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Eight-year follow-up of school-based intervention on childhood overweight--the Kiel Obesity Prevention Study.
Obes Facts 2011; 4(1):35-43OF

Abstract

OBJECTIVE

The aim of this study was to evaluate the 8-year outcome of school-based intervention on weight status, lifestyle and blood pressure (BP) as part of the Kiel Obesity Prevention Study (KOPS).

METHODS

Within a quasi-randomized controlled trial, 240 intervention (I) and 952 non-intervention (NI) students at age 6 and 14 years were assessed in schools. Six nutrition units followed by 20-min running games were performed within the first year at school. Primary outcome was the 8-year change in body mass index standard deviation score (BMI-SDS) according to German references. Effective intervention was tested using multilevel linear regression analysis.

RESULTS

Eight-year changes in BMISDS were +0.18 and +0.22 with increases in prevalence of overweight from 8.3 to 10.4% and 7.0 to 11.2% in I and NI students, respectively. Cumulative 8-year incidence of overweight was 5.9% and 7.1% in I and NI students, respectively. There was no overall effect of intervention, but a significant interaction was shown between the intervention and the socio-economic status (SES), which demonstrated that in high SES, the 8-year change in BMI-SDS was in favour of I (-0.17 in I and +0.17 in NI; p < 0.01). Intervention had no measurable effects on lifestyle and BP.

CONCLUSIONS

School-based health promotion has some favourable and sustained effects on 8-year changes in BMI-SDS, which are most pronounced in students of high SES families. The data argue in favour of further preventive measures.

Authors+Show Affiliations

Institute of Human Nutrition and Food Science, Christian-Albrechts University of Kiel, Kiel, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

21372609

Citation

Plachta-Danielzik, Sandra, et al. "Eight-year Follow-up of School-based Intervention On Childhood Overweight--the Kiel Obesity Prevention Study." Obesity Facts, vol. 4, no. 1, 2011, pp. 35-43.
Plachta-Danielzik S, Landsberg B, Lange D, et al. Eight-year follow-up of school-based intervention on childhood overweight--the Kiel Obesity Prevention Study. Obes Facts. 2011;4(1):35-43.
Plachta-Danielzik, S., Landsberg, B., Lange, D., Seiberl, J., & Müller, M. J. (2011). Eight-year follow-up of school-based intervention on childhood overweight--the Kiel Obesity Prevention Study. Obesity Facts, 4(1), pp. 35-43. doi:10.1159/000324552.
Plachta-Danielzik S, et al. Eight-year Follow-up of School-based Intervention On Childhood Overweight--the Kiel Obesity Prevention Study. Obes Facts. 2011;4(1):35-43. PubMed PMID: 21372609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eight-year follow-up of school-based intervention on childhood overweight--the Kiel Obesity Prevention Study. AU - Plachta-Danielzik,Sandra, AU - Landsberg,Beate, AU - Lange,Dominique, AU - Seiberl,Jasmin, AU - Müller,Manfred J, Y1 - 2011/02/16/ PY - 2011/3/5/entrez PY - 2011/3/5/pubmed PY - 2011/4/19/medline SP - 35 EP - 43 JF - Obesity facts JO - Obes Facts VL - 4 IS - 1 N2 - OBJECTIVE: The aim of this study was to evaluate the 8-year outcome of school-based intervention on weight status, lifestyle and blood pressure (BP) as part of the Kiel Obesity Prevention Study (KOPS). METHODS: Within a quasi-randomized controlled trial, 240 intervention (I) and 952 non-intervention (NI) students at age 6 and 14 years were assessed in schools. Six nutrition units followed by 20-min running games were performed within the first year at school. Primary outcome was the 8-year change in body mass index standard deviation score (BMI-SDS) according to German references. Effective intervention was tested using multilevel linear regression analysis. RESULTS: Eight-year changes in BMISDS were +0.18 and +0.22 with increases in prevalence of overweight from 8.3 to 10.4% and 7.0 to 11.2% in I and NI students, respectively. Cumulative 8-year incidence of overweight was 5.9% and 7.1% in I and NI students, respectively. There was no overall effect of intervention, but a significant interaction was shown between the intervention and the socio-economic status (SES), which demonstrated that in high SES, the 8-year change in BMI-SDS was in favour of I (-0.17 in I and +0.17 in NI; p < 0.01). Intervention had no measurable effects on lifestyle and BP. CONCLUSIONS: School-based health promotion has some favourable and sustained effects on 8-year changes in BMI-SDS, which are most pronounced in students of high SES families. The data argue in favour of further preventive measures. SN - 1662-4033 UR - https://www.unboundmedicine.com/medline/citation/21372609/Eight_year_follow_up_of_school_based_intervention_on_childhood_overweight__the_Kiel_Obesity_Prevention_Study_ L2 - https://www.karger.com?DOI=10.1159/000324552 DB - PRIME DP - Unbound Medicine ER -