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Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Study protocol

The ENDORSE study: Research into environmental determinants of obesity related behaviors in Rotterdam schoolchildren

Authors: Klazine van der Horst, Anke Oenema, Petra van de Looij-Jansen, Johannes Brug

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

Children and adolescents are important target groups for prevention of overweight and obesity as overweight is often developed early in life and tracks into adulthood. Research into behaviors related to overweight (energy balance-related behaviors) and the personal and environmental determinants of these behaviors is fundamental to inform prevention interventions. In the Netherlands and in other countries systematic research into environmental determinants of energy balance related behaviors in younger adolescents is largely lacking. This protocol paper describes the design, the components and the methods of the ENDORSE study (Environmental Determinants of Obesity in Rotterdam SchoolchildrEn), that aims to identify important individual and environmental determinants of behaviors related to overweight and obesity and the interactions between these determinants among adolescents.

Methods

The ENDORSE study is a longitudinal study with a two-year follow-up of a cohort of adolescents aged 12–15 years. Data will be collected at baseline (2005/2006) and at two years follow-up (2007/2008). Outcome measures are body mass index (BMI), waist circumference, time spent in physical activity and sedentary behaviors, and soft drink, snack and breakfast consumption. The ENDORSE study consists of two phases, first employing qualitative research methods to inform the development of a theoretical framework to examine important energy balance related behaviors and their determinants, and to inform questionnaire development. Subsequently, the hypothetical relationships between behavioral determinants, energy balance related behaviors and BMI will be tested in a quantitative study combining school-based surveys and measurements of anthropometrical characteristics at baseline and two-year follow-up.

