Iris Pigeot

University of Zaragoza, Caesaraugusta, Aragon, Spain

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Publications (189)209.99 Total impact

  • Iris Pigeot, Benedikt Buchner
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    ABSTRACT: Für die Erforschung von Volkskrankheiten spielen epidemiologische Studien mit einem Life-Course Ansatz eine entscheidende Rolle. Dank langfristiger Beobachtungen auf Individualebene kann das longitudinale Risikoprofil der gesundheitlichen, wirtschaftlichen und sozialen Situation einer Population beurteilt werden. Allerdings setzt dies eine Verknüpfung von verschiedenen Datenqualitäten voraus, die erhebliche Herausforderungen nicht nur auf der Ebene der Informatik und der statistischen Modellbildung, sondern vor allem auch mit Blick auf die Einhaltung datenschutzrechtlicher Grundprinzipien birgt.
    Datenschutz und Datensicherheit - DuD 12/2014; 38(12).
  • Ronja Foraita, M Jäger, I Pigeot
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    ABSTRACT: The rapidly developing genotyping technology has led to the detection of many genetic factors that contribute to the pathogenesis of complex diseases. From this, the aim arose to use these results to offer tailored preventive measures or therapies based on an individual genetic profile. For this purpose, genetic tests are being developed that should allow us to identify individuals who belong to a high risk group with respect to a certain disease due to their genetic predisposition. Such tests are often based on known genetic risk factors that have been identified in genome-wide association studies. Typically, the effect estimates obtained from these studies are further used to construct a genetic risk measure to predict a certain phenotype. This paper describes several statistical and methodological challenges that must be coped with when establishing a genetic prediction model: Starting with the goal to obtain unbiased effect estimates to identify appropriate genetic risk predictors, genetic risk measures must be developed, and the predictive value of a new genetic test must be established. These key requirements of a statistical risk prediction in genetics will be discussed in three sections and finally discussed from a public health perspective.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 11/2014; · 0.72 Impact Factor
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    ABSTRACT: Features of the built environment that may influence physical activity (PA) levels are commonly captured using a so-called walkability index. Since such indices typically describe opportunities for walking in everyday life of adults, they might not be applicable to assess urban opportunities for PA in children. Particularly, the spatial availability of recreational facilities may have an impact on PA in children and should be additionally considered. We linked individual data of 400 2- to 9-year-old children recruited in the European IDEFICS study to geographic data of one German study region, based on individual network-dependent neighborhoods. Environmental features of the walkability concept and the availability of recreational facilities, i.e. playgrounds, green spaces, and parks, were measured. Relevant features were combined to a moveability index that should capture urban opportunities for PA in children. A gamma log-regression model was used to model linear and non-linear effects of individual variables on accelerometer-based moderate-to-vigorous physical activity (MVPA) stratified by pre-school children (<6 years) and school children (≥6 years). Single environmental features and the resulting indices were separately included into the model to investigate the effect of each variable on MVPA. In school children, commonly used features such as residential density [Formula: see text], intersection density [Formula: see text], and public transit density [Formula: see text] showed a positive effect on MVPA, while land use mix revealed a negative effect on MVPA [Formula: see text]. In particular, playground density [Formula: see text] and density of public open spaces, i.e., playgrounds and parks combined [Formula: see text], showed positive effects on MVPA. However, availability of green spaces showed no effect on MVPA. Different moveability indices were constructed based on the walkability index accounting for the negative impact of land use mix. Moveability indices showed also strong effects on MVPA in school children for both components, expanded by playground density [Formula: see text] or by public open space density [Formula: see text], but no effects of urban measures and moveability indices were found in pre-school children. The final moveability indices capture relevant opportunities for PA in school children. Particularly, availability of public open spaces seems to be a strong predictor of MVPA. Future studies involving children should consider quantitative assessment of public recreational facilities in larger cities or urban sprawls in order to investigate the influence of the moveability on childhood PA in a broader sample.
