Who benefits from intervention in, as opposed to screening of, overweight and obese children?

2006 ◽  
Vol 16 (5) ◽  
pp. 474-480 ◽  
Author(s):  
Christine Graf ◽  
Benjamin Koch ◽  
Birna Bjarnason-Wehrens ◽  
Narayanswami Sreeram ◽  
Konrad Brockmeier ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
The Body ◽  
Control Group ◽  
Overweight Children ◽  
Obese Children ◽  
Deviation Score

Aims: StEP TWO is a school- and family-based intervention consisting of extra lessons, healthy nutrition and physical education for overweight and obese children in primary schools, aimed at reducing body mass index by maintenance or reduction of weight, and improving motor abilities. We analysed differences in changes in anthropometric, cardiovascular and obesity parameters between children who underwent intervention, non-participants in intervention, and controls. Methods: Anthropometric data and waist circumference were recorded for 1678 children; body mass index and body mass index–standard deviation score were calculated. Blood pressure was measured after 5 minutes at rest. 121 overweight and obese children enrolled at 3 schools involved in programmes of intervention were invited to take part; 40 of them completed the programme from November 2003 to July 2004. Of these overweight children, 74 were invited, but did not take part. As controls, we enrolled 155 overweight and obese children from 4 other schools. Results: After the programme, the children involved in intervention showed a lower increase in the body mass index (0.3 plus or minus 1.3 versus 0.7 plus or minus 1.2 kilograms per metre squared) and an approximately three times higher diminution of the body mass index–standard deviation score in comparison with their controls (−0.15 plus or minus 0.26 versus 0.05 plus or minus 0.27). Systolic blood pressure was significantly lowered by 9.5 plus or minus 19.6 millimetres of mercury in those involved in intervention, but increased in the control group by 0.5 plus or minus 16.5 millimetres of mercury. Among those invited but not participating, the increase of the body mass index (0.5 plus or minus 1.3 kilograms per metre squared) was less, and the reduction of the body mass index-standard deviation score (−0.09 plus or minus 0.31) and systolic blood pressure (−5.3 plus or minus 15.6 millimetres of mercury) was higher than in the control group. Overweight but not obese children seem to benefit from a screening examination alone. Conclusions: Early preventive measures in schools are necessary and effective for overweight and obese primary school children. The screening itself seems also to have a minor positive effect, especially for overweight children. Sustainability of the observed improvements over a longer period remains to be confirmed.

Data from the StEP TWO programme showing the effect on blood pressure and different parameters for obesity in overweight and obese primary school children

2005 ◽  
Vol 15 (3) ◽  
pp. 291-298 ◽  
Author(s):  
Christine Graf ◽  
Sylvia V. Rost ◽  
Benjamin Koch ◽  
Sandy Heinen ◽  
Gisa Falkowski ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Diastolic Blood Pressure ◽  
Body Mass ◽  
Primary Schools ◽  
Standard Deviation Score ◽  
Overweight And Obesity ◽  
Obese Children ◽  
Deviation Score

Obesity in childhood, which is associated with cardiovascular risk factors such as hypertension, is on the increase. Countermeasures are necessary. In this paper, we present the baseline and final data from the StEP TWO programme, a prospective study to prevent overweight and obesity in primary schools. Methods: We recorded and calculated, from 1689 children, anthropometric data, including analyses of bioelectric impedance, waist and hip circumferences, body mass index and its standard deviation, and the ratio of waist to hip. Blood pressure was measured after 5 minutes at rest. From the three schools involved in a programme of intervention, 121 children were invited to take part, and 40 (33.1 per cent) completed the programme. The effect was compared with 155 overweight and obese children identified at the 4 control schools. Results: 830 (49.5 per cent) boys and 848 girls (50.5 per cent) took part. Their mean age was 8.2 plus or minus 1.3 years, their height was 1.31 plus or minus 0.09 metres, they weighed 30.0 plus or minus 8.2 kilograms, and their mean index of body mass was 17.1 plus or minus 2.9 kilograms per metre squared. Of the children, 7.3 per cent were obese, 10.4 per cent were overweight, 75.7 per cent had normal weights, and 6.6 per cent were underweight. Resting hypertension was observed in 2.3 per cent of the children. Increased blood pressure was associated with a higher body weight, body mass index, standard deviation score for body mass index, and waist and hip circumferences (each p < 0.001), but not with the ratio of waist to hip. Hypertension at rest was also found in 11.0 per cent of obese children, 4.4 per cent of those who were overweight, 1.2 per cent of those with normal weight, and 1.0 per cent of underweight children (p < 0.001). After the intervention, the increase of the body mass index tended to be lower in those in whom we had intervened (p = 0.069), and in these the decrease of the standard deviation score for body mass index was significantly higher (p = 0.028). Systolic blood pressure was reduced by about 10 millimetres of mercury in those in whom we had intervened (p = 0.002), while there were no changes in the control group. Diastolic blood pressure was lowered by 3 millimetres of mercury, but this was not significant. Conclusion: Obese children had the highest values for systolic and diastolic blood pressure. Increased levels of blood pressure are associated with other parameters of obesity, such as the circumference of the waist and hip. Early preventive measurements in childhood are necessary, and appropriate intervention appears to be effective.

