Document Detail


Eight-year follow-up of school-based intervention on childhood overweight - the kiel obesity prevention study.
MedLine Citation:
PMID:  21372609     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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:
Sandra Plachta-Danielzik; Beate Landsberg; Dominique Lange; Jasmin Seiberl; Manfred J Müller
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Publication Detail:
Type:  Journal Article     Date:  2011-02-16
Journal Detail:
Title:  Obesity facts     Volume:  4     ISSN:  1662-4033     ISO Abbreviation:  Obes Facts     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101469429     Medline TA:  Obes Facts     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  35-43     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 S. Karger AG, Basel.
Affiliation:
Institute of Human Nutrition and Food Science, Christian-Albrechts University of Kiel, Germany.
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