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Schulbasierte Prävention der Adipositas

Wie sollte sie aussehen?

School-based obesity prevention

How can it be realized?

  • Originalien und Übersichten
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Die Prävalenz der Adipositas im Kindes- und Jugendalter ist in Deutschland in den letzten 20 Jahren angestiegen. Da eine Therapie oft nicht erfolgreich ist, erscheint die Prävention als einzige Lösung. Diese sollte bereits in jungen Jahren beginnen. Ein idealer Ort hierfür ist die Schule. Ziel der vorliegenden Übersichtsarbeit ist es, die Ergebnisse schulbasierter Präventionsprogramme zu vergleichen und wirkungsvolle Maßnahmen zu identifizieren. Hierzu wurde eine systematische Literaturrecherche durchgeführt. 22 Studien, die zwischen 1990 und 2009 zu diesem Thema veröffentlicht wurden, wurden in die Analyse einbezogen. Eine kombinierte Intervention über Ernährung, Bewegung und Modifikation des TV-Verhaltens ist effektiv. Diese sollte mindestens über ein Schuljahr erfolgen. Das Aufstellen von Wasserspendern im Schulgebäude, die Aufnahme der Themen zuckerhaltige Getränke und Fernsehen in den Unterricht, die Modifizierung des bestehenden Sportunterrichts sowie die Förderung von Bewegung im Schulalltag sind wirksame Präventionsmaßnahmen.

Abstract

The prevalence of obesity for children and adolescents in Germany has increased during the past 20 years. Because the success rate of therapy is low, prevention seems to be the only solution. Prevention should begin early in life. School is an ideal setting for the implementation of prevention strategies. The aim of this review was to compare results of school-based prevention programs and to identify effective methods. A systematic literature search for studies published between 1990 and 2009 was conducted. A total of 22 studies were considered for inclusion. Combined interventions including nutrition, physical activity, and television viewing modification are effective. The intervention should last for at least one year. Installation of water fountains in schools, implementation of the topics “sugar-containing drinks” and “television viewing” in the curriculum, modification of existing physical education and more physical activity during the school day are effective prevention strategies.

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Literatur

  1. Kurth B, Schaffrath R (2007) The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50(5–6):736–743

    Google Scholar 

  2. Katz DL, O’Connell M, Yanchou Njike V et al (2007) Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis. Int J Obes 32(12):1780–1789

    Article  Google Scholar 

  3. Sharma M (2006) School-based interventions for childhood and adolescent obesity. Obes Rev 7(3):261–269

    Article  CAS  PubMed  Google Scholar 

  4. Czerwinski-Mast M, Danilezik S, Asbeck I et al (2003) Kieler Adipositaspräventionsstudie (KOPS). Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 46:727–731

    Article  Google Scholar 

  5. Flodmark CE, Marcus C, Britton M (2006) Interventions to prevent obesity in children and adolescents: a systematic literature review. Int J Obes 30(4):579–589

    Article  Google Scholar 

  6. Thomas H (2006) Obesity prevention programs for children and youth: why are their results so modest? Health Educ Res 21(6):783–795

    Article  PubMed  Google Scholar 

  7. Sahota P, Rudolf MC, Dixey R et al (2001) Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity. BMJ 323(7320):1027–1029

    Article  CAS  PubMed  Google Scholar 

  8. Kumanyika SK, Obarzanek E, Stettler N et al (2008) Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation 118(4):428–464

    Article  PubMed  Google Scholar 

  9. Doak CM, Visscher TL, Renders CM, Seidell JC (2006) The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obes Rev 7(1):111–136

    Article  CAS  PubMed  Google Scholar 

  10. Summerbell CD, Waters E, Edmunds LD et al (2005) Interventions for preventing obesity in children. Cochrane Database Syst Rev 20(3):CD001871

    Google Scholar 

  11. DeMattia L, Lemont L, Meurer L (2007) Do interventions to limit sedentary behaviours change behaviour and reduce childhood obesity? A critical review of the literature. Obes Rev 8(1):69–81

    Article  CAS  PubMed  Google Scholar 

  12. Wabitsch M, Moß A (2009) Evidenzbasierte Leitlinie Therapie der Adipositas im Kindes- und Jugendalter (S3-Leitlinie), Version 2009. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter

