ArticleEuropean journal of public health2021
Identifying the views of adolescents in five European countries on the drivers of obesity using group model building.
Article in European journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Application of system dynamics approach in developing health interventions to strengthen health systems to combat obesity: a systematic literature review and critical analysis.BMC public health · 2025Pooled it
- The Influence of Social Networks on Adolescent Overweight and Obesity: A Narrative Review.Nutrients · 2026Review
- Reviewing ecosystems of evidence: synthesising the evidence on the commercial determinants of health from a complex systems perspective.Systematic reviews · 2026Article
- Social media, adolescent mental health, and diet: a policy content analysis.BMC public health · 2026Article
- Mapping determinants of alternative protein food intake across 13 European countries: food system stakeholders' perspectives.The international journal of behavioral nutrition and physical activity · 2026Article
- A systematic scoping review of adult obesity policy actions and weight-related services in a region of the United Kingdom using the behaviour change wheel.BMC public health · 2026Article
- Article
- How Are Adolescents Participating in the Transformation of Healthy Food Environments? A Scoping Review of Empirical Research.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Article
- From lunch breaks to late nights: a qualitative study of how workplaces can support healthy diet, physical activity and sleep behaviours in young adults.BMC public health · 2025Article
- Understanding the dynamics of implementing the Norwegian School Fruit Programme: integrating implementation science and system dynamics.Implementation science communications · 2025Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Applying system dynamics methods for local obesity prevention: results from a group model building study in Amsterdam, the Netherlands.Health research policy and systems · 2025Article
- Twenty years of behavioral nutrition- A reflection on the road less travelled.The international journal of behavioral nutrition and physical activity · 2025Article
- Systems approaches in public health: beyond mapping the causes.The international journal of behavioral nutrition and physical activity · 2025Review
- Youth involvement in policy processes in public health, education, and social work-A scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Integration of large-scale community-developed causal loop diagrams: a Natural Language Processing approach to merging factors based on semantic similarity.BMC public health · 2025Article
- Article
- Understanding Perinatal Mental Health: A Systems Science Approach to Identify Common Drivers and Opportunities for Intervention.International journal of mental health nursing · 2025Article
- A participatory needs assessment to map the system dynamics of overweight related behaviours of 10-14-year-old adolescents living in an underserved neighbourhood in Amsterdam, the Netherlands.BMC public health · 2025Article
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo make effective progress towards a global reduction in obesity prevalence, there needs to be a focus on broader structural factors, beyond individual-level drivers of diet and physical activity. This article describes the use of a systems framework to develop obesity prevention policies with adolescents. The aim of this research was to use the group model building (GMB) method to identify young people's perceptions of the drivers of adolescent obesity in five European countries, as part of the EU-funded Co-Create project.
methodsWe used GMB with four groups of 16-18-year-olds in schools in each of the five European countries (The Netherlands, Norway, Poland, Portugal and the UK) to create causal loop diagrams (CLDs) representing their perceptions of the drivers of adolescent obesity. The maps were then merged into one, using a new protocol.
resultsTwo hundred and fifty-seven participants, aged 16-18 years, engaged in 20 separate system mapping groups, each of which generated 1 CLD. The findings were largely congruent between the countries. Three feedback loops in the merged diagram particularly stand out: commercial drivers of unhealthy diets; mental health and unhealthy diets; social media use, body image and motivation to exercise.
conclusionsGMB provides a novel way of eliciting from young people the system-based drivers of obesity that are relevant to them. Mental health issues, social media use and commercial practices were considered by the young people to be key drivers of adolescent obesity, subjects that have thus far had little or no coverage in research and policy.
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