Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Study protocol

The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE): design and methods

Authors: Peter T Katzmarzyk, Tiago V Barreira, Stephanie T Broyles, Catherine M Champagne, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, William D Johnson, Rebecca Kuriyan, Anura Kurpad, Estelle V Lambert, Carol Maher, José Maia, Victor Matsudo, Tim Olds, Vincent Onywera, Olga L Sarmiento, Martyn Standage, Mark S Tremblay, Catrine Tudor-Locke, Pei Zhao, Timothy S Church

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

The primary aim of the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was to determine the relationships between lifestyle behaviours and obesity in a multi-national study of children, and to investigate the influence of higher-order characteristics such as behavioural settings, and the physical, social and policy environments, on the observed relationships within and between countries.

Methods/design

The targeted sample included 6000 10-year old children from 12 countries in five major geographic regions of the world (Europe, Africa, the Americas, South-East Asia, and the Western Pacific). The protocol included procedures to collect data at the individual level (lifestyle, diet and physical activity questionnaires, accelerometry), family and neighborhood level (parental questionnaires), and the school environment (school administrator questionnaire and school audit tool). A standard study protocol was developed for implementation in all regions of the world. A rigorous system of training and certification of study personnel was developed and implemented, including web-based training modules and regional in-person training meetings.

Discussion

The results of this study will provide a robust examination of the correlates of adiposity and obesity in children, focusing on both sides of the energy balance equation. The results will also provide important new information that will inform the development of lifestyle, environmental, and policy interventions to address and prevent childhood obesity that may be culturally adapted for implementation around the world. ISCOLE represents a multi-national collaboration among all world regions, and represents a global effort to increase research understanding, capacity and infrastructure in childhood obesity.
Appendix
Available only for authorised users
Literature
1.
Lobstein T, Baur L, Uauy R, the International Obesity Task Force: Obesity in children and young people: a crisis in public health. Obes Rev. 2004, 5 (Suppl 1): 4-85.CrossRefPubMed
2.
Wang Y, Lim H: The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012, 24 (3): 176-188. 10.3109/09540261.2012.688195.CrossRefPubMedPubMedCentral
3.
Janssen I, Katzmarzyk PT, Boyce WF, Vereeken C, Mulvihill C, Roberts C, Currie C, Pickett W: Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005, 6: 123-132. 10.1111/j.1467-789X.2005.00176.x.CrossRefPubMed
4.
Haug E, Rasmussen M, Samdal O, Iannotti R, Kelly C, Borraccino A, Vereecken C, Melkevik O, Lazzeri G, Giacchi M, et al: Overweight in school-aged children and its relationship with demographic and lifestyle factors: results from the WHO-collaborative health behaviour in school-aged children (HBSC) study. Int J Public Health. 2009, 54 (Suppl 2): 167-179.CrossRefPubMedPubMedCentral
5.
Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Public Health. 2006, 27: 297-322. 10.1146/annurev.publhealth.27.021405.102100.CrossRefPubMed
6.
Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K: Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008, 29: 253-272. 10.1146/annurev.publhealth.29.020907.090926.CrossRefPubMed
7.
Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. Health Policy for Children and Adolescents. Edited by: Currie C, Zanotti C, Morgan A, Currie D, Looze M de, Roberts C, Samdal O, O.R.F S, V B. 2012, Copenhagen: WHO Regional Office for Europe
8.
Moreno LA, De Henauw S, Gonzalez-Gross M, Kersting M, Molnar D, Gottrand F, Barrios L, Sjostrom M, Manios Y, Gilbert CC, et al: Design and implementation of the healthy lifestyle in Europe by nutrition in adolescence cross-sectional study. Int J Obes (Lond). 2008, 32 (Suppl 5): S4-S11.CrossRef
9.
Martinez-Gomez D, Ruiz JR, Ortega FB, Veiga OL, Moliner-Urdiales D, Mauro B, Galfo M, Manios Y, Widhalm K, Beghin L, et al: Recommended levels of physical activity to avoid an excess of body fat in European adolescents: the HELENA Study. Am J Prev Med. 2010, 39 (3): 203-211. 10.1016/j.amepre.2010.05.003.CrossRefPubMed
10.
Garaulet M, Ortega FB, Ruiz JR, Rey-Lopez JP, Beghin L, Manios Y, Cuenca-Garcia M, Plada M, Diethelm K, Kafatos A, et al: Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. Int J Obes. 2011, 35 (10): 1308-1317. 10.1038/ijo.2011.149.CrossRef
11.
Rey-Lopez JP, Ruiz JR, Vicente-Rodriguez G, Gracia-Marco L, Manios Y, Sjostrom M, De Bourdeaudhuij I, Moreno LA: Physical activity does not attenuate the obesity risk of TV viewing in youth. Pediatr Obes. 2012, 7 (3): 240-250. 10.1111/j.2047-6310.2011.00021.x.CrossRefPubMed
12.
Riddoch C, Edwards D, Page AS, Froberg K, Anderssen SA, Wedderkopp N, Brage S, Cooper AR, Sardinha LB, Harro M, et al: The European youth heart study - cardiovascular disease risk factors in children: rationale, aims, study design, and validation of methods. J Phys Act Health. 2005, 2: 115-129.
13.
Ekelund U, Sardinha LB, Anderssen SA, Harro M, Franks PW, Brage S, Cooper AR, Andersen LB, Riddoch C, Froberg K: Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-old European children: a population-based study from 4 distinct regions in Europe (the European youth heart study). Am J Clin Nutr. 2004, 80 (3): 584-590.PubMed
14.
Ekelund U, Brage S, Froberg K, Harro M, Anderssen SA, Sardinha LB, Riddoch C, Andersen LB: TV viewing and physical activity are independently associated with metabolic risk in children: the European youth heart study. PLoS medicine. 2006, 3 (12): e488-10.1371/journal.pmed.0030488.CrossRefPubMedPubMedCentral
15.
Borys JM, Le Bodo Y, Jebb SA, Seidell JC, Summerbell C, Richard D, De Henauw S, Moreno LA, Romon M, Visscher TL, et al: EPODE approach for childhood obesity prevention: methods, progress and international development. Obes Rev. 2012, 13 (4): 299-315. 10.1111/j.1467-789X.2011.00950.x.CrossRefPubMedPubMedCentral
16.
Ahrens W, Bammann K, Siani A, Buchecker K, De Henauw S, Iacoviello L, Hebestreit A, Krogh V, Lissner L, Marild S, et al: The IDEFICS cohort: design, characteristics and participation in the baseline survey. Int J Obes. 2011, 35 (Suppl 1): S3-S15.CrossRef
17.
Lissner L, Lanfer A, Gwozdz W, Olafsdottir S, Eiben G, Moreno LA, Santaliestra-Pasias AM, Kovacs E, Barba G, Loit HM, et al: Television habits in relation to overweight, diet and taste preferences in European children: the IDEFICS study. Eur J Epidemiol. 2012, 27 (9): 705-715. 10.1007/s10654-012-9718-2.CrossRefPubMedPubMedCentral
18.
Lanfer A, Knof K, Barba G, Veidebaum T, Papoutsou S, de Henauw S, Soos T, Moreno LA, Ahrens W, Lissner L: Taste preferences in association with dietary habits and weight status in European children: results from the IDEFICS study. Int J Obes. 2012, 36 (1): 27-34. 10.1038/ijo.2011.164.CrossRef
