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Rolle der körperlichen Aktivität und Inaktivität für die Entstehung und Therapie der juvenilen Adipositas

Leitthema

Zusammenfassung

Der Nutzen von körperlicher Aktivität ist in jedem Alter unbestritten. Mit unterschiedlichen Messmethoden wird aber heute meist eine Reduktion von Bewegung/Zunahme von Inaktivität bei Kindern und Jugendlichen beschrieben. Eine Folge ist die Abnahme der körperlichen/motorischen Leistungsfähigkeit, eine weitere die Steigerung von Übergewicht beziehungsweise der Körperfettmasse. Infolgedessen finden sich assoziierte Komorbiditäten, wie zum Beispiel eine Insulinresistenz bis hin zum Vollbild des metabolischen Syndroms. Daher werden neben dem Einsatz von Bewegung in der Therapie der juvenilen Adipositas adäquate präventive Strategien gefordert. In dieser Diskussion wird vor allem mit Blick auf die Umsetzung bislang unzureichend berücksichtigt, dass bestimmte Personengruppen deutlicher von Bewegungsmangel/Inaktivität betroffen sind, zum Beispiel Mädchen, Jugendliche, Menschen mit Migrationshintergrund und/oder niedrigem sozioökonomischem Status. In den übrigen Gruppen wird die geforderte tägliche Bewegungszeit von einer Stunde meist erreicht. Konsekutiv müssen einerseits potenzielle Interventionen die genannten Untergruppen stärker und adäquat fokussieren. Vor dem Hintergrund der aktuellen Entwicklungen müssen aber auch die derzeitigen Empfehlungen kritisch darauf geprüft werden, ob sie in der vorliegenden Form ausreichen und wie sie nachhaltig implementiert werden können.

Schlüsselwörter

Körperliche Aktivität Kinder Jugendliche Übergewicht Prävention 

Juvenile obesity and the role of physical activity and inactivity

Abstract

Physical activity has important health benefits. Despite of the use of different measurement instruments, a decrease in physical activity and an increase in sedentary habits has been described in children and adolescents. As a consequence, a reduction in physical performance and motor abilities and an increase in overweight and fat mass is found associated with comorbidites, e.g., ranging from insulin resistance up to the metabolic syndrome. Therefore, beside the therapeutic use of exercise in obesity programs, adequate preventive strategies are warranted. However, within this discussion, it must be taken into consideration that special subgroups are more affected by insufficient physical activity/sedentary habits, e.g., females, adolescents, ethnicity, lower socioeconomic status. In many other groups, recommendations for physical activity (1 h/day) are achieved. Hence, interventions must focus on these at-risk groups and intensified. In addition, recommendations related to physical activity and inactivity, in terms of TV consumption, must be critically analyzed as to whether the recommendations are sufficient and how they can be implemented to achieve lasting results.

Keywords

Physical activity Children Adolescents Overweight Prevention 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2010

Authors and Affiliations

  1. 1.Abteilung Bewegungs- und Gesundheitsförderung am Institut für Bewegungs- und NeurowissenschaftDeutsche Sporthochschule KölnKölnDeutschland

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