Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions

T. Magnee; A. Burdorf; J. Brug; S.P. Kremers; A. Oenema; P.T. van Assema; N.P.M. Ezendam; L. van Genugten; I.J. Hendriksen; M. Hopman Rock; W. Jansen; J de Jong; P.L. Kocken; W. Kroeze; L. Kwak; L. Lechner; J.M. de Nooijer; M.N. van Poppel; S.J. Robroek; H. Schreurs; E.M. van Sluijs; I.J. Steenhuis; M.M. van Stralen; N.I. Tak; S.J. te Velde; W.M. Vermeer; B. Wammes; M.F. van Wier; F.J. van Lenthe

doi:10.1016/j.amepre.2012.11.041

Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions

T. Magnee, A. Burdorf, J. Brug, S.P. Kremers, A. Oenema, P.T. van Assema, N.P.M. Ezendam, L. van Genugten, I.J. Hendriksen, M. Hopman Rock, W. Jansen, J de Jong, P.L. Kocken, W. Kroeze, L. Kwak, L. Lechner, J.M. de Nooijer, M.N. van Poppel, S.J. Robroek, H. SchreursE.M. van Sluijs, I.J. Steenhuis, M.M. van Stralen, N.I. Tak, S.J. te Velde, W.M. Vermeer, B. Wammes, M.F. van Wier, F.J. van Lenthe^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

CONTEXT: Reducing health inequalities is a policy priority in many developed countries. Little is known about effective strategies to reduce inequalities in obesity and its underlying behaviors. The goal of the study was to investigate differential effectiveness of interventions aimed at obesity prevention, the promotion of physical activity or a healthy diet by SES. EVIDENCE ACQUISITION: Subgroup analyses in 2010 and 2011 of 26 Dutch studies funded by The Netherlands Organization for Health Research and Development after 1990 (n=17) or identified by expert contact (n=9). Methodologic quality and differential effects were synthesized in harvest plots, subdivided by setting, age group, intensity, and time to follow-up. EVIDENCE SYNTHESIS: Seven lifestyle interventions were rated more effective and four less effective in groups with high SES; for 15 studies no differential effects could be demonstrated. One study in the healthcare setting showed comparable effects in both socioeconomic groups. The only mass media campaign provided modest evidence for higher effectiveness among those with high SES. Individually tailored and workplace interventions were either more effective in higher-SES groups (n=4) or no differential effects were demonstrated (n=9). School-based studies (n=7) showed mixed results. Two of six community studies provided evidence for better effectiveness in lower-SES groups; none were more effective in higher-SES groups. One high-intensity community-based study provided best evidence for higher effectiveness in low-SES groups. CONCLUSIONS: Although for the majority of interventions aimed at obesity prevention, the promotion of physical activity, or a healthy diet, no differential effectiveness could be demonstrated, interventions may widen as well as reduce socioeconomic inequalities in these outcomes. Equity-specific subgroup analyses contribute to needed knowledge about what may work to reduce socioeconomic inequalities in obesity and underlying health behaviors.

Original language	English
Pages (from-to)	e61-e70
Journal	American Journal of Preventive Medicine
Volume	44
Issue number	6
DOIs	https://doi.org/10.1016/j.amepre.2012.11.041
Publication status	Published - 1 Jan 2013

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10.1016/j.amepre.2012.11.041

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Magnee, T., Burdorf, A., Brug, J., Kremers, S. P., Oenema, A., van Assema, P. T., Ezendam, N. P. M., van Genugten, L., Hendriksen, I. J., Hopman Rock, M., Jansen, W., de Jong, J., Kocken, P. L., Kroeze, W., Kwak, L., Lechner, L., de Nooijer, J. M., van Poppel, M. N., Robroek, S. J., ... van Lenthe, F. J. (2013). Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions. American Journal of Preventive Medicine, 44(6), e61-e70. https://doi.org/10.1016/j.amepre.2012.11.041

