabel and Charalambos Hadjigeorgiou and {De Bourdeaudhuij}, Ilse and Gabriele Eiben and Lauren Lissner and Wencke Gwozdz and Lucia Reisch and Valeria Pala and Moreno, {Luis A.} and Iris Pigeot and Hermann Pohlabeln and Wolfgang Ahrens and Denes Molnar",
    year = "2014",
    doi = "10.1038/ijo.2014.145",
    language = "English",
    volume = "38",
    pages = "144--151",
    journal = "International Journal of Obesity",
    issn = "0307-0565",
    publisher = "Nature Publishing Group",
    number = "Supplement 2",

    }

    Kovács, E, Siani, A, Konstabel, K, Hadjigeorgiou, C, De Bourdeaudhuij, I, Eiben, G, Lissner, L, Gwozdz, W, Reisch, L, Pala, V, Moreno, LA, Pigeot, I, Pohlabeln, H, Ahrens, W & Molnar, D 2014, 'Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study' International Journal of Obesity, vol. 38, no. Supplement 2, pp. 144-151. DOI: 10.1038/ijo.2014.145

    Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study. / Kovács, Eva; Siani, Alfonso; Konstabel, Kenn; Hadjigeorgiou, Charalambos; De Bourdeaudhuij, Ilse; Eiben, Gabriele; Lissner, Lauren; Gwozdz, Wencke; Reisch, Lucia; Pala, Valeria; Moreno, Luis A.; Pigeot, Iris; Pohlabeln, Hermann; Ahrens, Wolfgang; Molnar, Denes.

    In: International Journal of Obesity, Vol. 38, No. Supplement 2, 2014, p. 144-151.

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

    T1 - Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study

    AU - Kovács,Eva

    AU - Siani,Alfonso

    AU - Konstabel,Kenn

    AU - Hadjigeorgiou,Charalambos

    AU - De Bourdeaudhuij,Ilse

    AU - Eiben,Gabriele

    AU - Lissner,Lauren

    AU - Gwozdz,Wencke

    AU - Reisch,Lucia

    AU - Pala,Valeria

    AU - Moreno,Luis A.

    AU - Pigeot,Iris

    AU - Pohlabeln,Hermann

    AU - Ahrens,Wolfgang

    AU - Molnar,Denes

    PY - 2014

    Y1 - 2014

    N2 - Background/objectives: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children’s health. In the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages.Methods: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets.Results: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5% of the cohort was classified in the highest category of water consumption, only 8.8% met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1%. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2%. Family life of the child measured by various indicators was considered as satisfactory in 22.8%. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9%. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1% of the children adhered to at least five of these recommendations.Conclusions: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.

    AB - Background/objectives: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children’s health. In the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages.Methods: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets.Results: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5% of the cohort was classified in the highest category of water consumption, only 8.8% met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1%. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2%. Family life of the child measured by various indicators was considered as satisfactory in 22.8%. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9%. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1% of the children adhered to at least five of these recommendations.Conclusions: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.

    U2 - 10.1038/ijo.2014.145

    DO - 10.1038/ijo.2014.145

    M3 - Journal article

    VL - 38

    SP - 144

    EP - 151

    JO - International Journal of Obesity

    T2 - International Journal of Obesity

    JF - International Journal of Obesity

    SN - 0307-0565

    IS - Supplement 2

    ER -

    Kovács E, Siani A, Konstabel K, Hadjigeorgiou C, De Bourdeaudhuij I, Eiben G et al. Adherence to the Obesity-related Lifestyle Intervention Targets in the IDEFICS Study. International Journal of Obesity. 2014;38(Supplement 2):144-151. Available from, DOI: 10.1038/ijo.2014.145