The effect of a cluster-randomized controlled trial on lifestyle behaviors among families at risk for developing type 2 diabetes across Europe: the Feel4Diabetes-study

International Journal of Behavioral Nutrition and Physical Activity

Nataliya Usheva¹  Violeta Iotova¹  Anna Nánási²  Anett S. Radó²  Vicky Van Stappen³  Greet Cardon³  Ruben Brondeel⁴  Christina Mavrogianni⁵  Yannis Manios⁵  Katja Wikström⁶  Jemina Kivelä⁶  Pilar De Miquel-Etayo⁷  Esther M. González-Gil⁸  Marieke De Craemer⁹ 

[1] Clinic of Paediatric Endocrinology, Medical University Varna, Varna, Bulgaria;Debreceni Egyetem (UoD), University of Debrecen, Debrecen, Hungary;Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium;Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium;Research Foundation Flanders (FWO), Egmontstraat 5, 1000, Brussels, Belgium;Department of Nutrition and Dietetics, Harokopio University, School of Health Science & Education, Athens, Greece;Finnish Institute for Health and Welfare, Helsinki, Finland;GENUD (Growth, Exercise, Nutrition and Development), University of Zaragoza, Zaragoza, Spain;GENUD (Growth, Exercise, Nutrition and Development), University of Zaragoza, Zaragoza, Spain;Department of Biochemistry and Molecular Biology II, Center of Biomedical Research (CIBM), Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Granada, Granada, Spain;CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain;Research Foundation Flanders (FWO), Egmontstraat 5, 1000, Brussels, Belgium;Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium;

关键词: Physical activity;    Sedentary behavior;    Eating behavior;    Family;    Lifestyle intervention;    Prevention;    Type 2 diabetes;   

DOI  :  10.1186/s12966-021-01153-4

来源: Springer

【 摘 要 】

BackgroundThis study investigated the effect of the Feel4Diabetes-intervention, a 2-year multilevel intervention, on energy balance-related behaviors among European families at risk for developing type 2 diabetes. Intervention effects on self-reported physical activity, sedentary behavior and eating behaviors were investigated across and within the participating countries: Belgium, Finland, Greece, Spain, Hungary and Bulgaria.MethodsFamilies were recruited through schools, located in low socio-economic status areas. In total, 4484 families at risk for developing type 2 diabetes were selected using the FINDRISC-questionnaire. Parents’ and children’s energy balance-related behaviors data were collected by questionnaires at three time points (baseline, mid- and post intervention). Families assigned to the intervention group were invited to participate in a 2-year school-, community-, and family-based intervention to promote a healthier lifestyle, including counseling sessions (first intervention year) and text messages (second intervention year). Families assigned to the control group received standard care, including medical check-up results and recommendations and tips regarding a healthy lifestyle. To assess the intervention-effects, Mixed Models were conducted using the R-Package “lmer “with R v3.2.ResultsSignificant intervention effects were found on a certain number of families’ lifestyle behaviors. Significant favorable intervention effects were detected on parents’ water consumption and consumption of fruit and vegetables, and on children’s consumption of sweets and moderate-to-vigorous physical activity. Analyses by country revealed significant favorable intervention effects on water consumption and on moderate-to-vigorous physical activity in Belgian parents and on fruit and vegetable consumption among Belgian children, on sweets consumption among Spanish parents and children, and on moderate-to-vigorous physical activity among Finnish children. Unfavorable intervention effects were found on the consumption of soft drinks and sugar-containing juices among Hungarian children and parents, while when examining the intervention effects for the overall population and per country, 10 from the 112 investigated outcome variables were improved in the intervention group compared to the control group (9%).ConclusionsThe Feel4Diabetes-intervention managed to improve a certain number of targeted lifestyle behaviors while the intervention was not effective on a large number of targeted lifestyle behaviors. The findings of the current study are encouraging, but further research is needed on how we can further improve effectiveness of lifestyle interventions to prevent type 2 diabetes in families at risk.Trial registrationThe Feel4Diabetes-study is registered with the clinical trials registry http://clinicaltrials.gov, ID: 643708.

【 授权许可】

CC BY