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Exploring Associations Between Children's Obesogenic Behaviors and the Local Environment Using Big Data: Development and Evaluation of the Obesity Prevention Dashboard.
Filos, Dimitris; Lekka, Irini; Kilintzis, Vasileios; Stefanopoulos, Leandros; Karavidopoulou, Youla; Maramis, Christos; Diou, Christos; Sarafis, Ioannis; Papapanagiotou, Vasileios; Alagialoglou, Leonidas; Ioakeimidis, Ioannis; Hassapidou, Maria; Charmandari, Evangelia; Heimeier, Rachel; O'Malley, Grace; O'Donnell, Shane; Doyle, Gerardine; Delopoulos, Anastasios; Maglaveras, Nicos.
  • Filos D; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Lekka I; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Kilintzis V; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Stefanopoulos L; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Karavidopoulou Y; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Maramis C; Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University, Thessaloniki, Greece.
  • Diou C; Department of Informatics and Telematics, Harokopio University of Athens, Athens, Greece.
  • Sarafis I; Multimedia Understanding Group, Aristotle University, Thessaloniki, Greece.
  • Papapanagiotou V; Multimedia Understanding Group, Aristotle University, Thessaloniki, Greece.
  • Alagialoglou L; Multimedia Understanding Group, Aristotle University, Thessaloniki, Greece.
  • Ioakeimidis I; Multimedia Understanding Group, Aristotle University, Thessaloniki, Greece.
  • Hassapidou M; Department of Biosciences and Nutrition, Karolinska University, Stockholm, Sweden.
  • Charmandari E; International Hellenic University, Thessaloniki, Greece.
  • Heimeier R; Biomedical Research Foundation of the Academy of Athens, Athens, Greece.
  • O'Malley G; Internationella Engelska Skolan, Stokholm, Sweden.
  • O'Donnell S; School of Physiotherapy, Division of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Doyle G; Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland.
  • Delopoulos A; College of Business, University College Dublin, Dublin, Ireland.
  • Maglaveras N; Multimedia Understanding Group, Aristotle University, Thessaloniki, Greece.
JMIR Mhealth Uhealth ; 9(7): e26290, 2021 07 09.
Article in English | MEDLINE | ID: covidwho-1311339
ABSTRACT

BACKGROUND:

Obesity is a major public health problem globally and in Europe. The prevalence of childhood obesity is also soaring. Several parameters of the living environment are contributing to this increase, such as the density of fast food retailers, and thus, preventive health policies against childhood obesity must focus on the environment to which children are exposed. Currently, there are no systems in place to objectively measure the effect of living environment parameters on obesogenic behaviors and obesity. The H2020 project "BigO Big Data Against Childhood Obesity" aims to tackle childhood obesity by creating new sources of evidence based on big data.

OBJECTIVE:

This paper introduces the Obesity Prevention dashboard (OPdashboard), implemented in the context of BigO, which offers an interactive data platform for the exploration of objective obesity-related behaviors and local environments based on the data recorded using the BigO mHealth (mobile health) app.

METHODS:

The OPdashboard, which can be accessed on the web, allows for (1) the real-time monitoring of children's obesogenic behaviors in a city area, (2) the extraction of associations between these behaviors and the local environment, and (3) the evaluation of interventions over time. More than 3700 children from 33 schools and 2 clinics in 5 European cities have been monitored using a custom-made mobile app created to extract behavioral patterns by capturing accelerometer and geolocation data. Online databases were assessed in order to obtain a description of the environment. The dashboard's functionality was evaluated during a focus group discussion with public health experts.

RESULTS:

The preliminary association outcomes in 2 European cities, namely Thessaloniki, Greece, and Stockholm, Sweden, indicated a correlation between children's eating and physical activity behaviors and the availability of food-related places or sports facilities close to schools. In addition, the OPdashboard was used to assess changes to children's physical activity levels as a result of the health policies implemented to decelerate the COVID-19 outbreak. The preliminary outcomes of the analysis revealed that in urban areas the decrease in physical activity was statistically significant, while a slight increase was observed in the suburbs. These findings indicate the importance of the availability of open spaces for behavioral change in children. Discussions with public health experts outlined the dashboard's potential to aid in a better understanding of the interplay between children's obesogenic behaviors and the environment, and improvements were suggested.

CONCLUSIONS:

Our analyses serve as an initial investigation using the OPdashboard. Additional factors must be incorporated in order to optimize its use and obtain a clearer understanding of the results. The unique big data that are available through the OPdashboard can lead to the implementation of models that are able to predict population behavior. The OPdashboard can be considered as a tool that will increase our understanding of the underlying factors in childhood obesity and inform the design of regional interventions both for prevention and treatment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Child / Humans Country/Region as subject: Europa Language: English Journal: JMIR Mhealth Uhealth Year: 2021 Document Type: Article Affiliation country: 26290

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Child / Humans Country/Region as subject: Europa Language: English Journal: JMIR Mhealth Uhealth Year: 2021 Document Type: Article Affiliation country: 26290