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      Determinants of diet and physical activity (DEDIPAC): a summary of findings

      research-article
      1 , 2 , 3 , 2 , 4 , 5 , 6 , 7 , 8 , 7 , 9 , 7 , 7 , 10 , 11 , 12 , 13 , 4 , 14 , 15 , 6 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 13 , 20 , 27 , 28 , , on behalf of the DEDIPAC consortium
      The International Journal of Behavioral Nutrition and Physical Activity
      BioMed Central
      Determinants of health behaviours, Dietary behaviour, Europe, Physical activity, Policy evaluation, Sedentary behaviour, Interventions

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          Abstract

          The establishment of the Determinants of Diet and Physical Activity (DEDIPAC) Knowledge Hub, 2013–2016, was the first action taken by the ‘Healthy Diet for a Healthy Life’ European Joint Programming Initiative. DEDIPAC aimed to provide better insight into the determinants of diet, physical activity and sedentary behaviour across the life course, i.e. insight into the causes of the causes of important, non-communicable diseases across Europe and beyond. DEDIPAC was launched in late 2013, and delivered its final report in late 2016. In this paper we give an overview of what was achieved in terms of furthering measurement and monitoring, providing overviews of the state-of-the-art in the field, and building toolboxes for further research and practice. Additionally, we propose some of the next steps that are now required to move forward in this field, arguing in favour of 1) sustaining the Knowledge Hub and developing it into a European virtual research institute and knowledge centre for determinants of behavioural nutrition and physical activity with close links to other parts of the world; 2) establishing a cohort study of families across all regions of Europe focusing specifically on the individual and contextual determinants of major, non-communicable disease; and 3) furthering DEDIPAC’s work on nutrition, physical activity, and sedentary behaviour policy evaluation and benchmarking across Europe by aligning with other international initiatives and by supporting harmonisation of pan-European surveillance.

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          Most cited references31

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          An introduction to concept mapping for planning and evaluation

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            A food policy package for healthy diets and the prevention of obesity and diet-related non-communicable diseases: the NOURISHING framework.

            This paper presents the NOURISHING framework of food policies to promote healthy diets, and uses the framework to summarize the policy actions taken by the Bellagio meeting countries. NOURISHING was developed by WCRF International to formalize a comprehensive policy package that brings together the key domains of action and policy areas. It aims to provide global level recommendations for a comprehensive response, within which policymakers have the flexibility to select specific policy options suitable for their national/local contexts and target populations. It also aims to provide a framework for reporting, categorizing and monitoring policy actions taken around the world, and for systematically categorizing, updating, interpreting and communicating the evidence for policy to policymakers. In this paper we explain the structure for NOURISHING and the rationale behind it. We also use the framework to report on and categorize the policy actions implemented in the Bellagio countries. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.
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              A systematic review of correlates of sedentary behaviour in adults aged 18–65 years: a socio-ecological approach

              Background Recent research shows that sedentary behaviour is associated with adverse cardio-metabolic consequences even among those considered sufficiently physically active. In order to successfully develop interventions to address this unhealthy behaviour, factors that influence sedentariness need to be identified and fully understood. The aim of this review is to identify individual, social, environmental, and policy-related determinants or correlates of sedentary behaviours among adults aged 18–65 years. Methods PubMed, Embase, CINAHL, PsycINFO and Web of Science were searched for articles published between January 2000 and September 2015. The search strategy was based on four key elements and their synonyms: (a) sedentary behaviour (b) correlates (c) types of sedentary behaviours (d) types of correlates. Articles were included if information relating to sedentary behaviour in adults (18–65 years) was reported. Studies on samples selected by disease were excluded. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42014009823). Results 74 original studies were identified out of 4041: 71 observational, two qualitative and one experimental study. Sedentary behaviour was primarily measured as self-reported screen leisure time and total sitting time. In 15 studies, objectively measured total sedentary time was reported: accelerometry (n = 14) and heart rate (n = 1). Individual level factors such as age, physical activity levels, body mass index, socio-economic status and mood were all significantly correlated with sedentariness. A trend towards increased amounts of leisure screen time was identified in those married or cohabiting while having children resulted in less total sitting time. Several environmental correlates were identified including proximity of green space, neighbourhood walkability and safety and weather. Conclusions Results provide further evidence relating to several already recognised individual level factors and preliminary evidence relating to social and environmental factors that should be further investigated. Most studies relied upon cross-sectional design limiting causal inference and the heterogeneity of the sedentary measures prevented direct comparison of findings. Future research necessitates longitudinal study designs, exploration of policy-related factors, further exploration of environmental factors, analysis of inter-relationships between identified factors and better classification of sedentary behaviour domains. Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-2841-3) contains supplementary material, which is available to authorized users.
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                Author and article information

