Equity-specific effects of 26 Dutch obesity-related lifestyle interventions

T. Magnée, A. Burdorf, J. Brug, S.P. Kremer, A. Oenema, P. 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. de Nooijer, M.N. van Poppel, S.J. Robroek, H. Schreurs & 9 others E.M. 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. van Lenthe

Research output: Contribution to journalArticleScientificpeer-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 languageEnglish
Pages (from-to)e61-e70
JournalAmerican Journal of Preventive Medicine
Volume44
Issue number6
DOIs
Publication statusPublished - 2013

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Exercise
Mass Media
Health Behavior
Developed Countries
Workplace
Netherlands
Age Groups
Organizations
Delivery of Health Care
Healthy Diet

Cite this

Magnée, T., Burdorf, A., Brug, J., Kremer, S. P., Oenema, A., van Assema, P., ... van Lenthe, F. (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
Magnée, T. ; Burdorf, A. ; Brug, J. ; Kremer, S.P. ; Oenema, A. ; van Assema, P. ; 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. ; van Poppel, M.N. ; Robroek, S.J. ; Schreurs, H. ; Sluijs, E.M. ; Steenhuis, I.J. ; van Stralen, M.M. ; Tak, N.I. ; Te Velde, S.J. ; Vermeer, W.M. ; Wammes, B. ; van Wier, M.F. ; van Lenthe, F. / Equity-specific effects of 26 Dutch obesity-related lifestyle interventions. In: American Journal of Preventive Medicine. 2013 ; Vol. 44, No. 6. pp. e61-e70.
@article{21d62df9c2474319864a5538fe8e6a12,
title = "Equity-specific effects of 26 Dutch obesity-related lifestyle interventions",
abstract = "ContextReducing 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 acquisitionSubgroup 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 synthesisSeven 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.ConclusionsAlthough 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. Magn{\'e}e and A. Burdorf and J. Brug and S.P. Kremer and A. Oenema and {van Assema}, P. and N.P.M. Ezendam and {van Genugten}, L. and I.J. Hendriksen and M. Hopman-Rock and W. Jansen and {de Jong}, J. and P.L. Kocken and W. Kroeze and L. Kwak and L. Lechner and {de Nooijer}, J. and {van Poppel}, M.N. and S.J. Robroek and H. Schreurs and E.M. Sluijs 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.",
year = "2013",
doi = "10.1016/j.amepre.2012.11.041",
language = "English",
volume = "44",
pages = "e61--e70",
journal = "American Journal of Preventive Medicine",
issn = "0749-3797",
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number = "6",

}

Magnée, T, Burdorf, A, Brug, J, Kremer, SP, Oenema, A, van Assema, P, 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, J, van Poppel, MN, Robroek, SJ, Schreurs, H, Sluijs, EM, Steenhuis, IJ, van Stralen, MM, Tak, NI, Te Velde, SJ, Vermeer, WM, Wammes, B, van Wier, MF & van Lenthe, F 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

Equity-specific effects of 26 Dutch obesity-related lifestyle interventions. / Magnée, T.; Burdorf, A.; Brug, J.; Kremer, S.P.; Oenema, A.; van Assema, P.; 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.; van Poppel, M.N.; Robroek, S.J.; Schreurs, H.; Sluijs, E.M.; Steenhuis, I.J.; van Stralen, M.M.; Tak, N.I.; Te Velde, S.J.; Vermeer, W.M.; Wammes, B.; van Wier, M.F.; van Lenthe, F.

In: American Journal of Preventive Medicine, Vol. 44, No. 6, 2013, p. e61-e70.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Equity-specific effects of 26 Dutch obesity-related lifestyle interventions

AU - Magnée, T.

AU - Burdorf, A.

AU - Brug, J.

AU - Kremer, S.P.

AU - Oenema, A.

AU - van Assema, P.

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.

AU - van Poppel, M.N.

AU - Robroek, S.J.

AU - Schreurs, H.

AU - 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.

PY - 2013

Y1 - 2013

N2 - ContextReducing 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 acquisitionSubgroup 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 synthesisSeven 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.ConclusionsAlthough 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 - ContextReducing 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 acquisitionSubgroup 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 synthesisSeven 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.ConclusionsAlthough 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

VL - 44

SP - e61-e70

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

SN - 0749-3797

IS - 6

ER -