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Open AccessArticle

Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe. The Feel4Diabetes Study

1
Department of Movement and Sports Sciences, Ghent University, 9000 Ghent, Belgium
2
Clinic of Paediatric Endocrinology, Medical University Varna, 9002 Varna, Bulgaria
3
Clinical Center of Endocrinology, Medical University of Sofia, 1431 Sofia, Bulgaria
4
National Institute for Health and Welfare, 00271 Helsinki, Finland
5
Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 76 Athens, Greece
6
Growth, Exercise, Nutrition and Development (GENUD), University of Zaragoza, 50009 Zaragoza, Spain
7
Debreceni Egyetem (UoD), University of Debrecen, 4002 Debrecen, Hungary
*
Authors to whom correspondence should be addressed.
Contributed equally.
Membership of the Feel4Diabetes study group is provided in the Acknowledgements.
Int. J. Environ. Res. Public Health 2018, 15(12), 2840; https://doi.org/10.3390/ijerph15122840
Received: 12 October 2018 / Revised: 10 December 2018 / Accepted: 11 December 2018 / Published: 13 December 2018
(This article belongs to the Collection Sedentary Behaviour and Health)
This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, Finland, Hungary, Greece and Spain). In each country, three focus groups were conducted with parents, one with teachers and one with local community workers. Data were analysed using a deductive framework approach with a manifest content analysis using the software NVivo. The present study identified barriers on four levels (individual, interpersonal, organisational and macro level) of a socio-ecological model of health behaviour. From parents’ perspectives, both general barriers (e.g., financial limitations and lack of time) and country-specific barriers (e.g., organisational difficulties and inappropriate work environment) were identified. Additional barriers (e.g., lack of parental knowledge and lack of parental skills) were provided by other stakeholders (i.e., teachers and local community workers). The results of this study demonstrate the additional value of including multiple perspectives when developing a lifestyle intervention aiming to prevent type 2 diabetes in vulnerable groups. Future lifestyle interventions are recommended to include multiple components (family, school, and community) and could be implemented across European countries if country-specific adaptations are allowed. View Full-Text
Keywords: physical activity; sedentary behaviour; dietary habits; type 2 diabetes prevention; low socio-economic status; qualitative study; European study; Feel4Diabetes-study physical activity; sedentary behaviour; dietary habits; type 2 diabetes prevention; low socio-economic status; qualitative study; European study; Feel4Diabetes-study
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Van Stappen, V.; Latomme, J.; Cardon, G.; De Bourdeaudhuij, I.; Lateva, M.; Chakarova, N.; Kivelä, J.; Lindström, J.; Androutsos, O.; González-Gil, E.; De Miguel-Etayo, P.; Nánási, A.; Kolozsvári, L.R.; Manios, Y.; De Craemer, M.; On behalf of the Feel4Diabetes-Study Group. Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe. The Feel4Diabetes Study. Int. J. Environ. Res. Public Health 2018, 15, 2840.

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