                Contributors
                j.brug@uva.nl
                hp.vanderploeg@vumc.nl
                a.loyen@vumc.nl
                ahrens@leibniz-bips.de
                allais@ivry.inra.fr
                l.f.andersen@medisin.uio.no
                Greet.cardon@ugent.be
                laura.capranica@uniroma4.it
                Sebastien.Chastin@gcu.ac.uk
                Ilse.Debourdeaudhuij@UGent.be
                marieke.decraemer@ugent.be
                alan.donnelly@ul.ie
                ulf.ekelund@nih.no
                paul.finglas@ifr.ac.uk
                marion.flechtner-mors@uni-ulm.de
                hebestr@leibniz-bips.de
                kubiak@uni-mainz.de
                massimo.lanza@univr.it
                nanna.lien@medisin.uio.no
                ciaran.macdonncha@ul.ie
                m.mazzocchi@unibo.it
                pm491@medschl.cam.ac.uk
                mh.murphy@ulster.ac.uk
                m.nicolaou@amc.uva.nl
                noethlings@uni-bonn.de
                donal.ogorman@dcu.ie
                britta.renner@uni-konstanz.de
                Gun.Roos@sifo.hioa.no
                matthijs.van.den.berg@rivm.nl
                mschulze@dife.de
                Juergen.Steinacker@uniklinik-ulm.de
                k.stronks@amc.uva.nl
                dorothee.volkert@iba.fau.de
                j.lakerveld@vumc.nl
                Journal
                Int J Behav Nutr Phys Act
                Int J Behav Nutr Phys Act
                The International Journal of Behavioral Nutrition and Physical Activity
                BioMed Central (London )
                1479-5868
                3 November 2017
                3 November 2017
                2017
                : 14
                : 150
                Affiliations
                [1 ]ISNI 0000000084992262, GRID grid.7177.6, Amsterdam School of Communication Research (ASCoR), University of Amsterdam, ; Amsterdam, The Netherlands
                [2 ]ISNI 0000 0004 0435 165X, GRID grid.16872.3a, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, , VU University Medical Center, ; Amsterdam, The Netherlands
                [3 ]ISNI 0000 0004 1936 834X, GRID grid.1013.3, Sydney School of Public Health, University of Sydney, ; Sydney, NSW Australia
                [4 ]ISNI 0000 0000 9750 3253, GRID grid.418465.a, Leibniz-Institute for Prevention Research and Epidemiology – BIPS, ; Bremen, Germany
                [5 ]INRA, UR1303 ALISS, F-94205 Ivry-sur-Seine, France
                [6 ]ISNI 0000 0004 1936 8921, GRID grid.5510.1, Department of Nutrition, , University of Oslo, ; Oslo, Norway
                [7 ]ISNI 0000 0001 2069 7798, GRID grid.5342.0, Department of Movement and Sports Sciences, , Ghent University, ; Ghent, Belgium
                [8 ]ISNI 0000 0000 8580 6601, GRID grid.412756.3, Department of Movement, Human and Health Sciences, , University of Rome Foro Italico, ; Rome, Italy
                [9 ]ISNI 0000 0001 0669 8188, GRID grid.5214.2, Institute for Applied Health Research, School of Health and Life Science, Glasgow Caledonian University, ; Scotland, UK
                [10 ]ISNI 0000 0004 1936 9692, GRID grid.10049.3c, Centre for Physical Activity and Health Research, , University of Limerick, ; Limerick, Ireland
                [11 ]ISNI 0000 0001 1541 4204, GRID grid.418193.6, Norwegian Institute of Public Health, ; Oslo, Norway
                [12 ]ISNI 0000 0000 9347 0159, GRID grid.40368.39, Institute of Food Research, ; Norwich, UK
