Effectiveness of a family-, school- and community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus: the Feel4Diabetes-study

doi:10.1186/s12889-020-09336-7

Randomized Controlled Trial

. 2020 Aug 12;20(1):1231.

doi: 10.1186/s12889-020-09336-7.

Effectiveness of a family-, school- and community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus: the Feel4Diabetes-study

Collaborators, Affiliations

Collaborators

Feel4Diabetes-study group:
Yannis Manios, Meropi Kontogianni, Odysseas Androutsos, George Moschonis, Konstantina Tsoutsoulopoulou, Christina Mavrogianni, Christina Katsarou, Eva Karaglani, Eirini Efstathopoulou, Ioanna Kechribari, Konstantina Maragkopoulou, Effie Argyri, Athanasios Douligeris, Mary Nikolaou, Eleni-Anna Vampouli, Katerina Kouroupaki, Roula Koutsi, Elina Tzormpatzaki, Eirini Manou, Panagiota Mpinou, Alexandra Karachaliou, Christina Filippou, Amalia Filippou, Jaana Lindström, Tiina Laatikainen, Katja Wikström, Karoliina Nelimarkka, Jemina Kivelä, Päivi Valve, Greet Cardon, Julie Latomme, Vicky Van Stappen, Nele Huys, Lieven Annemans, Lore Pil, Peter Schwarz, Ivonne Panchyrz, Maxi Holland, Patrick Timpel, Konstantinos Makrilakis, Stavros Liatis, George Dafoulas, Christina-Paulina Lambrinou, Angeliki Giannopoulou, Lydia Tsirigoti, Evi Fappa, Costas Anastasiou, Konstantina Zachari, Lala Rabemananjara, Dimitrios Kakoulis, Mayur Mandalia, Maria Stella de Sabata, Niti Pall, Luis Moreno, Fernando Civeira, Gloria Bueno, Pilar De Miguel-Etayo, Esther Ma Gonzalez-Gil, Maria I Mesana, Germán Vicente-Rodriguez, Gerardo Rodriguez, Lucia Baila-Rueda, Ana Cenarro, Estíbaliz Jarauta, Rocío Mateo-Gallego, Violeta Iotova, Tsvetalina Tankova, Natalia Usheva, Kaloyan Tsochev, Nevena Chakarova, Sonya Galcheva, Rumyana Dimova, Yana Bocheva, Zhaneta Radkova, Vanya Marinova, Imre Rurik, Timea Ungvari, Zoltán Jancsó, Anna Nánási, László Kolozsvári, Remberto Martinez, Marcos Tong, Kaisla Joutsenniemi, Katrina Wendel-Mitoraj

Affiliations

¹ Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium. huysnele@gmail.com.
² Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
³ Department of Endocrinology and Metabolic Diseases, Ghent University Hospital, Corneel Heymanslaan, 10, Ghent, Belgium.
⁴ Department of Rehabilitation Sciences, Ghent University, Corneel Heysmanslaan, 10, Ghent, Belgium.
⁵ Research Foundation Flanders, Egmontstraat 5, Brussels, Belgium.
⁶ Department of Nutrition and Dietetics, School of Health Sciences & Education, Harokopio University, El. Venizelou 70, Kallithea, Athens, Greece.
⁷ Department of Public Health Solutions, National Institute for Health and Welfare, Mannerheimintie, 166, Helsinki, Finland.
⁸ First Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias str, Athens, Greece.
⁹ Growth, Exercise, Nutrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Calle Pedro Cerbuna, 12, Zaragoza, Spain.
¹⁰ Department of Paediatrics, Medical University of Varna, 55 Marin Drinov str, Varna, Bulgaria.
¹¹ Clinical Center of Endocrinology, Medical University of Sofia, Boulevard "Akademik Ivan Evstratiev Geshov, 15, Sofia, Bulgaria.
¹² Department of Family and Occupational Medicine, University of Debrecen, Egyeterm tér 1, Debrecen, Hungary.

