Differential outcome of the IDEFICS intervention in overweight versus non-overweight children:did we achieve ‘primary’ or ‘secondary’ prevention?

Williams, Garrath David and , IDEFICS Consortium (2015) Differential outcome of the IDEFICS intervention in overweight versus non-overweight children:did we achieve ‘primary’ or ‘secondary’ prevention? Obesity Reviews, 16 (Suppl.). 119–126. ISSN 1467-7881

[img]
Preview
PDF (Lissner_150617_postpublicationversion)
Lissner_150617_postpublicationversion.pdf - Accepted Version
Available under License Creative Commons Attribution.

Download (348kB)

Abstract

Background: The aim of this study was to explore whether the IDEFICS intervention had a differential effect on 11,041 children’s weight trajectories depending on their baseline body mass index status. Methods: Two subgroups of children are considered in the present analysis: those who were overweight or obese prior to the intervention and those who were neither overweight nor obese. Results: Among children in all eight countries who did not have prevalent overweight or obesity (OWOB) at baseline, 2 years later, there was no significant difference between intervention and control groups in risk of having developed OWOB. However, we observed a strong regional heterogeneity, which could be attributed to the presence of one distinctly outlying country, Belgium, where the intervention group had increased risk for becoming overweight. In contrast, among the sample of children with prevalent OWOB at baseline, we observed a significantly greater probability of normalized weight status after 2 years. In other words, a protective effect against persistent OWOB was observed in children in intervention regions compared with controls, which corresponded to an adjusted odds ratio of 0.76 (95% confidence interval: 0.58, 0.98). Discussion: This analysis thus provided evidence of a differential effect of the IDEFICS intervention, in which children with overweight may have benefited without having been specifically targeted. However, no overall primary preventive effect could be observed in children without initial overweight or obesity.

Item Type:
Journal Article
Journal or Publication Title:
Obesity Reviews
Additional Information:
This is the peer reviewed version of the following article:Lissner, L., De Bourdeaudhuij, I., Konstabel, K., Mårild, S., Mehlig, K., Molnár, D., Moreno, L. A., Pigeot, I., Siani, A., Tornaritis, M., Williams, G., De Henauw, S., and on behalf of the IDEFICS consortium (2015) Differential outcome of the IDEFICS intervention in overweight versus non-overweight children: did we achieve ‘primary’ or ‘secondary’ prevention?. Obesity Reviews, 16: 119–126. doi: 10.1111/obr.12326 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/obr.12326/abstract This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700/2739
Subjects:
ID Code:
77459
Deposited By:
Deposited On:
11 Jan 2016 15:26
Refereed?:
Yes
Published?:
Published
Last Modified:
03 Dec 2020 02:49