UMMS Affiliation

Center for Outcomes Research

Date

4-28-2008

Document Type

Article

Medical Subject Headings

Adolescent; *Adolescent Behavior; Body Mass Index; Child; Cross-Sectional Studies; Energy Metabolism; Exercise; Female; Follow-Up Studies; Food Habits; Health Behavior; Health Services Research; Humans; Longitudinal Studies; Male; Netherlands; Obesity; Outcome Assessment (Health Care); Overweight; Questionnaires; *Social Environment; Students

Disciplines

Health Services Research

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.

Rights and Permissions

Citation: BMC Public Health. 2008 Apr 28;8:142. Link to article on publisher's site

Comments

© 2008 Horst et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Related Resources

Link to Article in PubMed