The IDEFICS intervention trial to prevent childhood obesity: design and study methods

Obes Rev. 2015 Dec:16 Suppl 2:4-15. doi: 10.1111/obr.12345.

Abstract

Introduction: One of the major research dimensions of the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study involved the development, implementation and evaluation of a setting-based community-oriented intervention programme for primary prevention of childhood obesity. In this supplement of Obesity Reviews, a compilation of key results of the IDEFICS intervention is packaged in a series of complementary papers.

Objective: This paper describes the overall design and methods of the IDEFICS intervention in order to facilitate a comprehensive reading of the supplement. In addition, some 'best practice' examples are described.

Results: The IDEFICS intervention trial was conducted to assess whether the IDEFICS intervention prevented obesity in young children aged 2 to 9.9 years. The study was a non-randomized, quasi-experimental trial with one intervention matched to one control region in each of eight participating countries. The intervention was designed following the intervention mapping framework, using a socio-ecological theoretical approach. The intervention was designed to address several key obesity-related behaviours in children, parents, schools and community actors; the primary outcome was the prevalence of overweight/obesity according to the IOTF criteria based on body mass index. The aim was to achieve a reduction of overweight/obesity prevalence in the intervention regions. The intervention was delivered in school and community settings over a 2-year period. Data were collected in the intervention and control cohort regions at baseline and 2 years later.

Conclusion: This paper offers an introductory framework for a comprehensive reading of this supplement on IDEFICS intervention key results.

Keywords: Childhood obesity; Europe; evaluation; primary prevention.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Mass Index
  • Child
  • Child, Preschool
  • Clinical Trials as Topic
  • Europe / epidemiology
  • Female
  • Follow-Up Studies
  • Health Promotion / methods*
  • Humans
  • Male
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / prevention & control*
  • Prevalence
  • Primary Prevention / methods*
  • Program Development
  • Program Evaluation
  • Risk Factors
  • Risk Reduction Behavior*
  • Schools / organization & administration