34 results on '"Kugelberg, Susanna"'
Search Results
2. The transformative capacity of public sector organisations in sustainability transitions
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Borrás, Susana, Haakonsson, Stine, Hendriksen, Christian, Gerli, Francesco, Poulsen, René Taudal, Pallesen, Trine, Somavilla Croxatto, Lucas, Kugelberg, Susanna, and Larsen, Henrik
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- 2024
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3. Implications of a food system approach for policy agenda-setting design
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Kugelberg, Susanna, Bartolini, Fabio, Kanter, David R., Milford, Anna Birgitte, Pira, Kajsa, Sanz-Cobena, Alberto, and Leip, Adrian
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- 2021
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4. The role of nitrogen in achieving sustainable food systems for healthy diets
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Leip, Adrian, Bodirsky, Benjamin Leon, and Kugelberg, Susanna
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- 2021
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5. Research meetings must be more sustainable
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Sanz-Cobena, Alberto, Alessandrini, Roberta, Bodirsky, Benjamin Leon, Springmann, Marco, Aguilera, Eduardo, Amon, Barbara, Bartolini, Fabio, Geupel, Markus, Grizzetti, Bruna, Kugelberg, Susanna, Latka, Catharina, Liang, Xia, Milford, Anna Birgitte, Musinguzi, Patrick, Ng, Ee Ling, Suter, Helen, and Leip, Adrian
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- 2020
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6. Appetite for change: food system options for nitrogen, environment & health. 2nd European Nitrogen Assessment special report on nitrogen & food
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Leip, Adrian, Wollgast, Jan, Kugelberg, Susanna, Costa Leite, João, Maas, Rob J.M., Mason, Kate E., Sutton, Mark A., Leip, Adrian, Wollgast, Jan, Kugelberg, Susanna, Costa Leite, João, Maas, Rob J.M., Mason, Kate E., and Sutton, Mark A.
- Abstract
This report assesses the main ingredients needed to navigate the transition towards agreed nitrogen sustainability targets. Global nitrogen losses pose a serious threat to environmental sustainability and compromise the ability of the agricultural sector to feed a growing population. The first ENA Special Report ‘Nitrogen on the Table’ showed how encouraging more plant-based diets can promote human health and reduce nitrogen emissions. Building on these foundations, the present report ‘Appetite for Change’ explores pathways towards sustainable nitrogen and food choices. This report, prepared by the Expert Panel on Nitrogen and Food of the UNECE Task Force on Reactive Nitrogen, presents the main ingredients and a suggested recipe to navigate the necessary sustainability transition towards agreed nitrogen targets. It shows that a combination of diet change towards plant-based diets and technical measures across the food chain can halve nitrogen waste. It thus sets out a path to reaching targets set in the Colombo Declaration, the EU Farm to Fork Strategy and the Kunming-Montreal Global Biodiversity Framework. Importantly, diet change can reduce pressure on land resources and mineral fertilizers, reduce energy dependency and increase resilience to food and energy crises. ‘Appetite for Change’ emphasizes how the nitrogen cycle, food system, environment and health are inextricably interlinked. It goes on to identify ambitious and systemic actions to transform the food system. There are great opportunities for reducing nitrogen losses from food production and consumption with co-benefits for nutrition and public health. To be sustainable in the longer term, nitrogen management needs to be based on a systems approach and requires responsive governance action across inter-connected policy sectors, engaging a wide set of food system actors.
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- 2023
7. The Transformative Capacity of Public Sector Organizations in Sustainability Transitions
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Borrás, Susana, primary, Haakonsson, Stine, additional, Poulsen, René Taudal, additional, Pallesen, Trine, additional, Hendriksen, Christian, additional, Somavilla, Lucas, additional, Kugelberg, Susanna, additional, Larsen, Henrik, additional, and Gerli, Francesco, additional
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- 2023
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8. Associations between food and beverage consumption and different types of sedentary behaviours in European preschoolers: the ToyBox-study