PMID: 32787943
PMCID: PMC7425007
DOI: 10.1186/s12889-020-09336-7

Randomized Controlled Trial

Effectiveness of a family-, school- and community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus: the Feel4Diabetes-study

Nele Huys et al. BMC Public Health. 2020.

. 2020 Aug 12;20(1):1231.

doi: 10.1186/s12889-020-09336-7.

Authors

Collaborators

Feel4Diabetes-study group:
Yannis Manios, Meropi Kontogianni, Odysseas Androutsos, George Moschonis, Konstantina Tsoutsoulopoulou, Christina Mavrogianni, Christina Katsarou, Eva Karaglani, Eirini Efstathopoulou, Ioanna Kechribari, Konstantina Maragkopoulou, Effie Argyri, Athanasios Douligeris, Mary Nikolaou, Eleni-Anna Vampouli, Katerina Kouroupaki, Roula Koutsi, Elina Tzormpatzaki, Eirini Manou, Panagiota Mpinou, Alexandra Karachaliou, Christina Filippou, Amalia Filippou, Jaana Lindström, Tiina Laatikainen, Katja Wikström, Karoliina Nelimarkka, Jemina Kivelä, Päivi Valve, Greet Cardon, Julie Latomme, Vicky Van Stappen, Nele Huys, Lieven Annemans, Lore Pil, Peter Schwarz, Ivonne Panchyrz, Maxi Holland, Patrick Timpel, Konstantinos Makrilakis, Stavros Liatis, George Dafoulas, Christina-Paulina Lambrinou, Angeliki Giannopoulou, Lydia Tsirigoti, Evi Fappa, Costas Anastasiou, Konstantina Zachari, Lala Rabemananjara, Dimitrios Kakoulis, Mayur Mandalia, Maria Stella de Sabata, Niti Pall, Luis Moreno, Fernando Civeira, Gloria Bueno, Pilar De Miguel-Etayo, Esther Ma Gonzalez-Gil, Maria I Mesana, Germán Vicente-Rodriguez, Gerardo Rodriguez, Lucia Baila-Rueda, Ana Cenarro, Estíbaliz Jarauta, Rocío Mateo-Gallego, Violeta Iotova, Tsvetalina Tankova, Natalia Usheva, Kaloyan Tsochev, Nevena Chakarova, Sonya Galcheva, Rumyana Dimova, Yana Bocheva, Zhaneta Radkova, Vanya Marinova, Imre Rurik, Timea Ungvari, Zoltán Jancsó, Anna Nánási, László Kolozsvári, Remberto Martinez, Marcos Tong, Kaisla Joutsenniemi, Katrina Wendel-Mitoraj

Affiliations

¹ Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium. huysnele@gmail.com.
² Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
³ Department of Endocrinology and Metabolic Diseases, Ghent University Hospital, Corneel Heymanslaan, 10, Ghent, Belgium.
⁴ Department of Rehabilitation Sciences, Ghent University, Corneel Heysmanslaan, 10, Ghent, Belgium.
⁵ Research Foundation Flanders, Egmontstraat 5, Brussels, Belgium.
⁶ Department of Nutrition and Dietetics, School of Health Sciences & Education, Harokopio University, El. Venizelou 70, Kallithea, Athens, Greece.
⁷ Department of Public Health Solutions, National Institute for Health and Welfare, Mannerheimintie, 166, Helsinki, Finland.
⁸ First Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias str, Athens, Greece.
⁹ Growth, Exercise, Nutrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Calle Pedro Cerbuna, 12, Zaragoza, Spain.
¹⁰ Department of Paediatrics, Medical University of Varna, 55 Marin Drinov str, Varna, Bulgaria.
¹¹ Clinical Center of Endocrinology, Medical University of Sofia, Boulevard "Akademik Ivan Evstratiev Geshov, 15, Sofia, Bulgaria.
¹² Department of Family and Occupational Medicine, University of Debrecen, Egyeterm tér 1, Debrecen, Hungary.

