School- and family-based interventions to prevent overweight in children

Müller, Manfred J.; Danielzik, Sandra; Pust, Svenja

doi:10.1079/pns2005424

Cited by 84 publications

(61 citation statements)

References 31 publications

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“…A difference between the groups was seen in the upper distribution of BMI and TSF at T1 so that there was a small but beneficial effect regarding the prevalence of overweight: it increased by a factor 2.2 and 2.0 in the nonintervention and intervention group, respectively. 24 The 4-y-incidence of overweight was reduced in the intervention group (36.5 vs 41.7% respectively). Comparing boys and girls, the effect was only seen in girls.…”

Section: Prevalence and Determinants Of Overweightmentioning

confidence: 86%

First lessons from the Kiel Obesity Prevention Study (KOPS)

et al. 2005

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AIMS:Prevention of obesity is a public health agenda. There are only few longitudinal studies on prevention of overweight in children. The Kiel Obesity Prevention Study (KOPS) intends to characterise the determinants of childhood overweight and the effect of preventive measures within schools as well as within families. METHODS: Between 1996 and 2005, KOPS investigated 4997 German 5-7 and 4487 9-11-y-old children or 41 and 37% of the total population of all first and fourth graders in 32 primary schools in Kiel (248 000 inhabitants), northwest Germany. Main outcome measures were nutritional status, health habits and risk factors of disease. In addition, health promotion was performed each year in three schools for all first graders and their teachers (nutrition education and active school breaks) together with a family-oriented approach in families with obese and preobese children. Up to now, the children were followed for 4 y and were reinvestigated at age 10 y. RESULTS: The KOPS population was representative for all 5-7 and 9-11-y-old children in Kiel. The prevalence of overweight/ obesity (Z90th/97th BMI reference percentile) was 7.0/5.8 and 11.3/6.3% in 5-7 and 9-11-y-old children, respectively. Parental overweight, a low socio-economic status and a high birth weight were identified as main risk factors for overweight in prepubertal children. The first results of the interventions show that obesity prevention was possible, but there were limited success rates in boys and children from low social class. CONCLUSION: Faced with the environmental contributors to the obesity problem societal rather than individual responsibilities are evident. This idea suggests that dissecting and tackling the obesogenic environment is necessary to complement school-and family-based interventions.

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Section: Prevalence and Determinants Of Overweightmentioning

confidence: 86%

First lessons from the Kiel Obesity Prevention Study (KOPS)

et al. 2005

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“…Entretanto, a aplicação de programas contínuos de educação nutricional desde a infância parece ser a melhor maneira de se tentar reverter o quadro de consumo alimentar inadequado 22 . O presente estudo corrobora essa ideia, apontando mudanças significantes no consumo dos escolares intervencionados, como a redução no consumo de suco artificial.…”

Section: Discussionunclassified

Evaluating the effect of nutritional education on the prevalence of overweight/obesity and on foods eaten at primary schools

Fernandes¹,

Bernardo²,

Campos³

et al. 2009

J Pediatr (Rio J)

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Objective: To assess the effects of a nutritional education program on the prevalence of overweight/obesity and on the foods eaten by schoolchildren in the 2nd grade of primary education. Methods:The sample was made up of 135 schoolchildren, recruited from one private and one public school in Florianópolis, Brazil, and allocated to either an intervention group (n = 55) or a no-intervention group (n = 80). The children underwent two anthropometric assessments and two dietary intake assessments, before and after attending a nutritional education program. The program consisted of eight fortnightly meetings and covered subjects related to healthy diets, how to make healthy snacks, and physical activity. Nutritional status was classified according to body mass index for age, using the Centers for Disease Control and Prevention growth charts as reference, and the foods the children ate at school were classified according to the Santa Catarina School Canteens Act. Data were analyzed using the Statistical Package for the Social Sciences, and values of p ≤ 0.05 were defined as significant. Results:The percentage of overweight/obese schoolchildren increased from 21.8 to 23.6% in the intervention group and from 33.7 to 35.0% in the no-intervention group (p > 0.05). The intervention group significantly (p = 0.013) reduced its intake of artificial juice, which is prohibited by the Act. In the no-intervention group, there was a significant increase in intake of prohibited foods, such as mass-produced snacks (p = 0.021) and soda (p = 0.031). Furthermore, the intake of breakfast cereal, which is appropriate for eating at school, decreased (p = 0.039). Conclusion:Despite its short duration, after attending the nutritional education program, there were improvements in the quality of the food the schoolchildren were eating. J Pediatr (Rio J). 2009;85(4):315-321:Dietary and nutritional education, nutritional assessment, dietary habits, anthropometry, overweight, obesity. ResumoObjetivo: Avaliar o efeito de um programa de educação nutricional na prevalência de sobrepeso/obesidade e no consumo alimentar de alunos da 2ª série do ensino fundamental.Métodos: Amostra composta por 135 escolares de uma escola privada e uma pública de Florianópolis (SC), divididos entre os grupos com intervenção (n = 55) e sem intervenção (n = 80). Realizaram-se duas avaliações antropométricas e de consumo alimentar, antes e após a aplicação de um programa de educação nutricional. O programa foi composto por oito encontros quinzenais e abordou temas referentes à alimentação saudável, confecção de lanches adequados e atividade física. O diagnóstico nutricional foi obtido pelo índice de massa corporal para idade, de acordo com o Centers for Disease Control and Prevention, e os alimentos consumidos na escola foram classificados em permitidos ou proibidos pela Lei das Cantinas de Santa Catarina. Os dados foram analisados no Statistical Package for the Social Sciences, considerando como significativo p ≤ 0,05.Resultados: O percentual de escolares com sob...