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Miguel-Berges, María L., Santaliestra-Pasias, Alba M., Mouratidou, Theodora, Androutsos, Odysseas, de Craemer, Marieke, Pinket, An-Sofie, Birnbaum, Julia, Koletzko, Berthold, Iotova, Violeta, Usheva, Natalia, Kulaga, Zbigniew, Gozdz, Magdalena, Manios, Yannis, Moreno, Luis A., Yngve, Agneta, Aikenhead, Andrea, Wildgruber, Andreas, Strauß, Angelika, Dorgelo, Annemiek, Payr, Annette, Mosdøl, Annhild, Nethe, Aviva, Günthersberger, Axel, Gurzkowska, Beata, Oves, Beatriz, Nilsen, Bente B., Koletzko, Berthold, Herbert, Birgit, Swinburn, Boyd, Vereecken, Carine, Summerbell, Carolyn, Nixon, Catherine, Lynch, Christel, Katsarou, Christina, Lambrinou, Christina-Paulina, Geyer, Christine, Voegele, Claus, Ward, Dianne, Apostolidou, Eftychia, Efstathopoulou, Eirini, De Decker, Ellen, González-Gil, Esther M., Grammatikaki, Eva, Buijs, Goof, Cardon, Greet, Moore, Helen, De Bourdeaudhuij, Ilse, Jansen, Jan, Van Assche, Jo, Reilly, John, Fernandez, Juan, Birnbaum, Julia, Wildeis, Julia, Retterath, Jutta, Zych, Kamila, Szott, Katarzyna, Duvinage, Kristin, Maes, Lea, Gibson, Leigh, Annemans, Lieven, Pil, Lore, Gracia-Marco, Luis, Moreno, Luis, Tsirigoti, Lydia, Góźdź, Magdalena, Paw, Mai Chin A., Mesana, Maribel, De Craemer, Marieke, Lateva, Mina, Usheva, Natalya, Feschieva, Nevyana, Androutsos, Odysseas, Gmeiner, Otto, De Miguel-Etayo, Pilar, Socha, Piotr, Ibrügger, Sabine, te Velde, Saskia, Galcheva, Sonya, De Henauw, Stefaan, Kugelberg, Susanna, Kreichauf, Susanne, Mouratidou, Theodora, Lobstein, Tim, Marinova, Vanya, Iotova, Violeta, Douthwaite, Wayne, Manios, Yannis, Kulaga, Zbigniew, Radkova, Zhaneta, and on behalf of the ToyBox-study group
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- 2017
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9. Cross-sectoral Perspectives
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Shukla, P. R., Skea, J., Slade, Raphael, Al Khourdajie, Alaa, van Diemen, R., McCollum, D., Pathak, M., Some, S., Vyas, P., Fradera, R., Belkacemi, M., Hasija, A., Lisboa, G., Luz, S., Malley, J., Babiker, Mustafa, Berndes, Göran, Blok, Kornelis, Cohen, Brett, Cowie, Annette, Geden, Oliver, Ginzburg, Veronika, Leip, Adrian, Smith, Pete, Sugiyama, Masahiro, Yamba, Francis, Arneth, Almut, Lima de Azevedo, Ines M., Bataille, Christopher, Beerling, David, Bezner Kerr, Rachel, Bradley, Jessie, Buck, Holly J., Cabeza, Luisa F., Calvin, Katherine, Campbell, Donovan, Cols, Jofre Carnicer, Daioglou, Vassillis, Harmsen, Mathijs, Höglund-Isaksson, Lena, House, Joanna I., Keller, David P., Kleijne, Kiane de, Kugelberg, Susanna, Makarov, Igor, Meza, Francisco, Minx, Jan C., Morecroft, Michael, Nabuurs, Gert-Jan, Neufeldt, Henry, Novikova, Aleksandra, Nugroho, Sudarmanto Budi, Oschlies, Andreas, Parmesan, Camille, Peters, Glen P., Poore, Joseph, Portugal-Pereira, Joana, Postigo, Julio C., Pradhan, Prajal, Renforth, Phil, Rivera-Ferre, Marta G., Roe, Stephanie, Singh, Pramod K., Smith, Stephen M., Tirado von der Pahlen, Maria C., Toribio Ramirez, Daniela, Shukla, P. R., Skea, J., Slade, Raphael, Al Khourdajie, Alaa, van Diemen, R., McCollum, D., Pathak, M., Some, S., Vyas, P., Fradera, R., Belkacemi, M., Hasija, A., Lisboa, G., Luz, S., Malley, J., Babiker, Mustafa, Berndes, Göran, Blok, Kornelis, Cohen, Brett, Cowie, Annette, Geden, Oliver, Ginzburg, Veronika, Leip, Adrian, Smith, Pete, Sugiyama, Masahiro, Yamba, Francis, Arneth, Almut, Lima de Azevedo, Ines M., Bataille, Christopher, Beerling, David, Bezner Kerr, Rachel, Bradley, Jessie, Buck, Holly J., Cabeza, Luisa F., Calvin, Katherine, Campbell, Donovan, Cols, Jofre Carnicer, Daioglou, Vassillis, Harmsen, Mathijs, Höglund-Isaksson, Lena, House, Joanna I., Keller, David P., Kleijne, Kiane de, Kugelberg, Susanna, Makarov, Igor, Meza, Francisco, Minx, Jan C., Morecroft, Michael, Nabuurs, Gert-Jan, Neufeldt, Henry, Novikova, Aleksandra, Nugroho, Sudarmanto Budi, Oschlies, Andreas, Parmesan, Camille, Peters, Glen P., Poore, Joseph, Portugal-Pereira, Joana, Postigo, Julio C., Pradhan, Prajal, Renforth, Phil, Rivera-Ferre, Marta G., Roe, Stephanie, Singh, Pramod K., Smith, Stephen M., Tirado von der Pahlen, Maria C., and Toribio Ramirez, Daniela
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- 2022
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10. Understanding the process of establishing a food and nutrition policy: the case of Slovenia
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Kugelberg, Susanna, Jönsson, Kristina, and Yngve, Agneta
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- 2012
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11. Cross-sectoral Perspectives
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Babiker, Mustafa, Berndes, Göran, Blok, Kornelis, Cohen, Brett, Cowie, Annette, Geden, Oliver, Ginzburg, Veronika, Leip, Adrian, Smith, Pete, Sugiyama, Masahiro, Yamba, Francis, Al Khourdajie, Alaa, Arneth, Almut, Lima de Azevedo, Ines M., Bataille, Christopher, Beerling, David, Bezner Kerr, Rachel, Bradley, Jessie, Buck, Holly J., Cabeza, Luisa F., Calvin, Katherine, Campbell, Donovan, Cols, Jofre Carnicer, Daioglou, Vassillis, Harmsen, Mathijs, Höglund-Isaksson, Lena, House, Joanna I., Keller, David P., Kleijne, Kiane de, Kugelberg, Susanna, Makarov, Igor, Meza, Francisco, Minx, Jan C., Morecroft, Michael, Nabuurs, Gert-Jan, Neufeldt, Henry, Novikova, Aleksandra, Nugroho, Sudarmanto Budi, Oschlies, Andreas, Parmesan, Camille, Peters, Glen P., Poore, Joseph, Portugal-Pereira, Joana, Postigo, Julio C., Pradhan, Prajal, Renforth, Phil, Rivera-Ferre, Marta G., Roe, Stephanie, Singh, Pramod K., Slade, Raphael, Smith, Stephen M., Tirado von der Pahlen, Maria C., Toribio Ramirez, Daniela, Shukla, P. R., Skea, J., Slade, Raphael, Al Khourdajie, Alaa, van Diemen, R., McCollum, D., Pathak, M., Some, S., Vyas, P., Fradera, R., Belkacemi, M., Hasija, A., Lisboa, G., Luz, S., and Malley, J.
