Evidence map›Paper›PMID 34048353›Full record

ArticleJMIR mHealth and uHealth2021

Exploring Associations Between Children's Obesogenic Behaviors and the Local Environment Using Big Data: Development and Evaluation of the Obesity Prevention Dashboard.

Dimitris Filos, Irini Lekka, Vasileios Kilintzis, Leandros Stefanopoulos, Youla Karavidopoulou, Christos Maramis, Christos Diou, Ioannis Sarafis, Vasileios Papapanagiotou, Leonidas Alagialoglou and 9 more

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Dimitris FilosLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0001-5613-652X
Irini LekkaLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0001-9305-6561
Vasileios KilintzisLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-9783-6757
Leandros StefanopoulosLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-2682-5639
Youla KaravidopoulouLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0003-3648-9533
Christos MaramisLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-6417-0784
Christos DiouDepartment of Informatics and Telematics, Harokopio University of Athens, Athens, Greece.ORCID 0000-0002-2461-1928
Ioannis SarafisMultimedia Understanding Group, Aristotle University, Thessaloniki, Greece.ORCID 0000-0001-8449-1705
Vasileios PapapanagiotouMultimedia Understanding Group, Aristotle University, Thessaloniki, Greece.ORCID 0000-0001-6834-5548
Leonidas AlagialoglouMultimedia Understanding Group, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-8361-0589
Ioannis IoakeimidisDepartment of Biosciences and Nutrition, Karolinska University, Stockholm, Sweden.ORCID 0000-0002-7208-1722
Maria HassapidouInternational Hellenic University, Thessaloniki, Greece.ORCID 0000-0003-1027-5772
Evangelia CharmandariBiomedical Research Foundation of the Academy of Athens, Athens, Greece.ORCID 0000-0002-0851-6998
Rachel HeimeierInternationella Engelska Skolan, Stokholm, Sweden.ORCID 0000-0003-4798-1312
Grace O'MalleySchool of Physiotherapy, Division of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0002-2421-3866
Shane O'DonnellInsight Centre for Data Analytics, University College Dublin, Dublin, Ireland.ORCID 0000-0002-3778-705X
Gerardine DoyleCollege of Business, University College Dublin, Dublin, Ireland.ORCID 0000-0001-8516-4431
Anastasios DelopoulosMultimedia Understanding Group, Aristotle University, Thessaloniki, Greece.ORCID 0000-0001-8220-8486
Nicos MaglaverasLab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-4919-0664

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a major public health problem globally and in Europe. The prevalence of childhood obesity is also soaring. Several parameters of the living environment are contributing to this increase, such as the density of fast food retailers, and thus, preventive health policies against childhood obesity must focus on the environment to which children are exposed. Currently, there are no systems in place to objectively measure the effect of living environment parameters on obesogenic behaviors and obesity. The H2020 project "BigO: Big Data Against Childhood Obesity" aims to tackle childhood obesity by creating new sources of evidence based on big data.

objectiveThis paper introduces the Obesity Prevention dashboard (OPdashboard), implemented in the context of BigO, which offers an interactive data platform for the exploration of objective obesity-related behaviors and local environments based on the data recorded using the BigO mHealth (mobile health) app.

methodsThe OPdashboard, which can be accessed on the web, allows for (1) the real-time monitoring of children's obesogenic behaviors in a city area, (2) the extraction of associations between these behaviors and the local environment, and (3) the evaluation of interventions over time. More than 3700 children from 33 schools and 2 clinics in 5 European cities have been monitored using a custom-made mobile app created to extract behavioral patterns by capturing accelerometer and geolocation data. Online databases were assessed in order to obtain a description of the environment. The dashboard's functionality was evaluated during a focus group discussion with public health experts.

resultsThe preliminary association outcomes in 2 European cities, namely Thessaloniki, Greece, and Stockholm, Sweden, indicated a correlation between children's eating and physical activity behaviors and the availability of food-related places or sports facilities close to schools. In addition, the OPdashboard was used to assess changes to children's physical activity levels as a result of the health policies implemented to decelerate the COVID-19 outbreak. The preliminary outcomes of the analysis revealed that in urban areas the decrease in physical activity was statistically significant, while a slight increase was observed in the suburbs. These findings indicate the importance of the availability of open spaces for behavioral change in children. Discussions with public health experts outlined the dashboard's potential to aid in a better understanding of the interplay between children's obesogenic behaviors and the environment, and improvements were suggested.

conclusionsOur analyses serve as an initial investigation using the OPdashboard. Additional factors must be incorporated in order to optimize its use and obtain a clearer understanding of the results. The unique big data that are available through the OPdashboard can lead to the implementation of models that are able to predict population behavior. The OPdashboard can be considered as a tool that will increase our understanding of the underlying factors in childhood obesity and inform the design of regional interventions both for prevention and treatment.

Indexed as

COVID-19ChildEuropeGreeceHumansSARS-CoV-2Swedenbig datachildhood obesitychildren’s behaviorCOVID-19environmentinterventionmHealthpublic health authoritiesuHealth

Identifiers

PMID34048353
PMCPMC8274675

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.