000110682 001__ 110682
000110682 005__ 20220215124224.0
000110682 0247_ $$2doi$$a10.1186/s12966-021-01153-4
000110682 0248_ $$2sideral$$a126794
000110682 037__ $$aART-2021-126794
000110682 041__ $$aeng
000110682 100__ $$aVan Stappen, V.
000110682 245__ $$aThe effect of a cluster-randomized controlled trial on lifestyle behaviors among families at risk for developing type 2 diabetes across Europe: the Feel4Diabetes-study
000110682 260__ $$c2021
000110682 5060_ $$aAccess copy available to the general public$$fUnrestricted
000110682 5203_ $$aBackground: 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. Trial registration: The Feel4Diabetes-study is registered with the clinical trials registry http://clinicaltrials.gov, ID: 643708. © 2021, The Author(s).
000110682 536__ $$9info:eu-repo/grantAgreement/EC/H2020/643708/EU/Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe/Feel4Diabetes$$9This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 643708-Feel4Diabetes
000110682 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000110682 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000110682 700__ $$aCardon, G.
000110682 700__ $$aDe Craemer, M.
000110682 700__ $$aMavrogiann,i C.
000110682 700__ $$aUsheva, N.
000110682 700__ $$aKivelä, J.
000110682 700__ $$aWikström, K.
000110682 700__ $$0(orcid)0000-0001-6173-5850$$aMiguel-Etayo, P.
000110682 700__ $$0(orcid)0000-0003-2005-8229$$aGonzález-Gil, E.M.$$uUniversidad de Zaragoza
000110682 700__ $$aRadó, A.S.
000110682 700__ $$aNánási, A.
000110682 700__ $$aIotova, V.
000110682 700__ $$aManios, Y.
000110682 700__ $$aBrondeel, R.
000110682 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000110682 773__ $$g18, 1 (2021), 86 [19 pp]$$pInternational Journal of Behavioral Nutrition and Physical Activity$$tInternational Journal of Behavioral Nutrition and Physical Activity$$x1479-5868
000110682 8564_ $$s1855532$$uhttps://zaguan.unizar.es/record/110682/files/texto_completo.pdf$$yVersión publicada
000110682 8564_ $$s2238133$$uhttps://zaguan.unizar.es/record/110682/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000110682 909CO $$ooai:zaguan.unizar.es:110682$$particulos$$pdriver
000110682 951__ $$a2022-02-15-10:20:05
000110682 980__ $$aARTICLE