Parental Unemployment Associated with the Lack of the Effectiveness of a Children Obesity Prevention Program: Results From the IDEFICS Study

Alelí M. Ayala-Marín*, Pilar Miguel-Etayo, Javier Santabárbara, Isabel Iguacel, Wolfgang Ahrens, Stefaan De Henauw, Lauren Lissner, Eszter Molnár Kurdiné, Lucia A. Reisch, Paola Russo, Michael Tornaritis, Toomas Veidebaum, Luis Alberto Moreno

*Corresponding author for this work

Research output: Contribution to journalConference abstract in journalResearchpeer-review

Abstract

The relationship between social vulnerabilities and the effectiveness of behavioral interventions to prevent obesity in children is poorly understood. Therefore, the objective of this study is to evaluate the association between parental employment and the effectiveness of IDEFICS, a multilevel behavioral intervention aiming to prevent obesity among children (2 to 9.9 years old) in eight European countries. Data from 9,901 children and their parents was included in the analysis. We determined the Body Mass Index (BMI) z-score mean difference as the measurement of the intervention effectiveness and we calculated it as the follow-up (T1) BMI z-score mean minus baseline (T0) BMI z-score mean. Parents self-reported their employment status at T0 and T1. Children were classified, at both study times (T0 and T1), as children with employed parents (both parents employed) or as children with unemployed parents (one or both parents unemployed or receiving social assistance). We calculated unadjusted and adjusted multilevel mixed model analyses to evaluate if the employment status at T0 and the evolution of the employment status within a two-year period (from T0 to T1) predicted the BMI z-score mean difference among boys and girls. In boys, parental unemployment at T0 and throughout a two-year period (T0 to T1) predicted an increase of BMI z-score mean difference when compared to boys with employed parents (unemployment at T0: adjusted β = 0.12; p = 0.028; and unemployment from T0 to T1: adjusted β = 0.20; p = 0.031). We found no difference in the effectiveness of the IDEFICS intervention among girls with unemployed parents at T0 and from T0 to T1 when compared to girls with employed parents (unemployment at T0: adjusted β = 0.04; p = 0.337; and unemployment from T0 to T1: adjusted β = 0.10; p = 0.216, respectively). Our results suggest that the influence of parental unemployment in the IDEFICS outcome is different for boys and girls. Employment of both parents, which is related to a higher income, could contribute the families to engage healthier eating and physical activity behaviors among boys. Future multilevel interventions should include a combination of community-based and school-based components, as well as family-centered components, specifically on those families with parents out of the labor force, to address specific barriers or vulnerabilities that prevent them from improving behavior and weight status.
Original languageEnglish
Article numberE356
JournalProceedings of the Nutrition Society
Volume79
Issue numberOCE2
Number of pages1
ISSN0029-6651
DOIs
Publication statusPublished - 2020
Event13th European Nutrition Conference: Malnutrition in an Obese World: European Perspectives - The Convention Centre Dublin, Dublin, Ireland
Duration: 15 Oct 201919 Oct 2019
Conference number: 13
http://www.fens2019.org/

Conference

Conference13th European Nutrition Conference
Number13
LocationThe Convention Centre Dublin
CountryIreland
CityDublin
Period15/10/201919/10/2019
Internet address

Cite this

Ayala-Marín, A. M., Miguel-Etayo, P., Santabárbara, J., Iguacel, I., Ahrens, W., De Henauw, S., Lissner, L., Kurdiné, E. M., Reisch, L. A., Russo, P., Tornaritis, M., Veidebaum, T., & Moreno, L. A. (2020). Parental Unemployment Associated with the Lack of the Effectiveness of a Children Obesity Prevention Program: Results From the IDEFICS Study. Proceedings of the Nutrition Society, 79(OCE2), [E356]. https://doi.org/10.1017/S0029665120003043