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Understanding the system dynamics of obesity-related behaviours in 10- to 14-year-old adolescents in Amsterdam from a multi-actor perspective

Bibliographic Data

ID22084428
AuthorsAngie Luna Pinzon (0000-0002-9322-6732, GGD Amsterdam, corresponding author), Karien Stronks (0000-0002-0921-2232, GGD Amsterdam), Helga Emke (0000-0001-8675-2577, GGD Amsterdam), Emma van den Eynde (0000-0002-3871-6376, Erasmus MC), Teatske Altenburg, Teatske M Altenburg (0000-0002-8764-5631, GGD Amsterdam), Dijkstra (0000-0002-5567-4606, GGD Amsterdam), S Coosje Dijkstra, Carry M Renders (0000-0001-6688-1312, GGD Amsterdam), Roel C J Hermans (0000-0003-3560-8158, Maastricht University), Roel Hermans, Vincent Busch (0000-0003-1861-5954, GGD Amsterdam), Mai J M Chinapaw (0000-0001-6259-2441, GGD Amsterdam), Stef Kremer (0000-0002-7406-2779, Maastricht University), Stef P J Kremers, Wilma Waterlander (0000-0003-0956-178X, GGD Amsterdam)
Year2023
Volume11
Pages1128316-1128316
Publication date2023-05-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1128316
PMID37304107
OpenAlexW4378176833
LanguageEN
Citations received9
References cited37

Introduction and Methods: To develop an understanding of the dynamics driving obesity-related behaviours in adolescents, we conducted systems-based analysis on a causal loop diagram (CLD) created from a multi-actor perspective, including academic researchers, adolescents and local stakeholders. Results: The CLD contained 121 factors and 31 feedback loops. We identified six subsystems with their goals: (1) interaction between adolescents and the food environment, with profit maximisation as goal, (2) interaction between adolescents and the physical activity environment, with utility maximisation of outdoor spaces as goal, (3) interaction between adolescents and the online environment, with profit maximisation from technology use as goal, (4) interaction between adolescents, parenting and the wider socioeconomic environment, with a goal focused on individual parental responsibility, (5) interaction between healthcare professionals and families, with the goal resulting in treating obesity as an isolated problem, and (6) transition from childhood to adolescence, with the goal centring around adolescents' susceptibility to an environment that stimulates obesity-related behaviours. Discussion: Analysis showed that inclusion of the researchers' and stakeholders' perspectives contributed to an understanding of how the system structure of an environment works. Integration of the adolescents' perspective enriched insights on how adolescents interact with that environment. The analysis further showed that the dynamics driving obesity-related behaviours are geared towards further reinforcing such behaviours

Causal loop diagram · Childhood obesity · Developmental psychology · Environmental health · Obesity · Socioeconomic status · System dynamics · Behavioral Health and Interventions · Computer Science · Medicine · Mental Health Research Topics · Obesity, Physical Activity, Diet · Psychology

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Unique citing works9
Citations per year9
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9
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