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Die Schulintervention der Kieler Adipositaspräventionsstudie (KOPS)

Design, Methodik und 4-Jahres-Langzeitergebnisse

School-based intervention of the Kiel Obesity Prevention Study (KOPS)

Design, methods, and 4-year longitudinal results

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Zusammenfassung

Hintergrund

Untersuchung der 4-Jahres-Langzeiteffektivität der Schulintervention der Kieler Adipositaspräventionsstudie (KOPS) auf den Ernährungszustand der Kinder.

Methoden

An 32 Grundschulen wurden 1764 Kinder personenident im Alter von 6 und 10 Jahren untersucht. 345 Kinder hatten in der 1. Klasse einen 6-stündigen Ernährungsunterricht erhalten sowie an aktiven Pausenspielen teilgenommen. Primäre Outcomeparameter waren die Prävalenz, Inzidenz und Remission von Übergewicht.

Ergebnisse

Bei Kindern aus Familien mit hohem SES hatte die Intervention einen signifikanten Effekt auf die Prävalenz [Odds Ratio (OR)=0,35, p=0,031] und Inzidenz von Übergewicht (OR=0,26; p=0,030). Die Remission von Übergewicht wurde bei Kindern normalgewichtiger Mütter verbessert (OR=5,43; p=0,022). Adipositas konnte nicht beeinflusst werden.

Schlussfolgerungen

Frühe Maßnahmen der Gesundheitsförderung in Schulen weisen über einen Beobachtungszeitraum von 4 Jahren selektive Effekte auf das Übergewicht, nicht aber auf die Adipositas auf.

Abstract

Background

To evaluate the 4-year outcome of school-based health promotion on weight status as part of the Kiel Obesity Prevention Study (KOPS).

Methods

In the study, 1,764 children ages 6 years and 10 years were assessed in 32 primary schools. Six nutrition units followed by 20-min running games were performed at school during the first year. The prevalence, incidence, and remission of overweight were the main outcome measures.

Results

In children from families of high socioeconomic status, the intervention had a significant effect on prevalence [odds ratio (OR) 0.35, p=0.031] and incidence of overweight (OR 0.26, p=0.030). Remission of overweight was most pronounced in children of normal-weight mothers (OR 5.43, p=0,022). There was no effect on obesity.

Conclusions

School-based health promotion has sustainable effects on remission and incidence of overweight, being most pronounced in children of normal-weight mothers and children from families of high socioeconomic status. The data argue in favor of additional measures of prevention.

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Literatur

  1. Beiträge zur Gesundheitsberichterstattung des Bundes (2003) Übergewicht und Adipositas. Robert Koch-Institut (Berlin) in Zusammenarbeit mit dem Statistischen Bundesamt, Wiesbaden

  2. Bere E, Veierod MB, Bjelland M, Klepp K-I (2005) Outcome and process evaluation of a Norwegian school-randomized fruit and vegetable intervention: Fruits and Vegetables Make the Marks (FVMM). Health Educ Res Oct 11

  3. Birch LL, Krahnstoever Davison K (2001) Family environmental factors influence the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am 48: 893–907

    Article  PubMed  CAS  Google Scholar 

  4. Bosy-Westphal A, Danielzik S, Becker C et al. (2005) Need for optimal body composition data analysis using air-displacement plethysmography in children and adolescents. J Nutr 135: 2257–2262

    PubMed  CAS  Google Scholar 

  5. Caballero B, Clay T, Davis SM et al. (2003) Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr 78: 1030–1038

    PubMed  CAS  Google Scholar 

  6. Crone MR, Reijneveld SA, Willemsen MC et al. (2003) Prevention of smoking in adolescents with lower education: a school based intervention study. J Epidemiol Community Health 57: 675–680

    Article  PubMed  CAS  Google Scholar 

  7. Daniels SR (2006) The consequences of childhood overweight and obesity. Future Child 16(1): 47–67

    Article  PubMed  Google Scholar 

  8. Danielzik S, Czerwinski-Mast M, Langnäse K et al. (2004) Parental overweight, socioeconomic status and high birth weight are major determinants of overweight and obesity in 5–7 yr old children. Baseline data of the Kiel Obesity Prevention Study (KOPS). Int J Obes 28: 1494–1502

    Article  CAS  Google Scholar 

  9. Danielzik S, Pust S, Landsberg B, Müller MJ (2005) First lessons of the Kiel Obesity Prevention Study (KOPS). Int J Obes 29(2): S78–S83

    Article  Google Scholar 

  10. Dwyer T, Coonan WE, Leitch DR et al. (1983) An investigation of the effects of daily physical activity on health of primary school students in South Australia. Int J Epidemiol 12: 308–313