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- 2022
12. Demand-Side Food Policies for Public and Planetary Health
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Temme, Elisabeth H.M., primary, Vellinga, Reina E., additional, de Ruiter, Henri, additional, Kugelberg, Susanna, additional, van de Kamp, Mirjam, additional, Milford, Anna, additional, Alessandrini, Roberta, additional, Bartolini, Fabio, additional, Sanz-Cobena, Alberto, additional, and Leip, Adrian, additional
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- 2020
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13. Nitrogen pollution policy beyond the farm
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Kanter, David R., primary, Bartolini, Fabio, additional, Kugelberg, Susanna, additional, Leip, Adrian, additional, Oenema, Oene, additional, and Uwizeye, Aimable, additional
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- 2019
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14. Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6-year old European preschool children: The ToyBoxstudy
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Latomme, Julie, Cardon, Greet, De Bourdeaudhuij, Ilse, Iotova, Violeta, Koletzko, Berthold, Socha, Piotr, Moreno, Luis, Androutsos, Odysseas, Manios, Yannis, De Craemer, Marieke, Paw, Mai Chin A., Summerbell, Carolyn, Lobstein, Tim, Annemans, Lieven, Buijs, Goof, Reilly, John, Swinburn, Boyd, Ward, Dianne, Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Geyer, Christine, De Decker, Ellen, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Van Assche, Jo, Pil, Lore, Te Velde, Saskia, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González, Esther, Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen, Bente B., Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Lateva, Mina, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Aikenhead, Andrea, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Public and occupational health, Amsterdam Reproduction & Development (AR&D), APH - Health Behaviors & Chronic Diseases, and APH - Methodology
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Program evaluation ,Male ,Parents ,Computer Games ,Health Behavior ,Psychological intervention ,lcsh:Medicine ,law.invention ,Families ,0302 clinical medicine ,Randomized controlled trial ,PARENTS ,Belgium ,law ,PREVENT OBESITY ,Surveys and Questionnaires ,Medicine and Health Sciences ,Medicine ,BALANCE-RELATED BEHAVIORS ,030212 general & internal medicine ,Early childhood ,lcsh:Science ,Bulgaria ,Children ,Multidisciplinary ,Schools ,Data Processing ,4. Education ,Physics ,HEALTH-PROMOTION ,TIME ,Professions ,Quiet ,Child, Preschool ,Physical Sciences ,ACTIVE PLAY INTERVENTION ,Female ,Games ,Information Technology ,Research Article ,medicine.medical_specialty ,Computer and Information Sciences ,education ,030209 endocrinology & metabolism ,CONTROLLED-TRIAL ,EARLY CHILDHOOD ,White People ,03 medical and health sciences ,Intervention (counseling) ,MEASURED PHYSICAL-ACTIVITY ,Humans ,SCHOOL-BASED INTERVENTIONS ,Sedentary lifestyle ,Behavior ,business.industry ,Computers ,lcsh:R ,Repeated measures design ,Biology and Life Sciences ,Teachers ,Acoustics ,Health promotion ,Video Games ,Age Groups ,People and Places ,Physical therapy ,Recreation ,lcsh:Q ,Population Groupings ,Sedentary Behavior ,business ,Program Evaluation - Abstract
Background The aim of the present study evaluated the effect and process of the ToyBox-intervention on proxy-reported sedentary behaviours in 4- to 6-year-old preschoolers from six European countries. Methods In total, 2434 preschoolers’ parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers’ sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects. Results Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (s = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (s = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers’ and low parents’ process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5–23.5 and mean: 8.7/17, range: 0–17, respectively). Higher parents’ process evaluation scores were related to a larger intervention effect, but higher teachers’ process evaluation scores were not. Conclusions The ToyBox-intervention had a small, positive effect on European preschoolers’ computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed. Trial registration clinicaltrials.gov NCT02116296
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- 2017
15. Adolescents’ Perspectives on Personal and Societal Responsibility for Childhood Obesity — The Study of Beliefs through ‘Serious’ Game (PlayDecide)
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Timotijevic, Lada, primary, Acuna‐Rivera, Marcela, additional, Gemen, Raymond, additional, Kugelberg, Susanna, additional, McBarron, Kate, additional, Raats, Monique M., additional, and Zolotonosa, Maria, additional
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- 2018
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16. Associations between food and beverage consumption and different types of sedentary behaviours in European preschoolers: the ToyBox-study
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Miguel-Berges, María L., Santaliestra-Pasias, Alba M., Mouratidou, Theodora, Androutsos, Odysseas, de Craemer, Marieke, Pinket, An Sofie, Birnbaum, Julia, Koletzko, Berthold, Iotova, Violeta, Usheva, Natalia, Kulaga, Zbigniew, Góźdź, Magdalena, Manios, Yannis, Moreno, Luis A., Yngve, Agneta, Aikenhead, Andrea, Wildgruber, Andreas, Strauß, Angelika, Dorgelo, Annemiek, Payr, Annette, Mosdøl, Annhild, Nethe, Aviva, Günthersberger, Axel, Gurzkowska, Beata, Oves, Beatriz, Nilsen, Bente B., Herbert, Birgit, Swinburn, Boyd, Vereecken, Carine, Summerbell, Carolyn, Nixon, Catherine, Lynch, Christel, Katsarou, Christina, Lambrinou, Christina Paulina, Geyer, Christine, Voegele, Claus, Ward, Dianne, Apostolidou, Eftychia, Efstathopoulou, Eirini, De Decker, Ellen, González-Gil, Esther M., Grammatikaki, Eva, Buijs, Goof, Cardon, Greet, Moore, Helen, De Bourdeaudhuij, Ilse, Jansen, Jan, Van Assche, Jo, Reilly, John, Fernandez, Juan, Wildeis, Julia, Retterath, Jutta, Zych, Kamila, Szott, Katarzyna, Duvinage, Kristin, Maes, Lea, Gibson, Leigh, Annemans, Lieven, Pil, Lore, Gracia-Marco, Luis, Tsirigoti, Lydia, Paw, Mai Chin A., Mesana, Maribel, Lateva, Mina, Feschieva, Nevyana, Gmeiner, Otto, De Miguel-Etayo, Pilar, Socha, Piotr, Ibrügger, Sabine, te Velde, Saskia, Galcheva, Sonya, De Henauw, Stefaan, Kugelberg, Susanna, Kreichauf, Susanne, Lobstein, Tim, Marinova, Vanya, Douthwaite, Wayne, Radkova, Zhaneta, and Epidemiology and Data Science