Bedingungen für den Erfolg übergewichtiger und adipöser Kinder in einem ambulanten Programm zur Gewichtsreduktion durch Veränderungen des Lebensstils

2010 ◽  
Vol 38 (5) ◽  
pp. 351-360 ◽  
Author(s):  
Wilfried Pott ◽  
Georg Fröhlich ◽  
Özgür Albayrak ◽  
Johannes Hebebrand ◽  
Ursula Pauli-Pott
Keyword(s):  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
Psychische Belastung ◽  
Deviation Score ◽  
Höheres Alter

Fragestellung: Es wurde der Frage nachgegangen, ob sich erfolgreiche Teilnehmer eines ambulanten familienzentrierten Gewichtskontrollprogramms durch spezifische familiäre und psychologische Charakteristiken auszeichnen. Einbezogen wurden die psychosoziale Risikobelastung der Familie, Depressivität und Bindungsstil der Hauptbezugsperson, der Body mass index (BMI) und der BMI-Standardabweichungswert («Standard deviation score», SDS) des teilnehmenden Kindes und der Familienmitglieder sowie die individuelle psychische Belastung des teilnehmenden Kindes. Methodik: Die Daten wurden per Interview und Fragebogen vor dem Behandlungsbeginn erhoben. Von 136 in das Programm aufgenommenen übergewichtigen und adipösen Kindern zwischen 7 und 15 Jahren beendeten 116 das 12-monatige Interventionsprogramm. Von diesen zeigten 100 (85,3 %) eine Reduktion des BMI-SDS und 79 (68.1 %) eine mehr als 5 %ige Reduktion des BMI-SDS. Diese «erfolgreichen» Kinder wurden mit 56 «nicht erfolgreichen» (Abbrecher und Kinder mit einer 5 %igen oder geringeren Reduktion des BMI-SDS) verglichen. Ergebnisse: Nicht erfolgreiche Kinder unterschieden sich von den erfolgreichen durch ein höheres Alter, eine höhere psychosoziale Risikobelastung, Depressivität und einen vermeidenden Bindungsstil der Mutter sowie durch das Vorhandensein adipöser Geschwister. In einer logistischen Regressionsanalyse zeigten sich mütterliche Depressivität und das Vorhandensein adipöser Geschwister als beste und voneinander unabhängige Prädiktoren. Schlussfolgerungen: Um die spezifischen Bedürfnisse der Familien zu erfüllen und einen Misserfolg zu verhindern, sollten zusätzliche Programmbausteine zur spezifischen Unterstützung von Jugendlichen mit adipösen Geschwistern und Müttern mit Depressionen und vermeidenden Bindungsstil entwickelt werden. Die Wirksamkeit dieser Module muss dann in weiteren Studien überprüft werden.

Psychologische Kennwerte und BMI-SDS bei Jugendlichen mit Adipositas und unterschiedlichen Motivationsstadien in der stationären Rehabilitation

2019 ◽  
Vol 59 (03) ◽  
pp. 157-165 ◽  
Author(s):  
Petra Hampel ◽  
Rainer Stachow ◽  
Julian Wienert
Keyword(s):  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
Deviation Score

