000089661 001__ 89661 000089661 005__ 20210902121657.0 000089661 0247_ $$2doi$$a10.1186/s12902-020-0526-5 000089661 0248_ $$2sideral$$a117764 000089661 037__ $$aART-2020-117764 000089661 041__ $$aeng 000089661 100__ $$aLambrinou, C.P. 000089661 245__ $$aEffective strategies for childhood obesity prevention via school based, family involved interventions: a critical review for the development of the Feel4Diabetes-study school based component 000089661 260__ $$c2020 000089661 5060_ $$aAccess copy available to the general public$$fUnrestricted 000089661 5203_ $$aBACKGROUND: Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies. METHODS: Studies published between 2000 and January 2015 were retrieved from scientific electronic databases and grey literature. The databases used included MEDLINE/PubMed, Web-of-Science, CINAHL and Scopus. Included studies had to be experimental controlled studies and had duration over 1 school year, had family involvement, combined PA and dietary behaviors and were implemented in school setting. A complementary search was executed to update the review to cover the period from February 2015 to January 2019. RESULTS: From the studies examined (n¿=¿425), 27 intervention programs (33 publications) fulfilled the inclusion criteria. Among these, 15 presented significant effect on weight status and/ or overweight/ obesity or clinical indices, 3 presented significant effect on most energy balance-related behaviors (EBRBs) while 9 presented significant effect on some/few EBRBs or determinants. Strategies implemented in effective interventions were: teachers acting as role-models and being actively involved in the delivery of the intervention, school policies supporting the availability of healthy food and beverage choices and limiting unhealthy snacks, changes in the schoolyard, in the recess rules and in the physical education classes to increase physical activity, and involving parents in the intervention via assignments, meetings, informative material and encouraging them to improve the home environment. Use of incentives for children, social marketing techniques, collaboration with local stakeholders were found to increase effectiveness. Programs that focused only on educational sessions and material for parents, without promoting relevant environmental and policy changes, were found to be less effective. Cultural adaptations have been suggested to increase the intervention''s acceptance in specific or vulnerable population groups. CONCLUSIONS: Several effective strategies were identified in the reviewed programs. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives. 000089661 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 000089661 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000089661 590__ $$a2.763$$b2020 000089661 591__ $$aENDOCRINOLOGY & METABOLISM$$b110 / 145 = 0.759$$c2020$$dQ4$$eT3 000089661 592__ $$a0.743$$b2020 000089661 593__ $$aMedicine (miscellaneous)$$c2020$$dQ2 000089661 593__ $$aEndocrinology, Diabetes and Metabolism$$c2020$$dQ2 000089661 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/publishedVersion 000089661 700__ $$aAndroutsos, O. 000089661 700__ $$aKaraglani, E. 000089661 700__ $$aCardon, G. 000089661 700__ $$aHuys, N. 000089661 700__ $$aWikström, K. 000089661 700__ $$aKivelä, J. 000089661 700__ $$aKo, W. 000089661 700__ $$aKaruranga, E. 000089661 700__ $$aTsochev, K. 000089661 700__ $$aIotova, V. 000089661 700__ $$aDimova, R. 000089661 700__ $$0(orcid)0000-0001-6173-5850$$aDe Miguel-Etayo, P. 000089661 700__ $$0(orcid)0000-0003-2005-8229$$aM González-Gil, E. 000089661 700__ $$aTamás, H. 000089661 700__ $$aJancsó, Z. 000089661 700__ $$aLiatis, S. 000089661 700__ $$aMakrilakis, K. 000089661 700__ $$aManios, Y. 000089661 700__ $$aFeel4Diabetes-study, group 000089661 773__ $$g20, Suppl 2 (2020), 52 [20 pp.]$$pBMC ENDOCRINE DISORDERS$$tBMC endocrine disorders$$x1472-6823 000089661 8564_ $$s870221$$uhttps://zaguan.unizar.es/record/89661/files/texto_completo.pdf$$yVersión publicada 000089661 8564_ $$s46681$$uhttps://zaguan.unizar.es/record/89661/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000089661 909CO $$ooai:zaguan.unizar.es:89661$$particulos$$pdriver 000089661 951__ $$a2021-09-02-09:11:32 000089661 980__ $$aARTICLE