19.
Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, Fernandez-Alvira JM, Kovacs E, Lissner L, Moreno LA, et al: Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes. 2012, 8 (1): 1-12.CrossRefPubMed
20.
van Stralen MM, te Velde SJ, Singh AS, De Bourdeaudhuij I, Martens MK, van der Sluis M, Manios Y, Grammatikaki E, Chinapaw MJ, Maes L, et al: EuropeaN energy balance research to prevent excessive weight gain among youth (ENERGY) project: design and methodology of the ENERGY cross-sectional survey. BMC Public Health. 2011, 11: 65-10.1186/1471-2458-11-65.CrossRefPubMedPubMedCentral
21.
World Bank: World Development Indicators 2012. 2012, The World Bank: Washington, DCCrossRef
22.
United Nations Development Programme: Human Development Report 2011. Sustainability and Equity: A Better Future for All. 2011, New York NY: Palgrave Macmillan
23.
24.
Anthropometric Standardization Reference Manual. Edited by: Lohman TG, Roche AF, Martorell R. 1988, Champaign, IL: Human Kinetics
25.
World Health Organization: Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva, 8–11 December 2008. 2011, Geneva: World Health Organization
26.
Inequalities in Children’s Health: HBSC International Report from the 2005/2006 Survey. Edited by: Currie C, Gabhainn SN, Godeau E, Roberts C, Smith R, Currie D, Pickett W, Richter M, Morgan A, Barnekow V. 2008, Geneva: World Health Organization
27.
Van den Bulck J, Van Mierlo J: Energy intake associated with television viewing in adolescents, a cross sectional study. Appetite. 2004, 43 (2): 181-184. 10.1016/j.appet.2004.04.007.CrossRefPubMed
28.
29.
30.
Gropp K, Janssen I, Pickett W: Active transportation to school in Canadia youth: should injury be a concern?. Inj Prev. 2013, 19 (1): 64-67. 10.1136/injuryprev-2012-040335.CrossRefPubMed
31.
Chen X, Beydoun MA, Wang Y: Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity (Silver Spring). 2008, 16 (2): 265-274. 10.1038/oby.2007.63.CrossRef
32.
Patel SR, Hu FB: Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008, 16 (3): 643-653. 10.1038/oby.2007.118.CrossRef
33.
Chaput J-P, Tremblay A: Insufficient sleep as a contributor to weight gain: an update. Curr Obes Reports. 2012, 1: 245-256. 10.1007/s13679-012-0026-7.CrossRef
34.
Mullan E, Markland D, Ingledew DK: A graded conceptualisation of self-determination in the regulation of exercise behaviour: development of a measure using confirmatory factor analytic procedures. Person Indiv Diff. 1997, 23 (5): 745-752. 10.1016/S0191-8869(97)00107-4.CrossRef
35.
Motl RW, Dishman RK, Trost SG, Saunders RP, Dowda M, Felton G, Ward DS, Pate RR: Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity among adolescent girls. Prev Med. 2000, 31 (5): 584-594. 10.1006/pmed.2000.0735.CrossRefPubMed
36.
Striegel-Moore RH, Morrison JA, Schreiber G, Schumann BC, Crawford PB, Obarzanek E: Emotion-induced eating and sucrose intake in children: the NHLBI growth and health study. Int J Eat Disord. 1999, 25 (4): 389-398. 10.1002/(SICI)1098-108X(199905)25:4<389::AID-EAT3>3.0.CO;2-4.CrossRefPubMed
37.
Malina RM, Bouchard C, Bar-Or O: Growth, Maturation and Physical Activity. 2004, Champaign, IL: Human Kinetics, 2
38.
Khamis HJ, Roche AF: Predicting adult stature without using skeletal age: the Khamis-Roche method. Pediatrics. 1994, 94: 504-507.PubMed
39.
Mirwald RL, Baxter-Jones ADG, Bailey DA, Beunen G: An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc. 2002, 34: 689-694. 10.1097/00005768-200204000-00020.CrossRefPubMed
40.