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Male ,medicine.medical_specialty ,Health Behavior ,Medicine (miscellaneous) ,Child Behavior ,030209 endocrinology & metabolism ,Overweight ,White People ,Body Mass Index ,Beverages ,03 medical and health sciences ,Screen time ,0302 clinical medicine ,Environmental health ,Surveys and Questionnaires ,medicine ,Cluster Analysis ,Humans ,Processed meat ,030212 general & internal medicine ,Obesity ,Exercise ,Beverage consumption ,Nutrition and Dietetics ,medicine.disease ,Diet ,Maternal education ,Europe ,Video Games ,Child, Preschool ,Physical therapy ,%22">Fish ,Female ,Television ,medicine.symptom ,Sedentary Behavior ,Snacks ,Psychology ,Body mass index - Abstract
© 2016, Springer-Verlag Berlin Heidelberg. Objective: To examine the association between food and beverage consumption and time spent in different sedentary behaviours such as watching TV and DVDs, playing computer/video games and quiet play/activities in preschoolers. Methods: A sample of 6431 (51.8 % males) European preschoolers aged 3.5–5.5 years from six survey centres was included in the data analyses. Data on dietary habits and sedentary behaviours [watching TV, playing computer and quiet play (both during weekdays and weekend days)] were collected via standardized proxy-administered questionnaires. One-way analysis of covariance and general linear model (adjusted for sex, maternal education, body mass index and centre) were conducted. Results: The results of the generalized linear model showed that the more strong associations in both males and females who were watching TV for > 1 h/day during weekdays were positively associated with increased consumption of fizzy drinks (β = 0.136 for males and β = 0.156 for females), fresh and packed juices (β = 0.069, β = 0.089), sweetened milk (β = 0.119, β = 0.078), cakes and biscuits (β = 0.116, β = 0.145), chocolate (β = 0.052, β = 0.090), sugar-based desserts and pastries (β = 0.234, β = 0.250), salty snacks (β = 0.067, β = 0.056), meat/poultry/processed meat (β = 0.067, β = 0.090) and potatoes (β = 0.071, β = 0.067), and negative associations were observed for the consumption of fruits (β = −0.057, β = −0.099), vegetables (β = −0.056, β = −0.082) and fish (β = −0.013, β = −0.013). During weekend days, results were comparable. Conclusions: In European preschoolers, sedentary behaviours were associated with consumption of energy-dense foods and fizzy drinks. The present findings will contribute to improve the strategies to prevent overweight, obesity and nutrition-related chronic diseases from early childhood.
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- 2016
17. Designing and implementing teachers' training sessions in a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study
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Androutsos, O., Katsarou, C., Payr, A., Birnbaum, J., Geyer, C., Wildgruber, A., Kreichauf, Susanne, Lateva, M., De Decker, E., De Craemer, M., Socha, P., Moreno, L., Iotova, V., Koletzko, B. V., Manios, Y., Grammatikaki, Eva, Apostolidou, Eftychia, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, De Bourdeaudhuij, Ilse, Cardon, Greet, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
Since school-based interventions are mainly delivered by the school staff, they need to be well-trained and familiarized with the programme's aims, procedures and tools. Therefore, the institute, research group, governmental or non-governmental body in charge of the coordination and implementation of the programme needs to devote time and resources to train the school staff before programme's implementation. This is particularly crucial in multi-centre studies where more than one research teams are involved. Both research teams and school staff need to be trained, using standard protocols and procedures, to ensure that the intervention will be delivered in a standardized manner throughout the intervention centres. The ToyBox-intervention, a multi-component, kindergarten-based, family-involved intervention, focusing on water consumption, snacking, physical activity and sedentary behaviours in preschool children, was implemented over the academic year 2012-2013 in six European countries. As part of this intervention, three teachers' training sessions were delivered to motivate and train teachers in implementing the intervention. The local researchers were trained centrally before delivering the training sessions for the teachers and followed a common protocol using standardized presentations and procedures. The aim of the current paper is to describe the protocol and methodological issues related to the teachers' training sessions conducted within the ToyBox-intervention.
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- 2014
18. Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood:The ToyBox-study
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Manios, Yannis, Androutsos, Odysseas, Katsarou, Christina, Iotova, Violeta, Socha, Piotr, Geyer, Christine, Moreno, Luis, Koletzko, Berthold, De Bourdeaudhuij, Ilse, Reilly, John, Swinburn, Boyd, Ward, Dianne, Grammatikaki, Eva, Apostolidou, Eftychia, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Cardon, Greet, De Craemer, Marieke, De Decker, Ellen, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Van Assche, Jo, Pil, Lore, Chin A Paw, Mai, te Velde, Saskia, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen, Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Lateva, Mina, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multi-component, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.