    Journal of urban health : bulletin of the New York Academy of Medicine. 11/2014;
  • Occupational and environmental medicine. 10/2014;
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    ABSTRACT: 10,11 , H Pohlabeln 10 , W Ahrens 10,11 and D Molnár 1 on behalf of the IDEFICS consortium BACKGROUND/OBJECTIVES: To address behaviours associated with childhood obesity, certain target values are recommended that should be met to improve children's health. In the IDEFICS (Identification and prevention of Dietary-and lifestyle-induced health Effects in Children and infantS) study such lifestyle recommendations were conveyed as six key messages. Here, we investigate the adherence of European children to these messages. METHODS: The IDEFICS intervention was based on the intervention mapping approach with the following six targets: increase water consumption (to replace sugar-containing beverages), increase fruit/vegetable consumption, reduce daily screen time, increase daily physical activity, improve the quality of family life and ensure adequate sleep duration. Internationally recommended target values were applied to determine the prevalence of children meeting these targets. RESULTS: In a cohort of 18 745 children participating in the IDEFICS baseline survey or newly recruited during follow-up, data on the above lifestyle behaviours were collected for a varying number of 8302 to 17 212 children. Information on all six behaviours was available for 5140 children. Although 52.5% of the cohort was classified in the highest category of water consumption, only 8.8% met the target of an intake of fruits/vegetables five times a day. The prevalence of children adhering to the recommendation regarding total screen time—below 1 h for pre-school children and 2 h for school children—was 51.1%. The recommended amount of at least 60 min of moderate-to-vigorous physical activity per day was fulfilled by 15.2%. Family life of the child measured by various indicators was considered as satisfactory in 22.8%. Nocturnal sleep duration of 11 (10) hours or more in pre-school (school) children was achieved by 37.9%. In general, children in northern countries and younger children showed better adherence to the recommendations. Only 1.1% of the children adhered to at least five of these recommendations. CONCLUSIONS: Current adherence of children to lifestyle recommendations to prevent childhood obesity is low where observed differences with respect to country, age and gender call for targeted intervention.
    09/2014; 38145.
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    ABSTRACT: Despite documented benefits of a Mediterranean-like dietary pattern, there is a lack of knowledge about how children from different European countries compare with each other in relation to the adherence to this pattern. In response to this need, we calculated the Mediterranean diet score (MDS) in 2-9-year-old children from the Identification and prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) eight-country study.
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S108-14. · 5.22 Impact Factor
  • W Ahrens, L A Moreno, I Pigeot
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S2-3. · 5.22 Impact Factor
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    ABSTRACT: To establish age- and sex-specific reference values for serum leptin and adiponectin in normal-weight 3.0-8.9-year old European children.
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S32-8. · 5.22 Impact Factor
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    ABSTRACT: 10 on behalf of the IDEFICS consortium OBJECTIVES: To describe energy density (ED; kcal g − 1) of dietary intake of European children. METHODS: From 16 228 children who participated in the IDEFICS (Identification and prevention of Dietary-and lifestyle-induced health EFfects In Children and infantS) baseline examination, 8551 children with 24-h dietary recalls (24-HDR), with plausible reported energy intakes and complete covariate information were included in the present analysis. ED was calculated using two methods: (1) ED including solid foods (ED F) and (2) ED including solid foods and energy-containing beverages (ED F&B). Beverage energy was calculated in kcal per day. Dietary characteristics and body mass index (BMI) z-score of children aged 2 to o 6 years and 6 to o 10 years were compared between children with an overall ED F below the o 25th percentile, between the 25th and 75th percentile as well as above the 475th percentile. Standardised regression coefficients were estimated to assess the association between dietary characteristics, BMI z-score and ED of the diet. RESULTS: Children with low ED F and ED F&B diets consumed less energy but higher quantity of food and beverages than children with high ED F and ED F&B diets. Consumption of caloric beverages decreased with increasing ED F&B of the diet owing to the relatively low ED of the beverages, in relation to solid foods. Generally, children with low ED F and ED F&B diets showed healthier food choices than peers with higher ED F and ED F&B diets. In this sample, ED F and ED F&B were not associated with BMI z-score. CONCLUSION: Health promotion strategies should proclaim lower ED diets by means of foods with high water and low fat content and mainly fruit and vegetable components. Excluding caloric beverages from ED F calculation is a useful method to avoid misinterpretation of true exposure to a high energy dense diet. We recommend excluding caloric beverages from ED F calculation when investigating the effect of ED on a certain (health) outcome.
