89661 20210902121657.0 doi 10.1186/s12902-020-0526-5 sideral 117764 ART-2020-117764 eng Lambrinou, C.P. Effective strategies for childhood obesity prevention via school based, family involved interventions: a critical review for the development of the Feel4Diabetes-study school based component 2020 Access copy available to the general public Unrestricted BACKGROUND: 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. info: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 This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 643708-Feel4Diabetes info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.763 2020 ENDOCRINOLOGY & METABOLISM 110 / 145 = 0.759 2020 Q4 T3 0.743 2020 Medicine (miscellaneous) 2020 Q2 Endocrinology, Diabetes and Metabolism 2020 Q2 info:eu-repo/semantics/review info:eu-repo/semantics/publishedVersion Androutsos, O. Karaglani, E. Cardon, G. Huys, N. Wikström, K. Kivelä, J. Ko, W. Karuranga, E. Tsochev, K. Iotova, V. Dimova, R. De Miguel-Etayo, P. (orcid)0000-0001-6173-5850 M González-Gil, E. (orcid)0000-0003-2005-8229 Tamás, H. Jancsó, Z. Liatis, S. Makrilakis, K. Manios, Y. Feel4Diabetes-study, group 20, Suppl 2 (2020), 52 [20 pp.] BMC ENDOCRINE DISORDERS BMC endocrine disorders 1472-6823 870221 http://zaguan.unizar.es/record/89661/files/texto_completo.pdf Versión publicada 46681 http://zaguan.unizar.es/record/89661/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:89661 articulos driver 2021-09-02-09:11:32 ARTICLE