Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial
This study aimed to investigate the effectiveness of proportionate universalism intervention to reduce the slope of the nutritional social gradient in adolescents. A mixed (experimental and quasi-experimental) multicentre trial. Data from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern Fra...
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| Veröffentlicht in: | Public health (London) 2023-08, Vol.221, p.79-86 |
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| creator | Omorou, A.Y. Langlois, J. Böhme, P. Legrand, K. Muller, L. Saez, L. Pourcher- Lambolez, C. Spitz, E. Briançon, S. Lecomte, E. |
| description | This study aimed to investigate the effectiveness of proportionate universalism intervention to reduce the slope of the nutritional social gradient in adolescents.
A mixed (experimental and quasi-experimental) multicentre trial.
Data from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern France, 2012–2015) were analysed. For this, adolescents were split into five social classes according to the Family Affluence Scale: Highly Less Advantaged (H.L.Ad; n = 33), Less Advantaged (L.Ad; n = 155), Intermediate (Int; n = 404), Advantaged (Ad; n = 324) and Highly Advantaged (H.Ad; n = 69). The overweight care management was a standard care for all and a strengthened one adapted to the social class of adolescents. The main outcome was the 1-year change of the body mass index z-score (BMIz) slope. Other nutritional outcomes were BMI, ΔBMIp95 (BMI minus 95th percentile of the WHO reference), %BMIp95 (percent of 95th percentile of the WHO reference), leisure-time sport, consumption of fruits and vegetables and consumption of sugary foods and drinks.
The inclusion data confirmed a weight social gradient expressed by a significant BMIz linear regression coefficient (β = −0.09 [−0.14 to −0.04], P |
| doi_str_mv | 10.1016/j.puhe.2023.06.006 |
| format | Article |
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A mixed (experimental and quasi-experimental) multicentre trial.
Data from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern France, 2012–2015) were analysed. For this, adolescents were split into five social classes according to the Family Affluence Scale: Highly Less Advantaged (H.L.Ad; n = 33), Less Advantaged (L.Ad; n = 155), Intermediate (Int; n = 404), Advantaged (Ad; n = 324) and Highly Advantaged (H.Ad; n = 69). The overweight care management was a standard care for all and a strengthened one adapted to the social class of adolescents. The main outcome was the 1-year change of the body mass index z-score (BMIz) slope. Other nutritional outcomes were BMI, ΔBMIp95 (BMI minus 95th percentile of the WHO reference), %BMIp95 (percent of 95th percentile of the WHO reference), leisure-time sport, consumption of fruits and vegetables and consumption of sugary foods and drinks.
The inclusion data confirmed a weight social gradient expressed by a significant BMIz linear regression coefficient (β = −0.09 [−0.14 to −0.04], P < 0.0001). The higher the social class, the lower the BMIz. The 1-year BMIz linear regression coefficient was −0.07 [−0.12 to −0.02], corresponding to a significant weight social gradient reduction of 23.3% (β = 0.021 [0.001 to 0.041]; P = 0.04). Consistent results were found for other nutritional outcomes.
PRALIMAP-INÈS shows that proportionate universalism intervention is effective to reduce the adolescents’ nutritional social gradient and suggests that equitable health programmes and policies are a realistic goal.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2023.06.006</identifier><identifier>PMID: 37423032</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescence ; Adolescent ; Body Mass Index ; Humanities and Social Sciences ; Humans ; Life Sciences ; Nutritional social gradient ; Overweight - prevention & control ; Proportionate universalism ; Santé publique et épidémiologie ; Social Class ; Sports ; Weight Loss</subject><ispartof>Public health (London), 2023-08, Vol.221, p.79-86</ispartof><rights>2023 The Royal Society for Public Health</rights><rights>Copyright © 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c385t-3bec08094852de71948ef4eb2e0e8a15037630ac41279c35a36dde60c820a7a33</cites><orcidid>0000-0001-5340-6424 ; 0000-0003-1135-0439</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0033350623001956$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37423032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04868486$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Omorou, A.Y.</creatorcontrib><creatorcontrib>Langlois, J.</creatorcontrib><creatorcontrib>Böhme, P.</creatorcontrib><creatorcontrib>Legrand, K.</creatorcontrib><creatorcontrib>Muller, L.</creatorcontrib><creatorcontrib>Saez, L.</creatorcontrib><creatorcontrib>Pourcher- Lambolez, C.</creatorcontrib><creatorcontrib>Spitz, E.</creatorcontrib><creatorcontrib>Briançon, S.</creatorcontrib><creatorcontrib>Lecomte, E.</creatorcontrib><creatorcontrib>the PRALIMAP-INÈS trial group</creatorcontrib><creatorcontrib>PRALIMAP-INÈS trial group</creatorcontrib><title>Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>This study aimed to investigate the effectiveness of proportionate universalism intervention to reduce the slope of the nutritional social gradient in adolescents.