    International Journal of Obesity 09/2014; 38143. · 5.22 Impact Factor
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    ABSTRACT: 12 on behalf of the IDEFICS and the I.Family consortia OBJECTIVE: Valid estimates of population intakes are essential for monitoring trends as well as for nutritional interventions, but such data are rare in young children. In particular, the problem of misreporting in dietary data is usually not accounted for. Therefore, this study aims to provide accurate estimates of intake distributions in European children. DESIGN: Cross-sectional setting-based multi-centre study. SUBJECTS: A total of 9560 children aged 2–9 years from eight European countries with at least one 24-h dietary recall (24-HDR). METHODS: The 24-HDRs were classified in three reporting groups based on age-and sex-specific Goldberg cutoffs (underreports, plausible reports, overreports). Only plausible reports were considered in the final analysis (N = 8611 children). The National Cancer Institute (NCI)-Method was applied to estimate population distributions of usual intakes correcting for the variance inflation in short-term dietary data. RESULTS: The prevalence of underreporting (9.5%) was higher compared with overreporting (3.4%). Exclusion of misreports resulted in a shift of the energy and absolute macronutrient intake distributions to the right, and further led to the exclusion of extreme values, that is, mean values and lower percentiles increased, whereas upper percentiles decreased. The distributions of relative macronutrient intakes (% energy intake from fat/carbohydrates/proteins) remained almost unchanged when excluding misreports. Application of the NCI-Method resulted in markedly narrower intake distributions compared with estimates based on single 24-HDRs. Mean percentages of usual energy intake from fat, carbohydrates and proteins were 32.2, 52.1 and 15.7%, respectively, suggesting the majority of European children are complying with common macronutrient intake recommendations. In contrast, total water intake (mean: 1216.7 ml per day) lay below the recommended value for 490% of the children. CONCLUSION: This study provides recent estimates of intake distributions of European children correcting for misreporting as well as for the daily variation in dietary data. These data may help to assess the adequacy of young children's diets in Europe.
    International Journal of Obesity 09/2014; 38142(38):115-123. · 5.22 Impact Factor
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    ABSTRACT: To estimate the prevalence of the metabolic syndrome (MetS) using reference standards obtained in European children and to develop a quantitative MetS score and describe its distribution in children.
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S4-S14. · 5.22 Impact Factor
  • Ahrens W, Moreno L, Pigeot I
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S152-3. · 5.22 Impact Factor
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    ABSTRACT: There is a lack of common surveillance systems providing comparable figures and temporal trends of the prevalence of overweight (OW), obesity and related risk factors among European preschool and school children. Comparability of available data is limited in terms of sampling design, methodological approaches and quality assurance. The IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS) study provides one of the largest European data sets of young children based on state-of-the-art methodology.
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S99-S107. · 5.22 Impact Factor
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    ABSTRACT: To characterise the nutritional status in children with obesity or wasting conditions, European anthropometric reference values for body composition measures beyond the body mass index (BMI) are needed. Differentiated assessment of body composition in children has long been hampered by the lack of appropriate references.
    International journal of obesity (2005) 09/2014; 38 Suppl 2:S15-25. · 5.22 Impact Factor
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    ABSTRACT: Quantitative ultrasound measurements and bone metabolic markers can help to monitor bone health and to detect impaired skeletal development. Population-based reference values for children may serve as a basis for preventive measures to reduce the risk of osteoporosis and osteoporotic fractures in later life. This is the first paper providing age-, sex- and height-specific reference values for bone stiffness index (SI) and serum carboxy-terminal cross-linking telopeptide of type I collagen (CTX) in healthy, apparently prepubertal children.
