ArticleInternational journal for equity in health2016
Inequalities in energy-balance related behaviours and family environmental determinants in European children: changes and sustainability within the EPHE evaluation study.
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Digital and Blended Lifestyle Interventions for Preschool-Aged Children and Families With a Low Socioeconomic Position and the General Population: Scoping Review.Journal of medical Internet research · 2026Article
- Evaluating the contribution of a scaled up community-based overweight prevention programme in the Netherlands to children's health behaviours and BMIz.The international journal of behavioral nutrition and physical activity · 2025Observational
- Evaluation proposal of a national community-based obesity prevention programme: a novel approach considering the complexity perspective.The international journal of behavioral nutrition and physical activity · 2022Article
- Effects of the KEIGAAF intervention on the BMI z-score and energy balance-related behaviors of primary school-aged children.The international journal of behavioral nutrition and physical activity · 2020Article
- Promoting healthy beverage consumption habits among elementary school children: results of the Healthy Kids Community Challenge 'Water Does Wonders' interventions in London, Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Consideration of Social Disadvantages for Understanding and Preventing Obesity in Children.Frontiers in public health · 2020Review
- Assessing the relationship between water and nutrition knowledge and beverage consumption habits in children.Public health nutrition · 2019Article
- Novel public-private partnerships to address the double burden of malnutrition.Nutrition reviews · 2018Review
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12 authors.
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Abstract
backgroundIncreasing social inequalities in health across Europe are widening the gap between low and high socio-economic groups, notably in the prevalence of obesity. Public health interventions may result in differential effects across population groups. Therefore, the EPHE (EPODE for the Promotion of Health Equity) project analysed the added value of community-based programmes, based on the EPODE (Ensemble Prévenons l'Obésité Des Enfants-Together Let's Prevent Obesity) model, to reduce socio-economic inequalities in energy balance-related behaviours of children and their family-environmental related determinants in seven European communities. This study presents the changes between baseline and follow-up after the one-year interventions and their sustainability one year after.
methodsThis is a prospective study with a one school-year intervention, followed by one year of follow-up. In all, 1266 children (age 6-8 years) and their families from different socio-economic backgrounds were recruited at baseline. For 1062 children, information was available after one year (T
resultsPost-intervention effects in energy-balance related behaviours showed the following improvements among the low socio-economic status groups: increased fruit consumption (Netherlands), decreased fruit juices amount consumed (Romania) and decreased TV time on weekdays (Belgium). Whereas in only the latter case the behavioural change was accompanied with an improvement in a family-environmental determinant (monitoring the time the child watches TV), other improvements in parental rules and practices related to soft drinks/fruit juices and TV exposure were observed. A few of those effects were sustainable, notably in the case of Belgium.
conclusionsInequalities in obesity-related behaviours could be potentially reduced when implementing community-based interventions, tailored to inequality gaps and using the EPODE methodology. Within-group changes varied widely, whereas monitoring of interventions and process evaluation are crucial to understand the observed results.
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