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“…Other studies have found exactly the opposite: higher SES being associated with greater treatment success. 21,34,35 Perhaps, the treatment evaluated in the current study was particularly easily accessible and not pedantic by nature. Further research is necessary to find out from what components in treatment different SES groups profit.…”

Section: Discussionmentioning

confidence: 99%

Tackling childhood overweight: treating parents exclusively is effective

2011

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Objective: In general, treatment of childhood obesity focuses on treating the obese children. The results of child-directed treatments are disappointing in the long run. In the current study, it is tested whether a treatment aimed solely at obese children's parents results in positive effects on the children's weight status. In addition, potential predictors of treatment success are identified. Methods: The parents of 98 overweight or obese children (aged 7-13 years) were randomly assigned to either the cognitivebehavioural group treatment (eight sessions) or the waiting-list control group. Results: With respect to child body mass index (BMI) percentile, the parents' treatment was successful in reducing overweight from pretreatment to posttreatment: BMI percentile decreased significantly by 2.4% in the treatment group, whereas there was no change in the waiting-list control group. There was no significant relapse at follow-up (3 months). Child BMI percentile did not decrease in the waiting-list control group. In addition, significant main effects of time were found for both groups with respect to eating psychopathology (decrease), self-esteem (increase) and negative thoughts (decrease). Finally, parental BMI decreased significantly only in the treatment group. Four predictors were identified with respect to treatment success, namely, lower socioeconomic status, younger age of the child, higher parental attendance and lower BMI percentile of the child before treatment. Conclusions: The parents' treatment had significant effects on child and parent BMI. Long-term endurance of these positive effects needs to be studied. Striking are the positive effects of time in the waiting-list control group for some psychological outcome measures. Obviously, waiting for treatment already affects psychological processes (but not behaviour) in the children. IntroductionChildhood obesity and overweight are sizeable health threats. Among children, the prevalence of weight problems has increased to exceptional proportions. 1 In the United States, about 17% of all children and adolescents are overweight, whereas an additional 16.5% are at the risk of becoming overweight. 2 Currently, one out of seven Dutch children is overweight 3 and 3% of the Dutch children are obese. These numbers are alarming in light of the grave consequences of obesity. As childhood overweight generally tracks into adulthood, and treatment for adults is hardly effective on the long run, it is of major significance to challenge overweight early in life. [4][5][6] At present, the most effective treatment is behaviour therapy, aimed at changing the eating and exercise patterns of the child, which also involves the child's parents. 7 In a meta-analytic review by Wilfley et al., 8 14 randomized controlled trials were reviewed. It was concluded that interventions aimed at changing eating habits and exercise patterns turn out to be efficacious in the short term. Effect sizes of these interventions were on an average 0.75 at the end of treatment. In addition, there is...

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School- and family-based interventions to prevent overweight in children

Cited by 84 publications

References 31 publications

First lessons from the Kiel Obesity Prevention Study (KOPS)

First lessons from the Kiel Obesity Prevention Study (KOPS)

Evaluating the effect of nutritional education on the prevalence of overweight/obesity and on foods eaten at primary schools

Tackling childhood overweight: treating parents exclusively is effective

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