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- 2014
19. Process evaluation design and tools used in a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study
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Androutsos, O., Apostolidou, E., Iotova, V., Socha, P., Birnbaum, J., Moreno, L., De Bourdeaudhuij, I., Koletzko, B., Manios, Yannis, Grammatikaki, Eva, Katsarou, Christina, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Payr, Annette, Cardon, Greet, De Craemer, Marieke, De Decker, Ellen, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Van Assche, Jo, Pil, Lore, Fernandez, Juan, te Velde, Saskia, Mouratidou, Theodora, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Mosdøl, Annhild, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Nilsen, Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Lateva, Mina, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Reilly, John, Swinburn, Boyd, Ward, Dianne, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
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education - Abstract
Summary: Process evaluation (PE) is used for the in-depth evaluation of the implementation process of health promotion programmes. The aim of the current paper was to present the PE design and tools used in the ToyBox-intervention. The PE design was based on a three-step approach, including the identification of ToyBox-specific PE elements (step 1), the development of PE tools and harmonization of procedures (step 2), and the implementation of PE using standardized protocol and tools across the intervention countries (step 3). Specifically, to evaluate the implementation of the intervention, teachers' monthly logbooks were recorded (dose delivered, fidelity, dose received); post-intervention questionnaires were completed by parents/caregivers and teachers (dose received); participation and attrition rates were recorded (recruitment, reach); and audit questionnaires and retrospective information on weather conditions were collected (physical and social environment within which the intervention was implemented). Regarding the teachers' training sessions, the researchers who performed the trainings completed evaluation forms and documented teachers' attendance after each training (dose delivered, fidelity, dose received) and teachers completed evaluation forms after each training (dose received). The PE performed in the ToyBox-intervention may contribute in the evaluation of its effectiveness, guide the revision of the intervention material and provide insights for future health promotion programmes and public health policy.
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- 2014
20. Tools, harmonization and standardization procedures of the impact and outcome evaluation indices obtained during a kindergarten-based, family-involved intervention to prevent obesity in early childhood:The ToyBox-study
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Mouratidou, T., Miguel, M. L., Androutsos, O., Manios, Y., De Bourdeaudhuij, I., Cardon, G., Kulaga, Z., Socha, P., Galcheva, S., Iotova, V., Payr, A., Koletzko, B., Moreno, L. A., Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Geyer, Christine, De Bourdeaudhuij, Ilse, De Craemer, Marieke, De Decker, Ellen, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Lateva, Mina, Usheva, Natalya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
The ToyBox-intervention is a kindergarten-based, family-involved intervention targeting multiple lifestyle behaviours in preschool children, their teachers and their families. This intervention was conducted in six European countries, namely Belgium, Bulgaria, Germany, Greece, Poland and Spain. The aim of this paper is to provide a descriptive overview of the harmonization and standardization procedures of the baseline and follow-up evaluation of the study (and substudies). Steps related to the study's operational, standardization and harmonization procedures as well as the impact and outcome evaluation assessment tools used are presented. Experiences from the project highlight the importance of safeguarding the measurement process to minimize data heterogeneity derived from potential measurement error and country-by-country differences. In addition, it was made clear that continuing quality control and support is an important component of such studies. For this reason, well-supported communication channels, such as regular email updates and teleconferences, and regular internal and external meetings to ensure smooth and accurate implementation were in place during the study. The ToyBox-intervention and its harmonized and standardized procedures can serve as a successful case study for future studies evaluating the efficacy of similar interventions.
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- 2014
21. Reliability of anthropometric measurements in European preschool children:The ToyBox-study
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De Miguel-Etayo, P., Mesana, M. I., Cardon, G., De Bourdeaudhuij, I., Góźdź, M., Socha, P., Lateva, M., Iotova, V., Koletzko, B. V., Duvinage, K., Androutsos, O., Manios, Y., Moreno, L. A., Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Geyer, Christine, De Craemer, Marieke, De Decker, Ellen, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Mouratidou, Theodora, Fernandez, Juan, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Kulaga, Zbigniew, Zych, Kamila, Gurzkowska, Beata, Szott, Katarzyna, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
The ToyBox-study aims to develop and test an innovative and evidence-based obesity prevention programme for preschoolers in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. In multicentre studies, anthropometric measurements using standardized procedures that minimize errors in the data collection are essential to maximize reliability of measurements. The aim of this paper is to describe the standardization process and reliability (intra- and inter-observer) of height, weight and waist circumference (WC) measurements in preschoolers. All technical procedures and devices were standardized and centralized training was given to the fieldworkers. At least seven children per country participated in the intra- and inter-observer reliability testing. Intra-observer technical error ranged from 0.00 to 0.03kg for weight and from 0.07 to 0.20cm for height, with the overall reliability being above 99%. A second training was organized for WC due to low reliability observed in the first training. Intra-observer technical error for WC ranged from 0.12 to 0.71cm during the first training and from 0.05 to 1.11cm during the second training, and reliability above 92% was achieved. Epidemiological surveys need standardized procedures and training of researchers to reduce measurement error. In the ToyBox-study, very good intra- and-inter-observer agreement was achieved for all anthropometric measurements performed.