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title = "Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions",

abstract = "CONTEXT: Reducing health inequalities is a policy priority in many developed countries. Little is known about effective strategies to reduce inequalities in obesity and its underlying behaviors. The goal of the study was to investigate differential effectiveness of interventions aimed at obesity prevention, the promotion of physical activity or a healthy diet by SES. EVIDENCE ACQUISITION: Subgroup analyses in 2010 and 2011 of 26 Dutch studies funded by The Netherlands Organization for Health Research and Development after 1990 (n=17) or identified by expert contact (n=9). Methodologic quality and differential effects were synthesized in harvest plots, subdivided by setting, age group, intensity, and time to follow-up. EVIDENCE SYNTHESIS: Seven lifestyle interventions were rated more effective and four less effective in groups with high SES; for 15 studies no differential effects could be demonstrated. One study in the healthcare setting showed comparable effects in both socioeconomic groups. The only mass media campaign provided modest evidence for higher effectiveness among those with high SES. Individually tailored and workplace interventions were either more effective in higher-SES groups (n=4) or no differential effects were demonstrated (n=9). School-based studies (n=7) showed mixed results. Two of six community studies provided evidence for better effectiveness in lower-SES groups; none were more effective in higher-SES groups. One high-intensity community-based study provided best evidence for higher effectiveness in low-SES groups. CONCLUSIONS: Although for the majority of interventions aimed at obesity prevention, the promotion of physical activity, or a healthy diet, no differential effectiveness could be demonstrated, interventions may widen as well as reduce socioeconomic inequalities in these outcomes. Equity-specific subgroup analyses contribute to needed knowledge about what may work to reduce socioeconomic inequalities in obesity and underlying health behaviors.",

author = "T. Magnee and A. Burdorf and J. Brug and S.P. Kremers and A. Oenema and {van Assema}, P.T. and N.P.M. Ezendam and {van Genugten}, L. and I.J. Hendriksen and {Hopman Rock}, M. and W. Jansen and {de Jong}, J and P.L. Kocken and W. Kroeze and L. Kwak and L. Lechner and {de Nooijer}, J.M. and {van Poppel}, M.N. and S.J. Robroek and H. Schreurs and {van Sluijs}, E.M. and I.J. Steenhuis and {van Stralen}, M.M. and N.I. Tak and {te Velde}, S.J. and W.M. Vermeer and B. Wammes and {van Wier}, M.F. and {van Lenthe}, F.J.",

year = "2013",

month = jan,

day = "1",

doi = "10.1016/j.amepre.2012.11.041",

language = "English",

volume = "44",

pages = "e61--e70",

journal = "American Journal of Preventive Medicine",

issn = "0749-3797",

publisher = "Elsevier Science",

number = "6",

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Magnee, T, Burdorf, A, Brug, J, Kremers, SP, Oenema, A, van Assema, PT, Ezendam, NPM, van Genugten, L, Hendriksen, IJ, Hopman Rock, M, Jansen, W, de Jong, J, Kocken, PL, Kroeze, W, Kwak, L, Lechner, L, de Nooijer, JM, van Poppel, MN, Robroek, SJ, Schreurs, H, van Sluijs, EM, Steenhuis, IJ, van Stralen, MM, Tak, NI, te Velde, SJ, Vermeer, WM, Wammes, B, van Wier, MF & van Lenthe, FJ 2013, 'Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions', American Journal of Preventive Medicine, vol. 44, no. 6, pp. e61-e70. https://doi.org/10.1016/j.amepre.2012.11.041

TY - JOUR

T1 - Equity-Specific Effects of 26 Dutch Obesity-Related Lifestyle Interventions

AU - Magnee, T.

AU - Burdorf, A.

AU - Brug, J.

AU - Kremers, S.P.

AU - Oenema, A.

AU - van Assema, P.T.

AU - Ezendam, N.P.M.

AU - van Genugten, L.

AU - Hendriksen, I.J.

AU - Hopman Rock, M.

AU - Jansen, W.

AU - de Jong, J

AU - Kocken, P.L.

AU - Kroeze, W.

AU - Kwak, L.

AU - Lechner, L.

AU - de Nooijer, J.M.