    Article  PubMed  CAS  Google Scholar 

  11. Ford M, Tough SC (2006) Reducing obesity and related chronic disease risk in children and youth: a Synthesis of evidence with ‚best practice‘ recommendations. Obes Rec 7 (1):7–66 (http://www.foresight.gov.uk/Obesity/Obesity-final/Index.html)

    Google Scholar 

  12. Hakanen M, Lagström H, Kaitosaari T et al. (2006) Development of overweight in an atherosclerosis prevention trial starting in early childhood The STRIP study. Int J Obes 30: 618–626

    Article  CAS  Google Scholar 

  13. Haymann LL, Williams C, Daniels SR et al. (2004) Cardiovascular Health Promotion in the schools. A statement for health education professionals and child health advocates from the committee on atherosclerosis, hypertension, and obesity in youth (AHOY) and the council on cardiovascular disease in the young, american heart association. Circulation 110: 2266–2275

    Article  Google Scholar 

  14. James J, Thomas P, Cavan D, Kerr D (2004) Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 328: 1237–1242

    Article  PubMed  Google Scholar 

  15. Kromeyer-Hauschild K, Wabitsch M, Kunze D et al. (2001) Perzentile für den Body Mass Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 149: 807–818

    Article  Google Scholar 

  16. Lampert T (2007) Übergewicht und Adipositas in Deutschland. Epidemiol Bull 18: 155–156

    Google Scholar 

  17. Langnäse K, Asbeck I, Mast M, Müller MJ (2004) Influence of socioeconomic status on long-term effect of family-based obesity treatment intervention in prepubertal overweight children. Health Educ 104: 336–343

    Article  Google Scholar 

  18. Langnäse K, Mast M, Müller MJ (2002) Social class differences in overweight in prepubertal children in northwest Germany. Int J Obes 26: 566–572

    Article  Google Scholar 

  19. Mast M, Körtzinger I, Müller MJ (1998) Ernährungsverhalten und Ernährungszustand 5–7-jähriger Kinder in Kiel. Aktuel Ernährungsmed 23: 282–288

    Google Scholar 

  20. McMurray RG, Harrell JS, BangdiwalaSI et al. (2002) A school-based intervention can reduce body fat and dlood pressure in young adolescents. J Adolesc Health 31: 125–131

    Article  PubMed  Google Scholar 

  21. Müller MJ, Danielzik S (2007) Childhood overweight: is there need for a new societal approach to the obesity epidemic? Obes Rev 8: 87–90

    Article  PubMed  Google Scholar 

  22. Müller MJ, Danielzik S, Pust S (2005) School- and family-based interventions to prevent overweight in children. Proc Nutr Soc 64: 249–254

    Article  PubMed  Google Scholar 

  23. Müller MJ, Danielzik S, Pust S, Landsberg B (2006) Sozioökonomische Einflüsse auf Gesundheit und Übergewicht. Ernährungs-Umsch 53: 212–217

    Google Scholar 

  24. Pust S (2006) Evaluation eines Adipositas-Präventionsprogrammes für Kinder. Ergebnisse der Kieler Adipositas-Präventionsstudie (KOPS). Dissertationsschrift am Institut für Humanernährung und Lebensmittelkunde der Christian-Albrechts-Universität zu Kiel. Der Andere Verlag, Bd 34, Kiel

  25. Report of the World Health Organisation (2004) Obesity in children and young people: A crisis in public health T Lobstein, L Baur R Uauy for the IASO IOTF (eds). Obes Rev 5(1): 1–104

    Google Scholar 

  26. Robinson TN (1999) Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA 282: 1561–1567

    Article  PubMed  CAS  Google Scholar 

  27. Summerbell C, Waters E, Edmunds LD et al. (2005) Interventions for preventing obesity in children. Cochrane Database Syst Rev 3: CD001871

    PubMed  Google Scholar 

  28. Swinburn B (2007) Indirect approaches to obesity – are they likely to be more successful than direct behavioural interventions? Obes Rev 8: 91–92

    Article  Google Scholar 

  29. US Department of Health and Human Services (2000) Healthy people 2010. Understanding and Improving health. Objectives for Improving health. US Government Printing Office, Washington DC

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Authors and Affiliations

  1. Institut für Humanernährung und Lebensmittelkunde, Christian-Albrechts-Universität, Düsternbrooker Weg 17, 24105, Kiel, Deutschland

    S. Plachta-Danielzik &  M.J. Müller

  2. Institut für Sozialwissenschaften/Soziologie, Christian-Albrechts-Universität, Kiel, Deutschlaned

    P. Kriwy

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  1. S. Plachta-Danielzik
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  2. P. Kriwy
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  3. M.J. Müller
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Correspondence to M.J. Müller.

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Plachta-Danielzik, S., Kriwy, P. & Müller, M. Die Schulintervention der Kieler Adipositaspräventionsstudie (KOPS). Präv Gesundheitsf 3, 206–212 (2008). https://doi.org/10.1007/s11553-008-0128-y

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