PMID: 32787943
PMCID: PMC7425007
DOI: 10.1186/s12889-020-09336-7

Abstract

Background: The study aimed to investigate the effectiveness of the European Feel4Diabetes intervention, promoting a healthy lifestyle, on physical activity and its correlates among families at risk for type 2 diabetes mellitus (based on the Finnish Diabetes Risk Score) in Belgium.

Methods: The Feel4Diabetes intervention involved three components: family, school and community component, with the family component consisting of 6 counseling sessions for families at risk. Main outcomes were objectively measured physical activity levels and its subjectively measured correlates. The final sample consisted of 454 parents (mean age 39.4 years; 72.0% women) and 444 children (mean age 8.0 years; 50.1% girls). Multilevel repeated measures analyses were performed to assess intervention effectiveness after 1 year.

Results: In parents, there was no significant intervention effect. In children, there were only significant negative effects for moderate to vigorous physical activity (p = 0.05; η_p² = 0.008) and steps (p = 0.03; η_p² = 0.006%) on weekdays, with physical activity decreasing (more) in the intervention group.

Conclusions: The F4D-intervention lacks effectiveness on high-risk families' physical activity and its correlates in Belgium. This could partially be explained by low attendance rates and a large drop-out. To reach vulnerable populations, future interventions should invest in more appropriate recruitment (e.g. more face-to-face contact) and more bottom-up development of the intervention (i.e. co-creation of the intervention with the target group).

Trial registration: The Feel4Diabetes-study was prospectively registered at clinicaltrials.gov as NCT02393872 on 20 March 2015.

Keywords: Healthy lifestyle promotion; High-risk families; Intervention effectiveness; Parents; Primary schoolchildren; Type 2 diabetes mellitus.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

**Fig. 1**
Flow chart of included parents and children with data on both baseline and follow-up test

See this image and copyright information in PMC

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References

1. International Diabetes Federation [IDF], IDF Diabetes Atlas 8th edition 2017 - regional fact sheet Europe, I.D. Brussels: Federation, Editor; 2017.
1. Ogurtsova K, et al. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40–50. - PubMed
1. International Diabetes Federation, IDF Diabetes atlas eight edition. Brussels: International Diabetes Federation; 2017.
1. Haines L, et al. Rising incidence of type 2 diabetes in children in the U.K. Diabetes Care. 2007;30(5):1097–1101. - PubMed
1. Schober E, et al. Diabetes mellitus type 2 in childhood and adolescence in Germany and parts of Austria. Eur J Pediatr. 2005;164(11):705–707. - PubMed

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[1] International Diabetes Federation [IDF], IDF Diabetes Atlas 8th edition 2017 - regional fact sheet Europe, I.D. Brussels: Federation, Editor; 2017.

[2] International Diabetes Federation [IDF], IDF Diabetes Atlas 8th edition 2017 - regional fact sheet Europe, I.D. Brussels: Federation, Editor; 2017.

[3] Ogurtsova K, et al. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40–50. - PubMed

[4] Ogurtsova K, et al. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40–50. - PubMed

[5] International Diabetes Federation, IDF Diabetes atlas eight edition. Brussels: International Diabetes Federation; 2017.

[6] International Diabetes Federation, IDF Diabetes atlas eight edition. Brussels: International Diabetes Federation; 2017.

[7] Haines L, et al. Rising incidence of type 2 diabetes in children in the U.K. Diabetes Care. 2007;30(5):1097–1101. - PubMed

[8] Haines L, et al. Rising incidence of type 2 diabetes in children in the U.K. Diabetes Care. 2007;30(5):1097–1101. - PubMed

[9] Schober E, et al. Diabetes mellitus type 2 in childhood and adolescence in Germany and parts of Austria. Eur J Pediatr. 2005;164(11):705–707. - PubMed

[10] Schober E, et al. Diabetes mellitus type 2 in childhood and adolescence in Germany and parts of Austria. Eur J Pediatr. 2005;164(11):705–707. - PubMed

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Effectiveness of a family-, school- and community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus: the Feel4Diabetes-study

Collaborators

Affiliations

Effectiveness of a family-, school- and community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus: the Feel4Diabetes-study

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

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