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- 2014
22. Developing the intervention material to increase physical activity levels of European preschool children: The ToyBox-study
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Duvinage, K., Ibrügger, S., Kreichauf, S., Wildgruber, A., De Craemer, M., Decker, Ellen De, Androutsos, O., Lateva, M., Iotova, V., Socha, P., Zych, K., Mouratidou, T., Mesana Graffe, M. I., Manios, Y., Koletzko, B., Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Geyer, Christine, De Bourdeaudhuij, Ilse, Cardon, Greet, Craemer, Marieke De, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Moreno, Luis, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kulaga, Zbigniew, Gurzkowska, Beata, Szott, Katarzyna, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
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education - Abstract
Early childhood is an important period for adopting positive health-related behaviours. More than 95% of European preschool children attend kindergartens, making these settings ideal for the implementation of health promotion interventions. The ToyBox-intervention addressed preschool children, their parents/caregivers and teachers. The aim of the intervention was to improve four energy balance-related behaviours (i.e. healthy snacking, water consumption, physical activity and sedentary behaviour) by implementing a kindergarten-based, family-involved intervention in six European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain). The intervention material was developed following the intervention mapping protocol, taking into account local and cultural differences among the intervention countries. The present paper focuses on the development of the physical activity component of the intervention. Parental involvement was addressed by providing parents/caregivers with two newsletters, two tip cards and a poster. Teachers received a handbook with guidance on environmental changes in the classroom, 26 physical education sessions and suggestions for fun, interactive classroom activities aiming at total class participation to increase preschoolers' physical activity levels. The ToyBox-intervention material was distributed according to a standard time frame. Teachers received their material prior to the start of the intervention and parents/caregivers received their material during the intervention when each energy balance-related behaviour was implemented.
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- 2014
23. Applying the Intervention Mapping protocol to develop a kindergarten-based, family-involved intervention to increase European preschool children's physical activity levels:The ToyBox-study
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De Craemer, M., De Decker, E., De Bourdeaudhuij, I., Verloigne, M., Duvinage, K., Koletzko, B., Ibrügger, S., Kreichauf, S., Grammatikaki, E., Moreno, L., Iotova, V., Socha, P., Szott, K., Manios, Y., Cardon, G., Androutsos, Odysseas, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Geyer, Christine, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Wildgruber, Andreas, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Lateva, Mina, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
Although sufficient physical activity is beneficial for preschoolers' health, activity levels in most preschoolers are low. As preschoolers spend a considerable amount of time at home and at kindergarten, interventions should target both environments to increase their activity levels. The aim of the current paper was to describe the six different steps of the Intervention Mapping protocol towards the systematic development and implementation of the physical activity component of the ToyBox-intervention. This intervention is a kindergarten-based, family-involved intervention implemented across six European countries. Based on the results of literature reviews and focus groups with parents/caregivers and kindergarten teachers, matrices of change objectives were created. Then, theory-based methods and practical strategies were selected to develop intervention materials at three different levels: (i) individual level (preschoolers); (ii) interpersonal level (parents/caregivers) and (iii) organizational level (teachers). This resulted in a standardized intervention with room for local and cultural adaptations in each participating country. Although the Intervention Mapping protocol is a time-consuming process, using this systematic approach may lead to an increase in intervention effectiveness. The presented matrices of change objectives are useful for future programme planners to develop and implement an intervention based on the Intervention Mapping protocol to increase physical activity levels in preschoolers.
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- 2014
24. Methodological procedures followed in a kindergarten-based, family-involved intervention implemented in six European countries to prevent obesity in early childhood:The ToyBox-study
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Manios, Y., Androutsos, Odysseas, Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Koletzko, Berthold, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Birnbaum, Julia, Payr, Annette, Geyer, Christine, De Bourdeaudhuij, Ilse, Cardon, Greet, Craemer, Marieke De, Decker, Ellen De, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Moreno, Luis, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Socha, Piotr, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Iotova, Violeta, Lateva, Mina, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
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- 2014
25. Establishing a method to estimate the cost-effectiveness of a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study
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Pil, L., Putman, K., Cardon, G., De Bourdeaudhuij, Ilse, Manios, Y., Androutsos, O., Lateva, M., Iotova, V., Zych, K., Góźdź, M., González-Gil, E. M., De Miguel-Etayo, P., Geyer, C., Birnbaum, J., Annemans, Lieven, Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Koletzko, Berthold, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Payr, Annette, Craemer, Marieke De, Decker, Ellen De, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Paw, Mai Chin A., te Velde, Saskia, Moreno, Luis, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Socha, Piotr, Kulaga, Zbigniew, Gurzkowska, Beata, Szott, Katarzyna, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
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health care economics and organizations - Abstract
Overweight and obesity in children are recognized as a major health problem. The ToyBox-intervention was developed with the aim of preventing obesity in pre-schoolers. Because it is increasingly important to inform policy makers not only on the effects of prevention interventions, but also on their costs and cost-effectiveness, our purpose was to establish a method to estimate the cost-effectiveness of the ToyBox-intervention. In order to estimate the long-term impact of the ToyBox-intervention on health and societal costs, extrapolations of the intervention effect will be conducted to predict children's weight status (based on the body mass index) at adult age. Effects of the adult weight status on the prevalence of obesity-related complications will be modelled through a Markov model, with a total time horizon of 70 years and a cycle length of 1 year. The model will be conducted in six European countries participating in the ToyBox-intervention, based on country-specific economic and epidemiological data. This study describes the methodological rationale and implementation of an analytic model to examine the cost-effectiveness of the ToyBox-intervention for six European countries, in order to inform decision-makers on the value for money of this intervention in the prevention of obesity in pre-schoolers.
