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[The IDEFICS primary prevention as a good practice example].

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The IDEFICS intervention showed limited individual impact but community-level success in preventing childhood obesity. Long-term, it improved sugar/water intake and weight trajectories for at-risk children.

Keywords:
ChildrenEuropeEvaluationIntervention studyObesity

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Area of Science:

  • Public Health
  • Pediatric Obesity Prevention
  • Behavioral Science

Background:

  • Childhood overweight and obesity present a significant global health challenge.
  • Primary prevention programs are crucial for addressing this public health issue.
  • The IDEFICS study developed and evaluated a primary prevention program for childhood obesity.

Purpose of the Study:

  • To assess the IDEFICS intervention as a model for best practices in childhood obesity prevention.
  • To describe the intervention modules and discuss their observed effects.
  • To evaluate the long-term impact of the intervention.

Main Methods:

  • Recruited 16,228 children (ages 2-9.9) across eight European countries from educational settings.
  • Implemented a primary prevention program for approximately half the participants.
  • Utilized matched control regions and conducted baseline, 2-year, and 5-year follow-up examinations.

Main Results:

  • The IDEFICS intervention demonstrated minor individual effects but sustainable community and setting-level impacts after two years.
  • A beneficial shift in sugar and water consumption was observed in intervention families after five years.
  • Overweight and obese children in the intervention group showed favorable weight trajectory changes.

Conclusions:

  • Limited intervention message penetration and insufficient local activity intensity may explain weaker individual effects.
  • The study highlights challenges in inducing structural changes within obesogenic environments.
  • Despite limitations, the IDEFICS intervention provided valuable insights into community-level obesity prevention strategies.