Saelens BE, Sallis JF, Frank LD, Couch SC, Zhou C, Colburn T, Cain KL, Chapman J, Glanz K: Obesogenic neighborhood environments, child and parent obesity: the Neighborhood Impact on Kids study. Am J Prev Med. 2012, 42 (5): e57-e64. 10.1016/j.amepre.2012.02.008.CrossRefPubMedPubMedCentral
41.
Rosenberg D, Ding D, Sallis JF, Kerr J, Norman GJ, Durant N, Harris SK, Saelens BE: Neighborhood Environment Walkability Scale for Youth (NEWS-Y): reliability and relationship with physical activity. Prev Med. 2009, 49 (2–3): 213-218.CrossRefPubMed
42.
Sallis JF, Kerr J, Carlson JA, Norman GJ, Saelens BE, Durant N, Ainsworth BE: Evaluating a brief self-report measure of neighborhood environments for physical activity research and surveillance: physical activity neighborhood environment scale (PANES). J Phys Act Health. 2010, 7 (4): 533-540.PubMed
43.
Sampson RJ, Raudenbush SW, Earls F: Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997, 277 (5328): 918-924. 10.1126/science.277.5328.918.CrossRefPubMed
44.
45.
Cameron R, Manske S, Brown KS, Jolin MA, Murnaghan D, Lovato C: Integrating public health policy, practice, evaluation, surveillance, and research: the school health action planning and evaluation system. Am J Public Health. 2007, 97 (4): 648-654. 10.2105/AJPH.2005.079665.CrossRefPubMedPubMedCentral
46.
47.
van Sluijs EM, Skidmore PM, Mwanza K, Jones AP, Callaghan AM, Ekelund U, Harrison F, Harvey I, Panter J, Wareham NJ, et al: Physical activity and dietary behaviour in a population-based sample of British 10-year old children: the SPEEDY study (sport, physical activity and eating behaviour: environmental determinants in young people). BMC Public Health. 2008, 8: 388-10.1186/1471-2458-8-388.CrossRefPubMedPubMedCentral
48.
Jones NR, Jones A, van Sluijs EM, Panter J, Harrison F, Griffin SJ: School environments and physical activity: the development and testing of an audit tool. Health Place. 2010, 16 (5): 776-783. 10.1016/j.healthplace.2010.04.002.CrossRefPubMed
49.
50.
Williamson DA, Champagne CM, Harsha DW, Han H, Martin CK, Newton RL, Sothern MS, Stewart TM, Webber LS, Ryan DH: Effect of an environmental school-based obesity prevention program on changes in body fat and body weight: a randomized trial. Obesity. 2012, 20 (8): 1653-1661. 10.1038/oby.2012.60.CrossRefPubMedPubMedCentral
Metadata
Title
The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE): design and methods
Authors
Peter T Katzmarzyk
Tiago V Barreira
Stephanie T Broyles
Catherine M Champagne
Jean-Philippe Chaput
Mikael Fogelholm
Gang Hu
William D Johnson
Rebecca Kuriyan
Anura Kurpad
Estelle V Lambert
Carol Maher
José Maia
Victor Matsudo
Tim Olds
Vincent Onywera
Olga L Sarmiento
Martyn Standage
Mark S Tremblay
Catrine Tudor-Locke
Pei Zhao
Timothy S Church
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-900

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Health-related quality of life and long-term care needs among elderly individuals living alone: a cross-sectional study in rural areas of Shaanxi Province, China

Study protocol

Wide Awake Parenting: study protocol for a randomised controlled trial of a parenting program for the management of post-partum fatigue

Research article

Neglected increases in rural road traffic mortality in China: findings based on health data from 2005 to 2010

Study protocol

Study protocol for a randomised controlled trial of electronic cigarettes versus nicotine patch for smoking cessation

Study protocol

WALK 2.0 - Using Web 2.0 applications to promote health-related physical activity: A randomised controlled trial protocol

Research article

An analysis of the economic impact of smoking cessation in Europe