Discussion

The ENDORSE project is a comprehensive longitudinal study that enables investigation of specific environmental and individual determinants of overweight and obesity among younger adolescents. The project will result in specific recommendations for obesity prevention interventions among younger adolescents.
Literature
1.
go back to reference Lobstein T, Frelut ML: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4 (4): 195-200. 10.1046/j.1467-789X.2003.00116.x.CrossRefPubMed Lobstein T, Frelut ML: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4 (4): 195-200. 10.1046/j.1467-789X.2003.00116.x.CrossRefPubMed
2.
go back to reference Power C, Lake JK, Cole TJ: Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord. 1997, 21 (7): 507-526. 10.1038/sj.ijo.0800454.CrossRefPubMed Power C, Lake JK, Cole TJ: Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord. 1997, 21 (7): 507-526. 10.1038/sj.ijo.0800454.CrossRefPubMed
3.
go back to reference Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH: Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med. 1992, 327 (19): 1350-1355.CrossRefPubMed Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH: Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med. 1992, 327 (19): 1350-1355.CrossRefPubMed
4.
go back to reference Must A, Strauss RS: Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999, 23 Suppl 2: S2-11. 10.1038/sj.ijo.0800852.CrossRefPubMed Must A, Strauss RS: Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999, 23 Suppl 2: S2-11. 10.1038/sj.ijo.0800852.CrossRefPubMed
5.
go back to reference Ebbeling CB, Pawlak DB, Ludwig DS: Childhood obesity: public-health crisis, common sense cure. Lancet. 2002, 360 (9331): 473-482. 10.1016/S0140-6736(02)09678-2.CrossRefPubMed Ebbeling CB, Pawlak DB, Ludwig DS: Childhood obesity: public-health crisis, common sense cure. Lancet. 2002, 360 (9331): 473-482. 10.1016/S0140-6736(02)09678-2.CrossRefPubMed
6.
go back to reference Booth SL, Sallis JF, Ritenbaugh C, Hill JO, Birch LL, Frank LD, Glanz K, Himmelgreen DA, Mudd M, Popkin BM, Rickard KA, St Jeor S, Hays NP: Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. Nutr Rev. 2001, 59 (3 Pt 2): S21-39; discussion S57-65.PubMed Booth SL, Sallis JF, Ritenbaugh C, Hill JO, Birch LL, Frank LD, Glanz K, Himmelgreen DA, Mudd M, Popkin BM, Rickard KA, St Jeor S, Hays NP: Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. Nutr Rev. 2001, 59 (3 Pt 2): S21-39; discussion S57-65.PubMed
7.
go back to reference Ferreira I, van der Horst K, Wendel-Vos W, Kremers S, van Lenthe F, Brug J: Environmental correlates of physical activity in youth - A review and update. Obesity Reviews. 2007, 8 (2): 129-154. 10.1111/j.1467-789X.2006.00264.x.CrossRefPubMed Ferreira I, van der Horst K, Wendel-Vos W, Kremers S, van Lenthe F, Brug J: Environmental correlates of physical activity in youth - A review and update. Obesity Reviews. 2007, 8 (2): 129-154. 10.1111/j.1467-789X.2006.00264.x.CrossRefPubMed
8.
go back to reference van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K, van Lenthe F, Brug J: A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res. 2007, 22: 203-226. 10.1093/her/cyl069.CrossRefPubMed van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K, van Lenthe F, Brug J: A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res. 2007, 22: 203-226. 10.1093/her/cyl069.CrossRefPubMed
9.
go back to reference de Bruijn GJ, Kremers SP, de Vries H, van Mechelen W, Brug J: Associations of social-environmental and individual-level factors with adolescent soft drink consumption: results from the SMILE study. Health Educ Res. 2006 de Bruijn GJ, Kremers SP, de Vries H, van Mechelen W, Brug J: Associations of social-environmental and individual-level factors with adolescent soft drink consumption: results from the SMILE study. Health Educ Res. 2006
10.
go back to reference de Bruijn GJ, Kremers SP, Lensvelt-Mulders G, de Vries H, van Mechelen W, Brug J: Modeling individual and physical environmental factors with adolescent physical activity. Am J Prev Med. 2006, 30 (6): 507-512. 10.1016/j.amepre.2006.03.001.CrossRefPubMed de Bruijn GJ, Kremers SP, Lensvelt-Mulders G, de Vries H, van Mechelen W, Brug J: Modeling individual and physical environmental factors with adolescent physical activity. Am J Prev Med. 2006, 30 (6): 507-512. 10.1016/j.amepre.2006.03.001.CrossRefPubMed
11.
go back to reference Kremers SP, De Bruijn GJ, Visscher TL, Van Mechelen W, De Vries NK, Brug J: Environmental influences on energy balance-related behaviors: A dual-process view. Int J Behav Nutr Phys Act. 2006, 3 (1): 9-10.1186/1479-5868-3-9.CrossRefPubMedPubMedCentral Kremers SP, De Bruijn GJ, Visscher TL, Van Mechelen W, De Vries NK, Brug J: Environmental influences on energy balance-related behaviors: A dual-process view. Int J Behav Nutr Phys Act. 2006, 3 (1): 9-10.1186/1479-5868-3-9.CrossRefPubMedPubMedCentral
12.
go back to reference Swinburn B, Egger G, Raza F: Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999, 29 (6 Pt 1): 563-570. 10.1006/pmed.1999.0585.CrossRefPubMed Swinburn B, Egger G, Raza F: Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999, 29 (6 Pt 1): 563-570. 10.1006/pmed.1999.0585.CrossRefPubMed
13.
go back to reference Ajzen I: Attitudes, personality, and behavior. 1988, Homewood, IL, US: Dorsey Press Ajzen I: Attitudes, personality, and behavior. 1988, Homewood, IL, US: Dorsey Press
15.
go back to reference Coleman L, Coleman J: The measurement of puberty: a review. J Adolesc. 2002, 25 (5): 535-550. 10.1006/jado.2002.0494.CrossRefPubMed Coleman L, Coleman J: The measurement of puberty: a review. J Adolesc. 2002, 25 (5): 535-550. 10.1006/jado.2002.0494.CrossRefPubMed
16.
go back to reference Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D: Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol. 2003, 56 (12): 1163-1169. 10.1016/S0895-4356(03)00220-8.CrossRefPubMed Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D: Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol. 2003, 56 (12): 1163-1169. 10.1016/S0895-4356(03)00220-8.CrossRefPubMed
17.
go back to reference Verplanken B, Orbell S: Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology. 2003, 33 (6): 1313-1330. 10.1111/j.1559-1816.2003.tb01951.x.CrossRef Verplanken B, Orbell S: Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology. 2003, 33 (6): 1313-1330. 10.1111/j.1559-1816.2003.tb01951.x.CrossRef
18.
go back to reference Van Strien T, Frijters JER, Bergers GPA, Defares PB: The Dutch Eating Behaviour Questionnaire (DEBQ) for assessment of restrained, emotional and external eating behaviors among Dutch and American college students. International Journal of Eating Disorders. 1986, 5: 295-315. 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T.CrossRef Van Strien T, Frijters JER, Bergers GPA, Defares PB: The Dutch Eating Behaviour Questionnaire (DEBQ) for assessment of restrained, emotional and external eating behaviors among Dutch and American college students. International Journal of Eating Disorders. 1986, 5: 295-315. 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T.CrossRef
19.
go back to reference Kubik MY, Lytle LA, Story M: Schoolwide food practices are associated with body mass index in middle school students. Arch Pediatr Adolesc Med. 2005, 159 (12): 1111-1114. 10.1001/archpedi.159.12.1111.CrossRefPubMed Kubik MY, Lytle LA, Story M: Schoolwide food practices are associated with body mass index in middle school students. Arch Pediatr Adolesc Med. 2005, 159 (12): 1111-1114. 10.1001/archpedi.159.12.1111.CrossRefPubMed
20.
go back to reference Giles-Corti B, Timperio A, Bull F, Pikora T: Understanding physical activity environmental correlates: increased specificity for ecological models. Exerc Sport Sci Rev. 2005, 33 (4): 175-181. 10.1097/00003677-200510000-00005.CrossRefPubMed Giles-Corti B, Timperio A, Bull F, Pikora T: Understanding physical activity environmental correlates: increased specificity for ecological models. Exerc Sport Sci Rev. 2005, 33 (4): 175-181. 10.1097/00003677-200510000-00005.CrossRefPubMed
Metadata
Title
The ENDORSE study: Research into environmental determinants of obesity related behaviors in Rotterdam schoolchildren
Authors
Klazine van der Horst
Anke Oenema
Petra van de Looij-Jansen
Johannes Brug
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-142

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