Zusammenfassung Ziel Adipositas ist im Jugendalter besonders häufig und zeigt eine erhöhte Persistenz bis ins Erwachsenenalter auf. Bisherige Studien konnten zwar kurzfristige Rehabilitationserfolge nachweisen, jedoch keine ausreichende Nachhaltigkeit belegen. Langfristige Effekte lassen sich durch die Berücksichtigung der Motivationslage erwarten. Allerdings liegen noch keine Befunde zur Motivationslage von Jugendlichen mit Adipositas vor. Diese Studie untersuchte psychologische Kennwerte und den Body-Mass-Index-standard deviation score (BMI-SDS) von Jugendlichen mit Adipositas in Abhängigkeit des Motivationsstadiums und Alters. Methode In die Querschnittstudie konnten N=127 Jugendliche mit Adipositas eingeschlossen werden, die zu einer stationären, rehabilitativen Behandlung aufgenommen wurden. Unterschiede im BMI-SDS und in der selbst-berichteten psychischen Gesundheit wurden in 2-faktoriellen Kovarianzanalysen mit dem Faktor „Motivationsstadium“ (Intender vs. Actor), dem Faktor „Altersgruppe“ (12–14 vs. 15–17 Jahre) und der Kovariate „Geschlecht“ bestimmt. Hierbei wurde das Motivationsstadium durch den neu entwickelten Fragebogen zur Einteilung in Motivationsstadien (MoS) ermittelt. Ergebnisse Intender zeigten ungünstigere Ausprägungen im Krankheitsmanagement und in volitionalen Kennwerten. Bei Jüngeren war der BMI-SDS niedriger sowie motivationale und volitionale Kennwerte geringer ausgeprägt. Schließlich waren junge Intender durch ein Risikoprofil in psychischen Auffälligkeiten gekennzeichnet. Schlussfolgerung Die Befunde liefern wichtige Hinweise für die Konzeption motivationsstadienspezifischer Schulungsprogramme und untermauern erneut die Notwendigkeit altersgerechter Maßnahmen im Jugendalter.

scholarly journals Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity

2020 ◽  
Author(s):  
Aslı Okbay Güneş ◽  
Rahime Hülya Bingöl Çağlayan ◽  
Ezgi Şen Demiröğen ◽  
Selmin Köse ◽  
Ethem Ergingöz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Cardiometabolic Risk ◽  
Standard Deviation Score ◽  
Cardiometabolic Risk Factors ◽  
Children's Depression Inventory ◽  
Deviation Score ◽  
Children’S Depression

Objective: The aim of this study was to examine whether the presence of depression in adolescents who were overweight or obese increase the likelihood of cardiometabolic risk factors. Method: We performed a retrospective cross-sectional analysis of the data from adolescents who were overweight or obese, aged 11-18 years, who were evaluated in our clinic from January 2012 to December 2015. Depression was evaluated by “Children’s Depression Inventory”. Hypertension, dyslipidemia, hyperinsulinemia, hyperglycaemia and insulin resistance were defined as cardiometabolic risk factors. The degree of obesity was calculated as the body mass index standard deviation score. Results: Among 283 adolescents 75 (26.5%) were overweight, and 208 (73.5%) had obesity, the mean age was 14.02±1.67 years and 168 (59.4%) of the subjects were girls. The body mass index standard deviation score was in median 2.36±0.62, Children’s Depression Inventory score was in median 12.72±6.5, and 47 (16.6%) of the participants were found depressed. Depression frequency was found higher in females than in males (p=0.047). Body mass index standard deviation score had positive correlation with Children’s Depression Inventory scores (r=0.123, p= 0.038). In univariate analysis, in depressed group hyperinsulinemia was found 2.3 times more frequent than in nondepressed group (p=0.026). In logistic regression analysis this relation disappeared. Conclusion: We showed that severity of depression increased, as the degree of obesity increased, but we could not find any clear relationship between depression and cardiometabolic risk factors in adolescents who were overweight or obese.

scholarly journals The Effect of the Transtheoretical Model Approach Towards the Body Mass Index of Overweight and Obese Children in Makassar

2014 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Kadek Ayu Erika
Keyword(s):  
Body Mass Index ◽  
Treatment Group ◽  
Body Mass ◽  
Transtheoretical Model ◽  
Health Risk Behaviors ◽  
Overweight And Obesity ◽  
The Body ◽  
Control Group ◽  
Research Subjects ◽  
Obese Children