  13. Kropski JA, Keckley PH, Jensen GL (2008) School-based obesity prevention programs: an evidence-based review. Obesity 16(5):1009–1018

    Article  PubMed  Google Scholar 

  14. Flynn MA, McNeil DA, Maloff B et al (2006) Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with „best practice“ recommendations. Obes Rev 7:7–66

    Article  PubMed  Google Scholar 

  15. Nicklas TA, Johnson CC, Farris R et al (1997) Development of a school-based nutrition intervention for high school students: Gimme 5. Am J Health Promot 11(5):315–322

    CAS  PubMed  Google Scholar 

  16. Nicklas TA, Johnson CC, Myers L et al (1998) Outcomes of a high school program to increase fruit and vegetable consumption: Gimme 5 – a fresh nutrition concept for students. J Sch Health 68(6):248–253

    Article  CAS  PubMed  Google Scholar 

  17. Nicklas TA, O’Neil CE (2000) Process of conducting a 5-a-day intervention with high school students: Gimme 5 (Louisiana). Health Educ Behav 2:201–212

    Article  Google Scholar 

  18. James J, Thomas P, Cavan D, Kerr D (2004) Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 328(7450):1237

    Article  PubMed  Google Scholar 

  19. Muckelbauer R, Libuda L, Clausen K et al (2009) Promotion and provision of drinking water in schools for overweight prevention: randomized, controlled cluster trial. Pediatrics 123(4):e661–e667

    Article  PubMed  Google Scholar 

  20. Sallis JF, McKenzie TL, Alcaraz JE et al (1997) The effects of a 2-year physical education program (SPARK) on physical activity and fitness in elementary school students. Sports, Play and Active Recreation for Kids. Am J Public Health 87(8):1328–1334

    Article  CAS  PubMed  Google Scholar 

  21. Sallis JF, McKenzie TL, Alcaraz JE et al (1993) Project SPARK. Effects of physical education on adiposity in children. Ann N Y Acad Sci 699:127–136

    Article  CAS  PubMed  Google Scholar 

  22. Mo-Suwan L, Pongprapai S, Junjana C, Puetpaiboon A (1998) Effects of a controlled trial of a school-based exercise program on the obesity indexes of preschool children. Am J Clin Nutr 68(5):1006–1011

    CAS  PubMed  Google Scholar 

  23. Robinson TN (1999) Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA 282(16):1561–1567

    Article  CAS  PubMed  Google Scholar 

  24. Vandongen R, Jenner DA, Thompson C et al (1995) A controlled evaluation of a fitness and nutrition intervention program on cardiovascular health in 10- to 12-year-old children. Prev Med 24(1):9–22

    Article  CAS  PubMed  Google Scholar 

  25. Donnelly JE, Jacobsen DJ, Whatley JE et al (1996) Nutrition and physical activity program to attenuate obesity and promote physical and metabolic fitness in elementary school children. Obes Res 4(3):229–243

    CAS  PubMed  Google Scholar 

  26. Luepker RV, Perry CL, McKinlay SM et al (1996) Outcomes of a field trial to improve children’s dietary patterns and physical activity. The Child and Adolescent Trial for Cardiovascular Health. CATCH collaborative group. JAMA 275(10):768–776

    Article  CAS  PubMed  Google Scholar 

  27. Nader PR, Stone EJ, Lytle LA et al (1999) Three-year maintenance of improved diet and physical activity: the CATCH cohort. Child and Adolescent Trial for Cardiovascular Health. Arch Pediatr Adolesc Med 153(7):695–704

    CAS  PubMed  Google Scholar 

  28. Gortmaker SL, Peterson K, Wiecha J et al (1999) Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med 153(4):409–418

    CAS  PubMed  Google Scholar 

  29. Sahota P, Rudolf MC, Dixey R et al (2001) Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 323(7320):1029–1032

    Article  CAS  PubMed  Google Scholar 

  30. Müller MJ, Asbeck I, Mast M et al (2001) Prevention of obesity – more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 25:66–74

    Article  Google Scholar 

  31. Danielzik S, Pust S, Landsberg B, Müller MJ (2005) First lessons from the Kiel Obesity Prevention Study (KOPS). Int J Obes 29:78–83

    Article  Google Scholar 

  32. Manios Y, Moschandreas J, Hatzis C, Kafatos A (1999) Evaluation of a health and nutrition education program in primary school children of Crete over a three-year period. Prev Med 28(2):149–159