AU - van Poppel, M.N.

AU - Robroek, S.J.

AU - Schreurs, H.

AU - van Sluijs, E.M.

AU - Steenhuis, I.J.

AU - van Stralen, M.M.

AU - Tak, N.I.

AU - te Velde, S.J.

AU - Vermeer, W.M.

AU - Wammes, B.

AU - van Wier, M.F.

AU - van Lenthe, F.J.

PY - 2013/1/1

Y1 - 2013/1/1

N2 - CONTEXT: Reducing health inequalities is a policy priority in many developed countries. Little is known about effective strategies to reduce inequalities in obesity and its underlying behaviors. The goal of the study was to investigate differential effectiveness of interventions aimed at obesity prevention, the promotion of physical activity or a healthy diet by SES. EVIDENCE ACQUISITION: Subgroup analyses in 2010 and 2011 of 26 Dutch studies funded by The Netherlands Organization for Health Research and Development after 1990 (n=17) or identified by expert contact (n=9). Methodologic quality and differential effects were synthesized in harvest plots, subdivided by setting, age group, intensity, and time to follow-up. EVIDENCE SYNTHESIS: Seven lifestyle interventions were rated more effective and four less effective in groups with high SES; for 15 studies no differential effects could be demonstrated. One study in the healthcare setting showed comparable effects in both socioeconomic groups. The only mass media campaign provided modest evidence for higher effectiveness among those with high SES. Individually tailored and workplace interventions were either more effective in higher-SES groups (n=4) or no differential effects were demonstrated (n=9). School-based studies (n=7) showed mixed results. Two of six community studies provided evidence for better effectiveness in lower-SES groups; none were more effective in higher-SES groups. One high-intensity community-based study provided best evidence for higher effectiveness in low-SES groups. CONCLUSIONS: Although for the majority of interventions aimed at obesity prevention, the promotion of physical activity, or a healthy diet, no differential effectiveness could be demonstrated, interventions may widen as well as reduce socioeconomic inequalities in these outcomes. Equity-specific subgroup analyses contribute to needed knowledge about what may work to reduce socioeconomic inequalities in obesity and underlying health behaviors.

AB - CONTEXT: Reducing health inequalities is a policy priority in many developed countries. Little is known about effective strategies to reduce inequalities in obesity and its underlying behaviors. The goal of the study was to investigate differential effectiveness of interventions aimed at obesity prevention, the promotion of physical activity or a healthy diet by SES. EVIDENCE ACQUISITION: Subgroup analyses in 2010 and 2011 of 26 Dutch studies funded by The Netherlands Organization for Health Research and Development after 1990 (n=17) or identified by expert contact (n=9). Methodologic quality and differential effects were synthesized in harvest plots, subdivided by setting, age group, intensity, and time to follow-up. EVIDENCE SYNTHESIS: Seven lifestyle interventions were rated more effective and four less effective in groups with high SES; for 15 studies no differential effects could be demonstrated. One study in the healthcare setting showed comparable effects in both socioeconomic groups. The only mass media campaign provided modest evidence for higher effectiveness among those with high SES. Individually tailored and workplace interventions were either more effective in higher-SES groups (n=4) or no differential effects were demonstrated (n=9). School-based studies (n=7) showed mixed results. Two of six community studies provided evidence for better effectiveness in lower-SES groups; none were more effective in higher-SES groups. One high-intensity community-based study provided best evidence for higher effectiveness in low-SES groups. CONCLUSIONS: Although for the majority of interventions aimed at obesity prevention, the promotion of physical activity, or a healthy diet, no differential effectiveness could be demonstrated, interventions may widen as well as reduce socioeconomic inequalities in these outcomes. Equity-specific subgroup analyses contribute to needed knowledge about what may work to reduce socioeconomic inequalities in obesity and underlying health behaviors.

U2 - 10.1016/j.amepre.2012.11.041

DO - 10.1016/j.amepre.2012.11.041

M3 - Article

C2 - 23683991

SN - 0749-3797

VL - 44

SP - e61-e70

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

IS - 6

ER -