                [13 ]ISNI 0000 0004 1936 9748, GRID grid.6582.9, Department of Internal Medicine II, Division of Sports and Rehabilitation Medicine, University Ulm, ; Ulm, Germany
                [14 ]ISNI 0000 0001 1941 7111, GRID grid.5802.f, Johannes Gutenberg University, ; Mainz, Germany
                [15 ]Department of Neurosciences, Biomedicine and Movement Sciences, Verona, Italy
                [16 ]ISNI 0000 0004 1936 9692, GRID grid.10049.3c, Health Research Institute, University of Limerick, ; Limerick, Ireland
                [17 ]ISNI 0000 0004 1757 1758, GRID grid.6292.f, Department of Statistical Sciences of the University of Bologna, ; Bologna, Italy
                [18 ]ISNI 0000000121885934, GRID grid.5335.0, Centre for Diet and Activity Research, MRC-Epidemiology Unit, School of Medicine, University of Cambridge, ; Cambridge, UK
                [19 ]ISNI 0000000105519715, GRID grid.12641.30, Sport & Exercise Sciences Research Institute, Ulster University, ; Northern Ireland, UK
                [20 ]ISNI 0000000084992262, GRID grid.7177.6, Department of Public Health, Amsterdam Public Health research institute, Academic Medical Centre, , University of Amsterdam, ; Amsterdam, The Netherlands
                [21 ]ISNI 0000 0001 2240 3300, GRID grid.10388.32, Department of Nutrition and Food Science, Rheinische Friedrich-Wilhelms-Universität Bonn, ; Bonn, Germany
                [22 ]ISNI 0000000102380260, GRID grid.15596.3e, 3U Diabetes, School of Health and Human Performance, Dublin City University, ; Dublin, Ireland
                [23 ]ISNI 0000 0001 0658 7699, GRID grid.9811.1, Department of Psychology, University of Konstanz, ; Konstanz, Germany
                [24 ]ISNI 0000 0000 9151 4445, GRID grid.412414.6, Consumption Research Norway, Oslo and Akershus University College of Applied Sciences, ; Oslo, Norway
                [25 ]ISNI 0000 0001 2208 0118, GRID grid.31147.30, Department of Prevention & Nutrition, National Institute for Public Health and the Environment, ; Bilthoven, The Netherlands
                [26 ]ISNI 0000 0004 0390 0098, GRID grid.418213.d, Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, ; Nuthetal, Germany
                [27 ]ISNI 0000 0001 2107 3311, GRID grid.5330.5, Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, ; Nuremberg, Germany
                [28 ]ISNI 0000 0004 0435 165X, GRID grid.16872.3a, Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, VU University Medical Center, ; De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands
                Author information
                http://orcid.org/0000-0002-8551-6748
                Article
                609
                10.1186/s12966-017-0609-5
                5670716
                29100542
                cad7ed0c-4f9a-457f-93f8-77f12e4b6bba
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 13 April 2017
                : 27 October 2017
                Funding
                Funded by: Joint Programming Intitiative 'Healthy Diet for a Healthy Life'
                Categories
                Debate
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                © The Author(s) 2017

                Nutrition & Dietetics
                determinants of health behaviours,dietary behaviour,europe,physical activity,policy evaluation,sedentary behaviour,interventions

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