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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).
Acta Paediatr 2007; 96(454):19-25AP

Abstract

AIM

To evaluate the feasibility and 4-year outcome of school-based health promotion on overweight among 6-10-year-old children.

METHODS

Four-year follow-up data of 344 children participating in health promotion (I) as part of the Kiel Obesity Prevention Study (KOPS) at age 6 years, compared with 4-year changes in 1420 non-intervention children (NI). Nutritional knowledge was assessed before and 3 months after intervention in 1996 and 2004. Outcome was characterized compared to reference values for (i) BMI, (ii) triceps skinfold (TSF) and (iii) waist circumference (WC).

RESULTS

Process evaluation showed an increase in knowledge after intervention. However, the prevalence of children with good nutritional knowledge before intervention doubled from 1996 to 2004 but similar intervention-induced increases in knowledge (+50%) were observed. When compared with NI I increased remission of overweight with no significant effect on incidence. The effect was most pronounced in girls. The effect was affected by definition of overweight: when compared with parameters of fat mass (TSF and WC), BMI was showing a stronger effect (remission in girls (Delta I - NI): BMI: +13.4%, TSF: +18.7%, WC: +20.7%).

CONCLUSIONS

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.

Authors+Show Affiliations

Institut für Humanernährung und Lebensmittelkunde, Christian-Albrechts-Universität, Kiel, Germany.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17313410

Citation

Danielzik, Sandra, et al. "School-based Interventions to Prevent Overweight and Obesity in Prepubertal Children: Process and 4-years Outcome Evaluation of the Kiel Obesity Prevention Study (KOPS)." Acta Paediatrica (Oslo, Norway : 1992), vol. 96, no. 454, 2007, pp. 19-25.
Danielzik S, Pust S, Müller MJ. School-based interventions to prevent overweight and obesity in prepubertal children: process and 4-years outcome evaluation of the Kiel Obesity Prevention Study (KOPS). Acta Paediatr. 2007;96(454):19-25.
Danielzik, S., Pust, S., & Müller, M. J. (2007). School-based interventions to prevent overweight and obesity in prepubertal children: process and 4-years outcome evaluation of the Kiel Obesity Prevention Study (KOPS). Acta Paediatrica (Oslo, Norway : 1992), 96(454), pp. 19-25.
Danielzik S, Pust S, Müller MJ. School-based Interventions to Prevent Overweight and Obesity in Prepubertal Children: Process and 4-years Outcome Evaluation of the Kiel Obesity Prevention Study (KOPS). Acta Paediatr. 2007;96(454):19-25. PubMed PMID: 17313410.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - School-based interventions to prevent overweight and obesity in prepubertal children: process and 4-years outcome evaluation of the Kiel Obesity Prevention Study (KOPS). AU - Danielzik,Sandra, AU - Pust,Svenja, AU - Müller,Manfred J, PY - 2007/2/23/pubmed PY - 2007/6/8/medline PY - 2007/2/23/entrez SP - 19 EP - 25 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr. VL - 96 IS - 454 N2 - AIM: To evaluate the feasibility and 4-year outcome of school-based health promotion on overweight among 6-10-year-old children. METHODS: Four-year follow-up data of 344 children participating in health promotion (I) as part of the Kiel Obesity Prevention Study (KOPS) at age 6 years, compared with 4-year changes in 1420 non-intervention children (NI). Nutritional knowledge was assessed before and 3 months after intervention in 1996 and 2004. Outcome was characterized compared to reference values for (i) BMI, (ii) triceps skinfold (TSF) and (iii) waist circumference (WC). RESULTS: Process evaluation showed an increase in knowledge after intervention. However, the prevalence of children with good nutritional knowledge before intervention doubled from 1996 to 2004 but similar intervention-induced increases in knowledge (+50%) were observed. When compared with NI I increased remission of overweight with no significant effect on incidence. The effect was most pronounced in girls. The effect was affected by definition of overweight: when compared with parameters of fat mass (TSF and WC), BMI was showing a stronger effect (remission in girls (Delta I - NI): BMI: +13.4%, TSF: +18.7%, WC: +20.7%). CONCLUSIONS: 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. SN - 1651-2227 UR - https://www.unboundmedicine.com/medline/citation/17313410/School_based_interventions_to_prevent_overweight_and_obesity_in_prepubertal_children:_process_and_4_years_outcome_evaluation_of_the_Kiel_Obesity_Prevention_Study__KOPS__ L2 - https://doi.org/10.1111/j.1651-2227.2007.00165.x DB - PRIME DP - Unbound Medicine ER -