School‐based interventions to prevent overweight and obesity in prepubertal children: process and 4‐years outcome evaluation of the Kiel Obesity Prevention Study (KOPS)

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

doi:10.1111/j.1651-2227.2007.00165.x

Cited by 54 publications

(70 citation statements)

References 22 publications

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“…Studies employed interventions related to nutrition, PA, reduction in TV or combinations thereof. (154)(155)(156) reported long-term follow-up results (more than 6 months). Interventions that were conducted for more than 1 year had a higher effect on obesity reduction.…”

Section: Katz Et Al (2008)mentioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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AbstractObjectiveThe serious consequences of obesity and eating disorders (ED), difficulties encountered in treatment and the high prevalence of these conditions are important reasons to develop efforts aimed at their prevention. The implementation of integrated interventions aimed at preventing risk factors for both obesity and ED constitutes a very exciting development. In the present paper we discuss and review the main reasons for an integrated approach to the spectrum of eating- and weight-related problems, which include anorexia nervosa, bulimia nervosa, anorexic and bulimic behaviours, unhealthy dieting practices, body dissatisfaction, binge-eating disorder, overweight and obesity. Given differences between the fields with regard to current perspectives and objectives, key barriers to an integrated approach to prevention are discussed. In order to show the possibilities of development of this approach, we review the main contributions made to date in the fields of both obesity and ED prevention. In particular, environmental approaches in the prevention of obesity and ED are reviewed, given their potential for preventing a broad spectrum of eating- and weight-related problems. Furthermore, several examples of initiatives that have utilized an integrated approach to prevention are discussed.DesignNarrative review.ConclusionsWe recommend a scenario in which the two fields share knowledge to enhance the difficult work of preventing and treating both ED and obesity.

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Section: Katz Et Al (2008)mentioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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“…The majority of prevention programs promoted physical acti vity 4,9,[11][12]14,16,24,[26][27][28][29]38,40,46,50,51,53 and two programs recommended physical activity. 15,55 All the studies included programs that encouraged healthy dietary habits through presentations and didactic materials.…”

Section: Resultsmentioning

confidence: 99%

Efeito de intervenções sobre o índice de massa corporal em escolares

2012

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OBJECTIVE:To evaluate the effect of intervention programs using nutritional education, physical activity or both on the reduction of body mass index in school-age students. METHODS:The systematic review with meta-analysis included randomized controlled studies available from the following electronic databases for the years 1998 to 2010: PubMed, Lilacs, Embase, Scopus, Web of Science and Cochrane Library. The descriptors were: randomized controlled trial, overweight, obesity, body mass index, child, adolescent, physical activity, nutrition education and Schools. A weighted average was based on the standardized means difference and used a 95% confi dence interval. The inconsistency test was utilized to evaluate the heterogeneity of studies. RESULTS:Initially, 995 studies were identifi ed, of which 23 were included, and 3 meta-analyses were performed. Isolated physical activity interventions did not present a signifi cant reduction in body mass index, with a standardized mean difference of -0.02 (95%CI: -0.08; 0.04). A similar result (n= 3,524) was observed in the isolated interventions of nutritional education, with a standardized mean difference of -0.03 (95%CI: -0.10; 0.04).When the interventions with physical activity and nutritional education were combined, the result of the meta-analysis (n= 9,997) presented a statistically signifi cant effect in the reduction of body mass index in school-age students, with a standardized mean difference: -0.37 (95%CI: -0.63; -0.12). CONCLUSIONS:The interventions that combined physical activity and nutritional education had more positive effects in the reduction of body mass index among school-age students than when they were applied individually.

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“…Die Aufteilung der Kinder in unterschiedliche Sozialgruppen zeigt, dass vor der Intervention das Ernährungswissen bei Kindern aus der niedrigen Sozialschicht schlechter war als bei Kindern aus der hohen Sozialschicht. Durch die Intervention wurde aber das Wissen der Kinder aller Sozialgruppen ähnlich und deutlich verbessert [19].…”

Section: Prozessevaluation: Ernährungswissenunclassified

“…Um zu überprüfen, ob die Fettverteilung und die Fettmasse bei den Schülern beeinflusst wurden, wurden zusätzlich der Taillenumfang (TU) und die prozentuale Fettmasse (%FM) mithilfe der bioelektrischen Impedanzanalyse erfasst [19]. Anhand der alters-und geschlechtsspezifischen 90.…”

Section: Vergleich Verschiedener Outcome-parameterunclassified

15 Jahre Kieler Adipositas-Präventionsstudie (KOPS)

Plachta-Danielzik

Landsberg

Lange

et al. 2011

Bundesgesundheitsbl.

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The Kiel Obesity Prevention Study (KOPS) has been performed since 1996 and aims to characterize determinants and to prevent overweight. A total of 15,251 children and adolescents aged 5-16 years were recruited, of whom 780 and 92, respectively, underwent school-based and family-based interventions. Long-term evaluation of the school-based intervention was available over 4 and 8 years, while family-based intervention was evaluated over 1 year. The prevalence of overweight was 18.8% for the whole KOPS cohort. Determinants of overweight were parental overweight and obesity, low socioeconomic status (SES), early life factors, and lifestyle factors. School-based intervention ameliorated the weight status of children of high SES and of normal weight mothers over the long-term. The intervention effect was small but within the expectable range as calculated from analysis of determinants. Alternative outcome variables (e.g., fat mass) and new evaluation approaches (e.g., excess gain in fat mass) gave no detailed information of the intervention success. Family-based intervention showed that even with this individual approach children of low SES could not be reached.

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School‐based interventions to prevent overweight and obesity in prepubertal children: process and 4‐years outcome evaluation of the Kiel Obesity Prevention Study (KOPS)

Abstract: School-based health promotion has sustainable effects on nutritional knowledge and remission of overweight being most pronounced in girls. The effect of intervention was most pronounced using TSF and WC as criteria of overweight.

Cited by 54 publications

References 22 publications

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Efeito de intervenções sobre o índice de massa corporal em escolares

15 Jahre Kieler Adipositas-Präventionsstudie (KOPS)

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