Was sind die Einflussfaktoren kindlicher Adipositas?

Zeiher, Johannes; Varnaccia, Gianni; Jordan, Susanne; Lange, Cornelia

doi:10.1007/s00103-016-2441-5

Cited by 20 publications

(4 citation statements)

References 94 publications

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“…Thus, continuously observing HRQoL of young individuals, while taking relevant determinants of lifestyle and social context into account, is highly important. Evidence suggests that physical activity, media consumption, social support and self-efficacy are likely to influence children's and adolescent's HRQoL and are also associated with obesity [20,[26][27][28][29]. Thus, with the present analyses we aimed at examining the HRQoL of girls and boys with overweight and obesity in Germany as compared to ones of normal-weight counterparts, in due consideration of a selection of relevant determinants of HRQoL and overweight/obesity.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in children and adolescents with overweight and obesity: results from the German KIGGS survey

et al. 2020

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Background The well-being of persons with overweight and obesity, in particular of children and adolescents, may be impaired. The present study investigates the health-related quality of life (HRQoL) of girls and boys with overweight and obesity living in Germany as compared to those of normal-weight, while taking a selection of relevant determinants of HRQoL into account. Methods The sample comprises 1771 children and adolescents aged 11 to 17 years that took part in the cross-sectional German Health Interview and Examination Survey for Children and Adolescents (KIGGS Wave 2, 2014–2017). Sex-and age-specific BMI (kg/m2) percentiles were utilized to classify overweight and obesity. HRQoL was measured with the KIDSCREEN-27 questionnaire, which gathers detailed information about the five dimensions physical and psychological well-being, well-being regarding peers (i.e., social acceptance), parents (i.e., autonomy) and within the school environment. Multiple regression analyses were performed with HRQoL dimensions as outcomes to test for differences between children and adolescents with normal-weight vs. those with overweight and vs. those with obesity, separately for girls and boys. In a next step, age, physical activity, media consumption, social support and self-efficacy were considered as potential confounders in the analyses. Results 18.7% of the children and adolescents under study were affected by overweight and among them 8.0% by obesity. After adjusting for potential confounders, overweight and obesity were associated with lower physical well-being as compared to normal weight in both sexes (boys with overweight: standardized beta [β] = −.14, standard error [SE] = .03, p < .001, and obesity: β = −.16, SE = .03, p < .001; girls with overweight: β = −.09, SE = .04, p = .011, and obesity: β = −.11, SE = .03, p = .003). Results moreover suggest lower levels of psychological (β = −.10, SE = .04, p = .002) and parent-related well-being (β = −.08, SE = .04, p = .036) of boys with obesity as compared to normal-weight peers. Conclusion HRQoL of German children and adolescents with overweight and obesity is impaired according to physical well-being in general, while psychological and parent-related well-being is particularly affected in boys. Public health approaches should therefore promote children and adolescents with overweight and obesity by improving diverse facets of HRQoL as well as relevant associated factors (i.e., media consumption, self-efficacy) in general and in boys in particular.

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Section: Introductionmentioning

confidence: 99%

Health-related quality of life in children and adolescents with overweight and obesity: results from the German KIGGS survey

et al. 2020

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“…In our study, 16.1% of patients were pre-obese and 9.7% were obese. The low prevalence of pre-obesity and obesity in our study population could be due to the relatively young patient age of the population and the usually higher social status of the women wishing to become pregnant, which is also associated with a lower prevalence of obesity in women 10 . The low obesity rate in our cohort qualifies the obesity-linked increased risk of disorders of glucose and insulin metabolism.…”

Section: Discussionmentioning

confidence: 82%

“…In unserer Studie waren 16,1% der Patientinnen präadipös und 9,7% adipös. Die geringere Prävalenz von Präadipositas und Adipositas in unserem Studienkollektiv könnte auf das relativ junge Patientinnenkollektiv zurückzuführen sein sowie den meist höheren Sozialstatus von Kinderwunschpatientinnen, was wiederum mit geringerer Prävalenz von Adipositas bei Frauen assoziiert ist 10 . Durch die geringe Rate an Adipositas in unserem Kollektiv relativiert sich das durch Adipositas erhöhte Risiko von Glukose- und Insulinstoffwechselstörungen.…”

Section: üBergewicht Und Adipositasunclassified

Preconception Optimization of Glucose and Insulin Metabolism in Women Wanting to Conceive – High Rate of Spontaneous Conception Prior to Planned Assisted Reproduction