BACKGROUND: Overweight and obesity is now ranked fifth as a global risk for the cause of death. Urban lifestyle is fueled by excessive food intake and lack of activity in overweight and obese children. The assessment of the children’s Body Mass Index (BMI) is one of the indicators to assess the nutritional status of children. One strategy that can be used is the transtheoretical model (TTM) approach which is behavior change that helps children and parents in making more effective decisions to reduce health-risk behaviors among children so that the children’s BMI can decrease. This study aims to identify the differences between children's BMI before and after the TTM approach.METHODS: This research was conducted in the district area of Tamalanrea and Biringkanaya, Makassar. The design used is the Quasy Experiment namely pre- and post-test with control group design. Research subjects were overweight or obese children in the 4th, 5th, and 6th grade of elementary school. The samples in the treatment group consisted of 31 participants, while the control group consisted of 33 participants which were selected using purposive sampling. Intervention research was conducted during a six month period by providing guide books on healthy lifestyle, visiting the families every month using questionnaires, and measurements of children’s height, weight and BMI using WHO’s AntrhoPlus software year 2007.RESULTS: Post-pretest results showed the average value of the treatment group’s BMI was -1.48 and the control group was 1.35. This means that the treatment group experienced a decrease in BMI after the application of TTM. The Mann Whitney test results indicate that there is a difference in the BMI pre-post intervention with the value of p=0.00 (>0.05).CONCLUSION: The overweight and obese children’s BMI was influenced by TTM approach.KEYWORDS: transtheoretical model, children’s BMI, overweight, obesity

scholarly journals DYNAMICS OF BODY MASS INDEX OF CHILDREN 5-7 YEARS OLD

2019 ◽  
Vol 17 (Suppl.1) ◽  
pp. 774-779
Author(s):  
Tsveta Traykova
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Individual Case ◽  
Overweight And Obesity ◽  
The Body ◽  
Control Group ◽  
Obese Children ◽  
Activity Program ◽  
Investigation Methods ◽  
Experimental Group

The aim of our investigation was to establish the dynamics of Body Mass index (BMI) of preschool children as a result of an enriched physical activity program. 208 children were included in the investigation. Methods used: Theoretical analysis of literature, pedagogical experiment, anthropometry, statistical methods Results: Children with BMI in normal levels have the highest percentage, which range from 56.2 to 72.4% for 5-year-old boys, from 70.6 to 81.8% for the girls of the same age, from 65.8 to 84.3% for the boys 6 years old and from 57.2 to 65.4% for the girls of the same age. A high percentage of the overweight and obese children in all groups was also found. The 6-year-old girls from the experimental group have the highest BMI values – 38.5%, followed by the 5-year old boys from the control group. Another negative trend in our study was that there are some underweight children from the three degrees as the values ranged from 10.8% for the 6-year-old girls (control group) up to 27.5% for the 5 year old boys from the experimental group. In conclusion, we would like to underline that overweight and obesity are an important medical and social problem escalating the last years. However, we should have in mind the other extreme trend – the existence of underweight children – II and especially III degree, so our efforts should be to directed towards regulating the body weight in two directions – both reduction or increasing in dependence of any individual case.

Salusin-α levels are negatively correlated with diastolic blood pressure in children with obesity

2019 ◽  
Vol 29 (10) ◽  
pp. 1225-1229 ◽  
Author(s):  
Pınar Dervişoğlu ◽  
Bahri Elmas ◽  
Mustafa Kösecik ◽  
Şükriye P. İşgüven ◽  
Mustafa Büyükavcı ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Diastolic Blood Pressure ◽  
Body Mass ◽  
Negative Correlation ◽  
Predictive Value ◽  
Left Ventricular ◽  
Control Group ◽  
Healthy Children ◽  
Obese Children

AbstractSalusins have emerged as a new biomarker that reflects an increased inflammatory state, which is associated with cardiovascular risk. We investigated the predictive value and usefulness of salusins as an inflammatory biomarker in obese children. This prospective cohort study included 75 obese children and 101 healthy children (as a control group). Salusin-α, Salusin-β, and various cardiovascular parameters were assessed in both groups. Correlation analyses of Salusin-α and Salusin-β with body mass index standard deviation scores and inflammatory and cardiovascular markers were performed. The mean patient age was 11.9±2.4 years for the obese group and 12.5±2.1 years for the control group. The obese children had a significantly higher heart rate, systolic blood pressure, diastolic blood pressure, epicardial adipose tissue thickness, and left ventricular mass than did the children in the control group. There was no significant correlation between Salusin-α and Salusin-β and body mass index; however, there was a negative correlation between Salusin- α and diastolic blood pressure (r = 0.277, p = 0.004). Overall, there was no significant difference in the Salusin-α and Salusin-β levels between obese and healthy children. However, a negative correlation was found between Salusin-α and diastolic blood pressure. Although this result suggests that Salusin-α might be an early marker of cardiovascular involvement in obese children, further studies are needed to demonstrate the predictive value of salusins.

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