    International Journal of Obesity 09/2014; 38:76-85. · 5.22 Impact Factor
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    ABSTRACT: Background:Various twin studies revealed that the influence of genetic factors on psychological diseases or behaviour is more expressed in socio-economically advantaged environments. Other studies predominantly show an inverse association between socio-economic status (SES) and childhood obesity in western developed countries. The aim of this study is to investigate whether the fat mass and obesity associated (FTO) gene interacts with the socio-economic status on childhood obesity in a subsample (N=4 406) of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) cohort.Methods:A structural equation model (SEM) is applied with the latent constructs obesity, dietary habits, physical activity and fitness habits, and parental SES to estimate the main effects of the latter three variables and a FTO polymorphism on childhood obesity. Further, a multiple group SEM is used to explore whether an interaction effect exists between the single nucleotide polymorphism rs9939609 within the FTO gene and SES.Results:Significant main effects are shown for physical activity and fitness (standardised [betacrc ](S)=-0.113), SES ([betacrc ](S)=-0.057) and the FTO homozygous AA risk genotype ([betacrc ](S)=0.177). The explained variance of obesity is about 9%. According to the multiple group approach of SEM, we see an interaction between SES and FTO with respect to their effect on childhood obesity (Δχ(2)=7.3, df=2, p=0.03).Conclusion:Children carrying the protective FTO genotype TT seem to be more protected by a favourable social environment regarding the development of obesity than children carrying the AT or AA genotype.International Journal of Obesity accepted article preview online, 19 August 2014; doi:10.1038/ijo.2014.156.
    International journal of obesity (2005) 08/2014; · 5.22 Impact Factor
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    23rd Annual Meeting of the International Genetic Epidemiology Society; 08/2014
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    ABSTRACT: Hearing disorders have been associated with occupational exposure to music. Musicians may benefit from non-amplified and low-intensity music, but may also have high risks of music-induced hearing loss. To compare the incidence of hearing loss (HL) and its subentities in professional musicians with that in the general population. We performed a historical cohort study among insurants between 19 and 66 years who were employed subject to social insurance contributions. The study was conducted with data from three German statutory health insurance providers covering the years 2004-2008 with about 7 million insurants. Incidence rates with 95% CIs of HL and the subentities noise-induced hearing loss (NIHL), conductive HL, sensorineural HL, conductive and sensorineural HL, as well as tinnitus were estimated stratified by age, sex and federal state. A Cox regression analysis was conducted to estimate adjusted HRs and two-sided 95% CIs for HL and its subentities. More than 3 million insurants were eligible, of whom 2227 were identified as professional musicians (0.07%). During the 4-year observation period, 283 697cases of HL were seen, 238 of them among professional musicians (0.08%), leading to an unadjusted incidence rate ratio of 1.27. The adjusted hazard ratio of musicians was 1.45 (95% CI 1.28 to 1.65) for HL and 3.61 (95% CI 1.81 to 7.20) for NIHL. Professional musicians have a high risk of contracting hearing disorders. Use of already available prevention measures should reduce the incidence of HL in professional musicians.
    Occupational and environmental medicine 04/2014; · 3.64 Impact Factor
  • Clinical nutrition (Edinburgh, Scotland) 04/2014; · 3.27 Impact Factor

Publication Stats

967 Citations
209.99 Total Impact Points

Institutions

  • 2014
    • University of Zaragoza
      Caesaraugusta, Aragon, Spain
  • 2013
    • Leibniz-Institute of Prevention Research and Epidemiology
      Bremen, Bremen, Germany
    • Copenhagen Business School
      • Department of Intercultural Communication and Management
      Copenhagen, Capital Region, Denmark
  • 2002–2013
    • Universität Bremen
      • Bremen Institute for Prevention Research and Social Medicine (BIPS)
      Bremen, Bremen, Germany
  • 2011
    • Ghent University
      • Department of Public Health
      Gent, VLG, Belgium
  • 2007–2010
    • Novartis
      Bâle, Basel-City, Switzerland
  • 2003
    • University of Freiburg
      • Institute of Medical Biometry and Medical Informatics
      Freiburg, Lower Saxony, Germany
  • 1999–2000
    • Technische Universität München
      München, Bavaria, Germany
    • Ludwig-Maximilian-University of Munich
      • Institut für Statistik
      München, Bavaria, Germany