Malfertheiner

Gutknecht²,

Bals‐Pratsch³

2017

Geburtshilfe Frauenheilkd

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Background A hyperglycemic metabolic status with insulin resistance can have a negative effect on fertility and pregnancy outcomes. The aim of this retrospective study was to investigate disorders of glucose and insulin metabolism in women wanting to conceive who conceived spontaneously prior to planned assisted reproduction (ART). Associated risk factors of patients in terms of live births and miscarriages were also analyzed. Method Out of total study population of 589 pregnancies, the pregnancies of 129 women wishing to have children who conceived spontaneously prior to planned ART were analyzed in more detail. A 75 g OGTT (OGTT: oral glucose tolerance test) was carried out prior to conception and after determination of pregnancy, including glucose measurement and testing of insulin resistance. If anomalies or risk factors for gestational diabetes (GDM) were detected, patients received metformin therapy prior to conception (off-label use). The course and outcome of pregnancies in the defined cohort were recorded. Results The rate of spontaneous conception before planned ART after treatment for disorders of glucose/insulin metabolism was 21.9% (n = 129/589). 66.7% of the 129 pregnancies resulted in a live birth, 32 patients had a miscarriage. 76.0% of patients were treated with metformin (off-label use) for polycystic ovary syndrome (PCOS), positive risk profile for GDM, or abnormal glucose/insulin metabolism prior to conception. 55.8% of the cohort developed GDM. The insulin requirements of patients with GDM differed significantly depending on their metformin intake. 24.6% of GDM patients receiving metformin treatment developed GDM requiring insulin treatment compared to 53.8% who did not receive metformin medication. The PCOS rate in the study population who had live births was significantly higher (57.0%) than in the group who had miscarriages (31.3%). There were no significant differences with regard to rate of live births and rate of miscarriages with/without metformin treatment and GDM and metformin intake. Conclusion The high rate of spontaneous conceptions in the cohort of women wishing to conceive emphasizes the importance of optimizing glucose/insulin metabolism prior to conception. The high rate of GDM in a cohort of pregnant women with a history of sterility also emphasizes the importance of expanding diagnostic testing for sterility to include the investigation of glucose metabolism and testing for insulin resistance. It is possible that PCOS patients in particular could benefit from treatment with metformin prior to conception, and this could explain the high rate of live births in this patient cohort.

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“…Zu möglichen Gruppen, bei denen ein besonderer Förderbedarf hinsichtlich eines gesunden Lebensstils besteht, werden Kinder aus Familien mit Migrationshintergrund, mit niedrigem sozioökonomischem Status gezählt bzw. wenn psychische Erkrankungen bei einem Elternteil vorliegen [38]. Bislang gibt es allerdings keinen Königsweg bzgl.…”

Section: Introductionunclassified

Kommunal verankerte Versorgungsstrukturen zur Förderung der Ernährungsgesundheit in den ersten 1000 Tagen – eine Analyse des aktuellen Status quo

et al. 2022

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Zusammenfassung Ziel Die Ernährung in den ersten 1000 Tagen stellt einen relevanten Einflussfaktor für eine gesunde (Gewichts)entwicklung von Kindern dar. Verhältnispräventive, kommunalbasierte Ansätze scheinen am Erfolg versprechendsten in der Bekämpfung von (kindlichem) Übergewicht bzw. nicht übertragbaren Erkrankungen zu sein. Ziel dieser Arbeit war es, Strategien zum Gelingen der Ernährungsgesundheit in den ersten 1000 Tagen herauszuarbeiten. Methodik Auf Basis einer internetbasierten Recherche möglicher kommunalbasierter Praxisprojekte wurden standardisierte, leitfadengestützte Interviews mit Expertinnen und Experten aus Wissenschaft und Praxis durchgeführt. Der Fokus lag auf der allgemeinen Einschätzung der Versorgungslage bzw. einem möglichen Handlungs- und Versorgungsbedarf sowie konkreten Handlungsempfehlungen unter besonderer Berücksichtigung von Schwangeren bzw. jungen Familien in belasteten Lebenslagen. 14 von 40 im Schneeballverfahren ausgewählten Personen nahmen teil. Ergebnisse Alle Teilnehmenden schätzen die aktuelle primärpräventive Versorgung als nicht ausreichend ein. Als kritisch wurden von ihnen v. a. die fehlenden strukturellen und politischen Rahmenbedingen, insbesondere die häufig bestehenden zeitlich begrenzten Programme, gesehen. Dadurch seien Maßnahmen zur Förderung der Ernährungsgesundheit oder vergleichbare Interventionen nicht erfolgreich zu etablieren. Gefordert wurde daher eine deutlichere Unterstützung durch politische und andere relevante Stakeholder, z. B. Krankenversicherungen und Vernetzung mit bzw. Einbettung dieses Themenfeldes in den öffentlichen Gesundheitsdienst. Schlussfolgerung Unsere Ergebnisse bestätigen aus Sicht von Expertinnen und Experten, dass die Förderung der Ernährungsgesundheit in den ersten 1000 Tagen sinnvoll und wichtig ist. Allerdings ist ein deutlicher Optimierungsbedarf hinsichtlich der Versorgungsstrukturen und der konkreten nachhaltigen Umsetzung von primärpräventiven Angeboten sowie niederschwelligen Zugängen für belastete Schwangere und Familien erkennbar.

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Was sind die Einflussfaktoren kindlicher Adipositas?

Cited by 20 publications

References 94 publications

Health-related quality of life in children and adolescents with overweight and obesity: results from the German KIGGS survey

Health-related quality of life in children and adolescents with overweight and obesity: results from the German KIGGS survey

Preconception Optimization of Glucose and Insulin Metabolism in Women Wanting to Conceive – High Rate of Spontaneous Conception Prior to Planned Assisted Reproduction

Kommunal verankerte Versorgungsstrukturen zur Förderung der Ernährungsgesundheit in den ersten 1000 Tagen – eine Analyse des aktuellen Status quo

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