    Article  CAS  PubMed  Google Scholar 

  33. Manios Y, Moschandreas J, Hatzis C, Kafatos A (2002) Health and nutrition education in primary schools of Crete: changes in chronic disease risk factors following a 6-year intervention programme. Br J Nutr 88(3):315–324

    Article  CAS  PubMed  Google Scholar 

  34. Kafatos A, Manios Y, Moschandreas J, Preventive Medicine & Nutrition Clinic University of Crete Research Team (2005) Health and nutrition education in primary schools of Crete: follow-up changes in body mass index and overweight status. Eur J Clin Nutr 59(9):1090–1092

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  36. Sallis JF, McKenzie TL, Conway TL et al (2003) Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am J Prev Med 24(3):209–217

    Article  PubMed  Google Scholar 

  37. Warren JM, Henry CJ, Lightowler HJ et al (2003) Evaluation of a pilot school programme aimed at the prevention of obesity in children. Health Promot Int 18(4):287–296

    Article  CAS  PubMed  Google Scholar 

  38. Kain J, Uauy R, Albala et al (2004) School-based obesity prevention in Chilean primary school children: methodology and evaluation of a controlled study. Int J Obes Relat Metab Disord 28(4):483–493

    Article  CAS  PubMed  Google Scholar 

  39. Coleman KJ, Tiller CL, Sanchez J et al (2005) Prevention of the epidemic increase in child risk of overweight in low-income schools: the El Paso coordinated approach to child health. Arch Pediatr Adolesc Med 159(3):217–224

    Article  PubMed  Google Scholar 

  40. Spiegel SA, Foulk D (2006) Reducing overweight through a multidisciplinary school-based intervention. Obesity 14(1):88–96

    Article  PubMed  Google Scholar 

  41. Taylor RW, McAuley KA, Barbezat W et al (2007) APPLE Project: 2-y findings of a community-based obesity prevention program in primary school age children. Am J Clin Nutr 86(3):735–742

    CAS  PubMed  Google Scholar 

  42. Taylor RW, McAuley KA, Barbezat W et al (2008) Two-year follow-up of an obesity prevention initiative in children: the APPLE project. Am J Clin Nutr 88(5):1371–1377

    CAS  PubMed  Google Scholar 

  43. Marcus C, Nyberg G, Nordenfelt A et al (2009) A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. Int J Obes 33(4):408–417

    Article  CAS  Google Scholar 

  44. Singh AS, Chin A, Paw MJ et al (2009) Dutch obesity intervention in teenagers: effectiveness of a school-based program on body composition and behavior. Arch Pediatr Adolesc Med 163(4):309–317

    Article  PubMed  Google Scholar 

  45. Harris KC, Kuramoto LK, Schulzer M, Retallack JE (2009) Effect of school-based physical activity interventions on body mass index in children: a meta-analysis. CMAJ 180(7):19–726

    Google Scholar 

  46. Robinson TN, Sirard JR (2005) Preventing childhood obesity: a solution-oriented research paradigm. Am J Prev Med 28(2 Suppl 2):194–201

    Article  PubMed  Google Scholar 

  47. Backes G (2007) Schulverpflegung. Ernährung 1(8):376–379

    Article  Google Scholar 

  48. Müller MJ, Kurth BM (2007) Prävention von Übergewicht bei Kindern und Jugendlichen. Prävention Gesundheitsförderung 2:240–248

    Article  Google Scholar 

  49. Moss A, Wabitsch M (2006) Prevention of obesity in early life – school-based prevention programs. AgroFood industry hight-tech 5:XLV–XLVII

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  1. Universitätsklinik für Kinder- und Jugendmedizin, Sektion Pädiatrische Endokrinologie und Diabetologie, Universität Ulm, Eythstr. 24, 89075, Ulm, Deutschland

    S. Brandt, A. Moß, S. Berg & M. Wabitsch

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  1. S. Brandt
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  2. A. Moß
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  4. M. Wabitsch
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Correspondence to S. Brandt.

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Brandt, S., Moß, A., Berg, S. et al. Schulbasierte Prävention der Adipositas. Bundesgesundheitsbl. 53, 207–220 (2010). https://doi.org/10.1007/s00103-009-1017-z

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