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What policies are there and what policies are missing? A Photovoice study of ad...

Banik, Anna; Knai, Cecile; Klepp, Knut‐Inge; Rutter, Harry; Rito, Ana; Lien, Nanna; Baillergeau, Evelyne; Szczuka, Zofia; Boberska, Monika; Kulis, Ewa

The aim of this study was to investigate adolescents' critical awareness of whether obesity prevention policies targeting physical activity (PA) and nutrition were operating in their local community. Participants were 41 adolescents (aged 16–18, 90%women) recruited from three communities in Poland. Prior to this study, they were involved in obesity-prevention participatory initiatives (conducted within the CO-C...


Co‐creating obesity prevention policies with youth: Policy ideas generated thro...

Conway‐Moore, Kaitlin; Knai, Cécile; Finegood, Diane; Johnston, Lee; Brinsden, Hannah; Aguiar, Anaely; Kopainsky, Birgit; Önal, Furkan; Helleve, Arnfinn

Despite growing recognition of the importance of applying a systems lens to action on obesity, there has only been limited analysis of the extent to which this lens has actually been applied. The CO-CREATE project used a youth-led participatory action research approach to generate policy ideas towards the reduction of adolescent overweight and obesity across Europe. In order to assess the extent to which these ...


Encouraging greater empowerment for adolescents in consent procedures in social...

Samdal, Oddrun; Budin‐Ljøsne, Isabelle; Haug, Ellen; Helland, Trond; Kjostarova‐Unkovska, Lina; Bouillon, Claire; Bröer, Christian; Corell, Maria

The United Nations Convention on the Rights of the Child emphasizes the importance of allowing children and adolescents to influence decisions that are important to them following their age and maturity. This paper explores the principles, practices, and implications around using parental versus child/adolescent consent when participating in social science research and policy development. Experiences from two s...


Adolescents' capacity to take action on obesity: A concurrent controlled before...

Herstad, Sondre Haugsbø; Grewal, Navnit Kaur; Banik, Anna; Klepp, Knut‐Inge; Knai, Cecile; Luszczynska, Aleksandra; Mendes, Sofia; Rito, Ana

This study evaluated the effect on reported readiness for action and attitudes toward obesity prevention among older adolescents (mean age 17) who took part in a youth-led participatory action research European initiative (CO-CREATE Youth Alliances)compared with a comparison group that acted as controls. This was a concurrent before-and-after controlled study across five countries and took place between Septemb...


Ethical considerations in engaging young people in European obesity prevention ...

Budin‐Ljøsne, Isabelle; Ayuandini, Sherria; Baillergeau, Evelyne; Bröer, Christian; Helleve, Arnfinn; Klepp, Knut‐Inge; Kysnes, Bjarte; Lien, Nanna

Engaging youth in obesity prevention research and policy action is essential to develop strategies that are relevant and sensitive to their needs. Research with young people requires critical reflection to safeguard their rights, dignity, and wellbeing. The CO-CREATE project used various methods to engage approximately 300 European youth aged 15–19 years in the development of policies to prevent adolescent obes...


The EASL–Lancet Liver Commission: protecting the next generation of Europeans a...

Karlsen, Tom H.; Sheron, Nick; Zelber-Sagi, Shira; Carrieri, Patrizia; Dusheiko, Geoffrey; Bugianesi, Elisabetta; Pryke, Rachel; Hutchinson, Sharon J.

Liver diseases have become a major health threat across Europe, and the face of European hepatology is changing due to the cure of viral hepatitis C and the control of chronic viral hepatitis B, the increasingly widespread unhealthy use of alcohol, the epidemic of obesity, and undiagnosed or untreated liver disease in migrant populations. Consequently, Europe is facing a looming syndemic, in which socioeconomic...


Urban and rural differences in frequency of fruit, vegetable, and soft drink co...

Heinen, Mirjam M.; Bel‐Serrat, Silvia; Kelleher, Cecily C.; Buoncristiano, Marta; Spinelli, Angela; Nardone, Paola; Milanović, Sanja Musić

In order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's...


Socioeconomic differences in food habits among 6- to 9-year-old children from 2...

Fismen, Anne‐Siri; Buoncristiano, Marta; Williams, Julianne; Helleve, Arnfinn; Abdrakhmanova, Shynar; Bakacs, Márta; Bergh, Ingunn Holden

Background: Socioeconomic differences in children's food habits are a key public health concern. In order to inform policy makers, cross-country surveillance studies of dietary patterns across socioeconomic groups are required. The purpose of this study was to examine associations between socioeconomic status (SES) and children's food habits. Methods: The study was based on nationally representative data from c...


Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countrie...

Spinelli, Angela; Buoncristiano, Marta; Nardone, Paola; Starc, Gregor; Hejgaard, Tatjana; Júlíusson, Petur Benedikt; Fismen, Anne‐Siri; Weghuber, Daniel

In 2015-2017, the fourth round of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was conducted in 36 countries. National representative samples of children aged 6–9 (203,323) were measured by trained staff, with similar equipment and using a standardized protocol. This paper assesses the children's body weight status and compares the burden of childhood overweight,...


Socioeconomic inequalities in overweight and obesity among 6‐ to 9‐year‐old chi...

Buoncristiano, Marta; Williams, Julianne; Simmonds, Philippa; Nurk, Eha; Ahrens, Wolfgang; Nardone, Paola; Rito, Ana Isabel; Rutter, Harry

Childhood overweight and obesity have significant short- and long-term negative impacts on children's health and well-being. These challenges are unequally distributed according to socioeconomic status (SES); however, previous studies have often lacked standardized and objectively measured data across national contexts to assess these differences. This study provides a cross-sectional picture of the association...


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