Print Email Facebook Twitter Equity-specific effects of 26 dutch obesity-related lifestyle interventions Title Equity-specific effects of 26 dutch obesity-related lifestyle interventions Author Magnée, T. Burdorf, A. Brug, J. Kremers, S.P.M. 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.W. Schreurs, H. van Sluijs, E.M. Steenhuis, I.J.M. van Stralen, M.M. Tak, N.I. te Velde, S.J. Vermeer, W.M. Wammes, B. van Wier, M.F. van Lenthe, F.J. Publication year 2013 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. © 2013 American Journal of Preventive Medicine. Subject HumanLS - Life Style CH - Child HealthBSS - Behavioural and Societal SciencesHealthy for LifeHealthHealthy Living To reference this document use: http://resolver.tudelft.nl/uuid:51c0b290-dd37-42c3-8a67-f296e8ecf662 DOI https://doi.org/10.1016/j.amepre.2012.11.041 TNO identifier 472353 ISSN 0749-3797 Source American Journal of Preventive Medicine, 44 (6), e57-e66 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.