A mixed (experimental and quasi-experimental) multicentre trial.
Data from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern France, 2012–2015) were analysed. For this, adolescents were split into five social classes according to the Family Affluence Scale: Highly Less Advantaged (H.L.Ad; n = 33), Less Advantaged (L.Ad; n = 155), Intermediate (Int; n = 404), Advantaged (Ad; n = 324) and Highly Advantaged (H.Ad; n = 69). The overweight care management was a standard care for all and a strengthened one adapted to the social class of adolescents. The main outcome was the 1-year change of the body mass index z-score (BMIz) slope. Other nutritional outcomes were BMI, ΔBMIp95 (BMI minus 95th percentile of the WHO reference), %BMIp95 (percent of 95th percentile of the WHO reference), leisure-time sport, consumption of fruits and vegetables and consumption of sugary foods and drinks.
The inclusion data confirmed a weight social gradient expressed by a significant BMIz linear regression coefficient (β = −0.09 [−0.14 to −0.04], P < 0.0001). The higher the social class, the lower the BMIz. The 1-year BMIz linear regression coefficient was −0.07 [−0.12 to −0.02], corresponding to a significant weight social gradient reduction of 23.3% (β = 0.021 [0.001 to 0.041]; P = 0.04). Consistent results were found for other nutritional outcomes.
PRALIMAP-INÈS shows that proportionate universalism intervention is effective to reduce the adolescents’ nutritional social gradient and suggests that equitable health programmes and policies are a realistic goal.</description><subject>Adolescence</subject><subject>Adolescent</subject><subject>Body Mass Index</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Nutritional social gradient</subject><subject>Overweight - prevention & control</subject><subject>Proportionate universalism</subject><subject>Santé publique et épidémiologie</subject><subject>Social Class</subject><subject>Sports</subject><subject>Weight Loss</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-O0zAQxi0EYsvCC3BAPsIhYWwnThZxqVbAVipQ8edsufZk65LEXdup4A14Ax6IF8Ohyx45WDNjf99P1nyEPGVQMmDy5b48TDssOXBRgiwB5D2yYFUji1oyeZ8sAIQoRA3yjDyKcQ8AvBH1Q3ImmooLEHxBfm2CP_iQnB91QjqN7ogh6t7FgboxYTjiOD9SFyl2HZqUBbTzgSZtvvVuvKbjlIL7C-hp9Mblch20ddmYEVRb32M0eYqvaNoh3Xxarlfvl5ti9eH3z890cN_R0qBH6wcXc5tpun9MHnS6j_jktp6Tr2_ffLm8KtYf360ul-vCiLZOhdiigRYuqrbmFhuWG-wq3HIEbDWrQTRSgDYV482FEbUW0lqUYFoOutFCnJMXJ-5O9-oQ3KDDD-W1U1fLtZrvoGplm8-RZe3zk_YQ_M2EMan8YYN9r0f0U1S8rRpRCcFmLD9JTfAxBuzu2AzUHJ7aqzk8NYenQKocXjY9u-VP2wHtneVfWlnw-iTAvJGjw6CiyWs2aF3IySjr3f_4fwB_Rq2G</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Omorou, A.Y.</creator><creator>Langlois, J.</creator><creator>Böhme, P.</creator><creator>Legrand, K.</creator><creator>Muller, L.</creator><creator>Saez, L.</creator><creator>Pourcher- Lambolez, C.</creator><creator>Spitz, E.</creator><creator>Briançon, S.</creator><creator>Lecomte, E.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope><orcidid>https://orcid.org/0000-0001-5340-6424</orcidid><orcidid>https://orcid.org/0000-0003-1135-0439</orcidid></search><sort><creationdate>202308</creationdate><title>Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial</title><author>Omorou, A.Y. ; Langlois, J. ; Böhme, P. ; Legrand, K. ; Muller, L. ; Saez, L. ; Pourcher- Lambolez, C. ; Spitz, E. ; Briançon, S. ; Lecomte, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-3bec08094852de71948ef4eb2e0e8a15037630ac41279c35a36dde60c820a7a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescence</topic><topic>Adolescent</topic><topic>Body Mass Index</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Nutritional social gradient</topic><topic>Overweight - prevention & control</topic><topic>Proportionate universalism</topic><topic>Santé publique et épidémiologie</topic><topic>Social Class</topic><topic>Sports</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Omorou, A.Y.