ArticleFrontiers in public health2023
Understanding the system dynamics of obesity-related behaviours in 10- to 14-year-old adolescents in Amsterdam from a multi-actor perspective.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Using systems archetypes to understand system behaviour and identify leverage points for change in local obesity prevention in The Netherlands.Health promotion international · 2026Article
- System dynamics of preadolescent mental wellbeing: A multi-actor perspective in Amsterdam using systems archetypes.Journal of public health research · 2026Article
- Article
- Applying participatory systems approaches to enhance child mental health in local communities in Denmark: a process evaluation.Health research policy and systems · 2026Article
- Why healthy eating is not equally attainable for all: a participatory systems perspective on dietary behaviour of people living on a low income in the Netherlands, and recommendations for systemic change.Archives of public health = Archives belges de sante publique · 2026Article
- 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
- Mapping the interactions of critical factors in China's first-contact healthcare systems using causal loop diagrams.BMC public health · 2025Article
- Identifying areas for action to create healthier diets in the London Borough of Newham: systems mapping with residents.BMC public health · 2025Article
- Public Involvement in Complex Theorising: A Co-Produced Logic Model of the Role of Context in Shaping Child Health.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Systems approaches in public health: beyond mapping the causes.The international journal of behavioral nutrition and physical activity · 2025Review
- Applying a participatory system dynamics approach to childhood overweight and obesity in the local context: reflections from the LIKE project.Health research policy and systems · 2025Article
- Article
- Determinants, behaviour change techniques and pedagogical approaches used in secondary school-based food and nutrition programmes: a qualitative study of the SWITCH project.BMC public health · 2025Article
- Monitoring and adaptation of a system dynamics approach to prevent childhood overweight and obesity: findings from the LIKE programme.Health research policy and systems · 2025Article
- Involving national stakeholders in a systems approach to map drivers of childhood obesity and actions to prevent childhood obesity in Denmark: the Generation Healthy Kids Study.Health research policy and systems · 2025Article
- Understanding the dynamics driving obesity in socioeconomically deprived urban neighbourhoods: an expert-based systems map.BMC medicine · 2025Article
- [How societal dynamics contribute to obesity in low-income neighbourhoods and how they can be disrupted].TSG : tijdschrift voor gezondheidswetenschappen · 2025Article
- A qualitative study on facilitators and barriers to adoption and implementation of nutrition interventions in higher education settings in Flanders.Scientific reports · 2024Article
- Hypothetical mechanisms driving physical activity levels in ethnic minority groups living in Europe: a systematically identified evidence-based conceptual systems model.The international journal of behavioral nutrition and physical activity · 2024Article
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Authors and funding
12 authors.
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Abstract
Introduction and Methods: To develop an understanding of the dynamics driving obesity-related behaviours in adolescents, we conducted systems-based analysis on a causal loop diagram (CLD) created from a multi-actor perspective, including academic researchers, adolescents and local stakeholders. Results: The CLD contained 121 factors and 31 feedback loops. We identified six subsystems with their goals: (1) interaction between adolescents and the food environment, with profit maximisation as goal, (2) interaction between adolescents and the physical activity environment, with utility maximisation of outdoor spaces as goal, (3) interaction between adolescents and the online environment, with profit maximisation from technology use as goal, (4) interaction between adolescents, parenting and the wider socioeconomic environment, with a goal focused on individual parental responsibility, (5) interaction between healthcare professionals and families, with the goal resulting in treating obesity as an isolated problem, and (6) transition from childhood to adolescence, with the goal centring around adolescents' susceptibility to an environment that stimulates obesity-related behaviours. Discussion: Analysis showed that inclusion of the researchers' and stakeholders' perspectives contributed to an understanding of how the system structure of an environment works. Integration of the adolescents' perspective enriched insights on how adolescents interact with that environment. The analysis further showed that the dynamics driving obesity-related behaviours are geared towards further reinforcing such behaviours.
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