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- 2014
26. Reliability of primary caregivers reports on lifestyle behaviours of European pre-school children: The ToyBox-study
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González-Gil, E. M., Mouratidou, T., Cardon, G., Androutsos, O., De Bourdeaudhuij, I., Góźdź, M., Usheva, N., Birnbaum, Julia, Manios, Y., Moreno, L. A., Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Koletzko, Berthold, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Payr, Annette, Geyer, Christine, De Craemer, Marieke, De Decker, Ellen, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Kreichauf, Susanne, Wildgruber, Andreas, Socha, Piotr, Kulaga, Zbigniew, Zych, Kamila, Gurzkowska, Beata, Szott, Katarzyna, Iotova, Violeta, Lateva, Mina, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
Reliable assessments of health-related behaviours are necessary for accurate evaluation on the efficiency of public health interventions. The aim of the current study was to examine the reliability of a self-administered primary caregivers questionnaire (PCQ) used in the ToyBox-intervention. The questionnaire consisted of six sections addressing sociodemographic and perinatal factors, water and beverages consumption, physical activity, snacking and sedentary behaviours. Parents/caregivers from six countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain) were asked to complete the questionnaire twice within a 2-week interval. A total of 93 questionnaires were collected. Test-retest reliability was assessed using intra-class correlation coefficient (ICC). Reliability of the six questionnaire sections was assessed. A stronger agreement was observed in the questions addressing sociodemographic and perinatal factors as opposed to questions addressing behaviours. Findings showed that 92% of the ToyBox PCQ had a moderate-to-excellent test-retest reliability (defined as ICC values from 0.41 to 1) and less than 8% poor test-retest reliability (ICC
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- 2014
27. Concepts and strategies on how to train and motivate teachers to implement a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study
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Payr, A., Birnbaum, J., Wildgruber, A., Kreichauf, S., Androutsos, O., Lateva, M., Decker, Ellen De, De Craemer, M., Iotova, V., Koletzko, B., Grammatikaki, Eva, Katsarou, Christina, Apostolidou, Eftychia, Efstathopoulou, Eirini, Duvinage, Kristin, Ibrügger, Sabine, Strauß, Angelika, Herbert, Birgit, Geyer, Christine, De Bourdeaudhuij, Ilse, Cardon, Greet, Craemer, Marieke De, Annemans, Lieven, De Henauw, Stefaan, Maes, Lea, Vereecken, Carine, Assche, Jo Van, Pil, Lore, Paw, Mai Chin A., te Velde, Saskia, Moreno, Luis, Mouratidou, Theodora, Fernandez, Juan, Mesana, Maribel, De Miguel-Etayo, Pilar, González-Gil, Esther M., Gracia-Marco, Luis, Oves, Beatriz, Yngve, Agneta, Kugelberg, Susanna, Lynch, Christel, Mosdøl, Annhild, Nilsen B., Bente B., Summerbell, Carolyn, Moore, Helen, Douthwaite, Wayne, Nixon, Catherine, Socha, Piotr, Kulaga, Zbigniew, Zych, Kamila, Góźdź, Magdalena, Gurzkowska, Beata, Szott, Katarzyna, Usheva, Natalya, Galcheva, Sonya, Marinova, Vanya, Radkova, Zhaneta, Feschieva, Nevyana, Lobstein, Tim, Aikenhead, Andrea, Buijs, Goof, Dorgelo, Annemiek, Nethe, Aviva, Jansen, Jan, Gmeiner, Otto, Retterath, Jutta, Wildeis, Julia, Günthersberger, Axel, Gibson, Leigh, Voegele, Claus, Epidemiology and Data Science, and EMGO - Lifestyle, overweight and diabetes
- Abstract
The key person for the implementation of kindergarten-based behavioural interventions is the kindergarten teacher. When conducting intervention studies in kindergartens, training sessions are needed to train and motivate kindergarten teachers for programme implementation. This paper presents the systematic development of the teachers' trainings executed in the ToyBox-intervention - a kindergarten-based and family-involved obesity prevention programme for children aged 4-6. Based on concepts for the education of kindergarten teachers, on general strategies for successful programme implementation and on the ToyBox programme-specific requirements, the aims of the teachers' trainings were defined and an overall concept was deduced. Regarding the concept for the ToyBox teachers' training sessions, it is concluded that the training modules should focus on presenting information on the practical implementation of the intervention. Furthermore, these modules should also include self-efficacy enhancing components and should give kindergarten teachers opportunities to share experiences. Regarding the didactic methods applied in the ToyBox teachers' training sessions, constructivist learning approaches that facilitate active participation, reflective thinking and personal involvement were implemented. Emphasis was put not only on the content but especially on the didactic methods of teachers' trainings in order to enhance devotion to, and quality and sustainability of the ToyBox-intervention.