</creatorcontrib><creatorcontrib>Langlois, J.</creatorcontrib><creatorcontrib>Böhme, P.</creatorcontrib><creatorcontrib>Legrand, K.</creatorcontrib><creatorcontrib>Muller, L.</creatorcontrib><creatorcontrib>Saez, L.</creatorcontrib><creatorcontrib>Pourcher- Lambolez, C.</creatorcontrib><creatorcontrib>Spitz, E.</creatorcontrib><creatorcontrib>Briançon, S.</creatorcontrib><creatorcontrib>Lecomte, E.</creatorcontrib><creatorcontrib>the PRALIMAP-INÈS trial group</creatorcontrib><creatorcontrib>PRALIMAP-INÈS trial group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Omorou, A.Y.</au><au>Langlois, J.</au><au>Böhme, P.</au><au>Legrand, K.</au><au>Muller, L.</au><au>Saez, L.</au><au>Pourcher- Lambolez, C.</au><au>Spitz, E.</au><au>Briançon, S.</au><au>Lecomte, E.</au><aucorp>the PRALIMAP-INÈS trial group</aucorp><aucorp>PRALIMAP-INÈS trial group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2023-08</date><risdate>2023</risdate><volume>221</volume><spage>79</spage><epage>86</epage><pages>79-86</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>This study aimed to investigate the effectiveness of proportionate universalism intervention to reduce the slope of the nutritional social gradient in adolescents.
A mixed (experimental and quasi-experimental) multicentre trial.
Data from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern France, 2012–2015) were analysed. For this, adolescents were split into five social classes according to the Family Affluence Scale: Highly Less Advantaged (H.L.Ad; n = 33), Less Advantaged (L.Ad; n = 155), Intermediate (Int; n = 404), Advantaged (Ad; n = 324) and Highly Advantaged (H.Ad; n = 69). The overweight care management was a standard care for all and a strengthened one adapted to the social class of adolescents. The main outcome was the 1-year change of the body mass index z-score (BMIz) slope. Other nutritional outcomes were BMI, ΔBMIp95 (BMI minus 95th percentile of the WHO reference), %BMIp95 (percent of 95th percentile of the WHO reference), leisure-time sport, consumption of fruits and vegetables and consumption of sugary foods and drinks.
The inclusion data confirmed a weight social gradient expressed by a significant BMIz linear regression coefficient (β = −0.09 [−0.14 to −0.04], P < 0.0001). The higher the social class, the lower the BMIz. The 1-year BMIz linear regression coefficient was −0.07 [−0.12 to −0.02], corresponding to a significant weight social gradient reduction of 23.3% (β = 0.021 [0.001 to 0.041]; P = 0.04). Consistent results were found for other nutritional outcomes.
PRALIMAP-INÈS shows that proportionate universalism intervention is effective to reduce the adolescents’ nutritional social gradient and suggests that equitable health programmes and policies are a realistic goal.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>37423032</pmid><doi>10.1016/j.puhe.2023.06.006</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5340-6424</orcidid><orcidid>https://orcid.org/0000-0003-1135-0439</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescence Adolescent Body Mass Index Humanities and Social Sciences Humans Life Sciences Nutritional social gradient Overweight - prevention & control Proportionate universalism Santé publique et épidémiologie Social Class Sports Weight Loss |
| title | Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial |
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