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- 2014
28. Public health nutrition in Europe : workforce development and policy change
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Kugelberg, Susanna and Kugelberg, Susanna
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Public health nutrition workforce development is an important prerequisite for developing a nation’s capacity to achieve public health nutrition objectives. Presently, there is a lack of knowledge about public health nutrition workforce development in Europe, in particular, about how governments have developed strategies for promoting a skilled and adaptable public health nutrition workforce and about the current workforce in terms of roles, competencies and functions. The aim of this thesis is to explore workforce development in order to identify current needs and to develop a better understanding of the policy processes that lead to public health nutrition policy changes. Initially, a qualitative study comprising semi-structured face-to-face interviews was conducted to identify enabling and constraining factors of workforce development in seven European countries (Study I). In the following case-study, the agenda setting of a food and nutrition policy in Slovenia was scrutinised by applying Kingdon’s streams model (Study II). In Study IV, the Swedish public health policy process from 1960- 2006 was examined to distinguish policy learning patterns. Finally, we conducted a Delphi-study in order to develop a set of core functions to guide strategic workforce development (Study III). This thesis shows that public health nutritionists as a workforce is largely missing in practice. In countries where public health nutritionists were recognised in policies and organisational aims and programmes, it was more likely that employers supported the roles and saw the value of employing public health nutritionists (Study 1). Investigation of specific cases showed how a food and nutrition policy could be established in Slovenia despite weak initial interest from dominant coalitions in the government (Study II). It specifically points to the importance of particular individuals and their cognitive characteristics (i.e. analytical, strategic and entrepreneurial skills) in order to
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- 2012
29. Core functions for the public health nutrition workforce in Europe : a consensus study
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Jonsdottir, Svandis, Thorsdottir, Inga, Kugelberg, Susanna, Yngve, Agneta, Kennedy, Nicholas P., Hughes, Roger, Jonsdottir, Svandis, Thorsdottir, Inga, Kugelberg, Susanna, Yngve, Agneta, Kennedy, Nicholas P., and Hughes, Roger
- Abstract
Objective: To assess and develop a consensus among a European panel of public health nutrition workforce stakeholders (academics and employers) regarding core functions required for effective public health nutrition practice. Design: A modified Delphi study involving data from two rounds of questionnaires administered among a panel of public health nutrition workforce stakeholders. Setting: Europe. Subjects: A panel of fifty-three public health nutrition development stakeholders, including thirty-three academics and twenty employers, sampled from eighteen European countries. Results: Panellists rated 50 % (19/38) of the initially listed functions as core (i.e. without which public health capacity is limited), using a majority cut-off (>50 %). Out of the nineteen core functions seven were categorised under the heading Intervention management, emphasising high agreement on the importance of managing interventions in public health nutrition work. Only one of the identified core public health nutrition functions was rated differently between academics and employers, suggesting consistent identification of core functions between stakeholder groups. Conclusions: This consensus on core functions of the public health nutrition workforce in Europe can be used to promote a consistent understanding of the role and value of public health nutritionists as a discrete disciplinary sub-specialty of the public health workforce. The convergence of opinions of academics and employers, as well as comparison with previous international studies, indicates that there is a set of core public health nutrition functions transferable between countries that can be used as a benchmark to guide further development of the public health nutrition workforce in Europe., EU DG Education and Culture - project JOBNUT
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- 2012
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30. Public health nutrition workforce development in seven European countries : constraining and enabling factors
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Kugelberg, Susanna, Jonsdottir, Svandis, Faxelid, Elisabeth, Jönsson, Kristina, Fox, Ann, Thorsdottir, Inga, Yngve, Agneta, Kugelberg, Susanna, Jonsdottir, Svandis, Faxelid, Elisabeth, Jönsson, Kristina, Fox, Ann, Thorsdottir, Inga, and Yngve, Agneta
- Abstract
Objectives: Little is known about current public health nutrition workforce development in Europe. The present study aimed to understand constraining and enabling factors to workforce development in seven European countries. Design: A qualitative study comprised of semi-structured face-to-face interviews was conducted and content analysis was used to analyse the transcribed interview data. Setting: The study was carried out in Finland, Iceland, Ireland, Slovenia, Spain, Sweden and the UK. Subjects: Sixty key informants participated in the study. Results: There are constraining and enabling factors for public health nutrition workforce development. The main constraining factors relate to the lack of a supportive policy environment, fragmented organizational structures and a workforce that is not cohesive enough to implement public health nutrition strategic initiatives. Enabling factors were identified as the presence of skilled and dedicated individuals who assume roles as leaders and change agents. Conclusions: There is a need to strengthen coordination between policy and implementation of programmes which may operate across the national to local spectrum. Public health organizations are advised to further define aims and objectives relevant to public health nutrition. Leaders and agents of change will play important roles in fostering intersectorial partnerships, advocating for policy change, establishing professional competencies and developing education and training programmes., funded by DG Education and Culture - JOBNUT project
- Published
- 2012
- Full Text
- View/download PDF
31. FOLKHÄLSOVETENSKAP : arbetet med ämnets definition och innehåll
- Author
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CERNERUD, LARS, Arneson, Hanna, Kugelberg, susanna, Paulsson, Gun, Brodin, Håkan, Cesares Olsson, Marie, Ainestrand, Daniel, CERNERUD, LARS, Arneson, Hanna, Kugelberg, susanna, Paulsson, Gun, Brodin, Håkan, Cesares Olsson, Marie, and Ainestrand, Daniel
- Published
- 2009
32. Public health nutrition workforce development missing in european nutrition policies : the JOBNUT project
- Author
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Bjarnholt, Christel, Kugelberg, Susanna, Hughes, Roger, Stockley, Lynn, Margetts, Barrie M., Thorsdottir, Inga, Perez Rodrigo, Carmen, Kennedy, Nick, Yngve, Agneta, Bjarnholt, Christel, Kugelberg, Susanna, Hughes, Roger, Stockley, Lynn, Margetts, Barrie M., Thorsdottir, Inga, Perez Rodrigo, Carmen, Kennedy, Nick, and Yngve, Agneta
- Published
- 2009
33. Public health nutrition workforce development in seven European countries: constraining and enabling factors
- Author
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Kugelberg, Susanna, primary, Jonsdottir, Svandis, additional, Faxelid, Elisabeth, additional, Jönsson, Kristina, additional, Fox, Ann, additional, Thorsdottir, Inga, additional, and Yngve, Agneta, additional
- Published
- 2012
- Full Text
- View/download PDF
34. Core functions for the public health nutrition workforce in Europe: a consensus study
- Author
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Jonsdottir, Svandis, primary, Thorsdottir, Inga, additional, Kugelberg, Susanna, additional, Yngve, Agneta, additional, Kennedy, Nicholas P, additional, and Hughes, Roger, additional
- Published
- 2012
- Full Text
- View/download PDF
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