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Titolo:
Prevention of obesity - more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS)
Autore:
Muller, MJ; Asbeck, I; Mast, M; Langnase, K; Grund, A;
Indirizzi:
Univ Kiel, Inst Humanernahrung & Lebensmittelkunde, D-24105 Kiel, Germany Univ Kiel Kiel Germany D-24105 Lebensmittelkunde, D-24105 Kiel, Germany
Titolo Testata:
INTERNATIONAL JOURNAL OF OBESITY
, volume: 25, anno: 2001, supplemento:, 1
pagine: S66 - S74
SICI:
0307-0565(200105)25:<S66:POO-MT>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
BODY-MASS INDEX; WEIGHT-GAIN; FOLLOW-UP; CHILDREN; CHILDHOOD; DISEASE; AGE; INTERVENTIONS; OVERWEIGHT; GENDER;
Keywords:
childhood obesity; prevention; Kiel Obesity Prevention Study (KOPS); nutrition education; school intervention; family intervention; social gradient;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Muller, MJ Univ Kiel, Inst Humanernahrung & Lebensmittelkunde, Dusterubrooker Weg 17,D-24105 Kiel, Germany Univ Kiel Dusterubrooker Weg 17 Kiel Germany D-24105 , Germany
Citazione:
M.J. Muller et al., "Prevention of obesity - more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS)", INT J OBES, 25, 2001, pp. S66-S74

Abstract

OBJECTIVE:Obesity prevention is necessary to address the steady rise in the prevalence of obesity. Although all experts agree that obesity preventionhas high priority there is almost no research in this area. The effectiveness of different intervention strategies is not well documented. There is also no structured framework for obesity prevention. DESIGN: Based on (i) our current and limited knowledge and (ii) the idea that prevention of childhood obesity is an effective treatment of adult obesity, the Kiel Obesity Prevention Study (KOPS) was started in 1996. Concept,intervention strategies and first results of KOPS are reported in this paper. KOPS is an ongoing 8 y follow-up study. We first enrolled a large scalecohort of 5 to 7-y-old children, providing sufficient baseline data. KOPS allows further analyses of the role of individual risk factors as well as of long-term effectiveness of different intervention strategies. RESULTS: From 1996 to 1999 a representative group of 2440 5 to 7-y-old children was recruited tie 30.2% of the total population of 5 to 7-y-old children examined by the school physicians) and a full data set was obtained from 1640 children. Of the children, 340 (20.7%) were considered as overweightand obese, 1108 children (67.6%) were normal weight, and underweight was found in 192 children (11.7%). Of the normal-weight children, 31% or 346 (21.1% of the total population) were considered to have a risk of becoming obese. Cross-sectional data provided evidence that (i) there is an inverse social gradient in childhood overweight as well as health-related behaviours and (ii) parental fatness had a strong influence on childhood overweight. Weobserved considerable changes in health-related behaviours within 1 y after combined 'school-' and 'family-based' interventions. Interventions aimed to improve health-related behaviours had significant effects on the age-dependent increases in median triceps skinfolds of the whole group (from 10.9 to 11.3 mm in 'intervention schools' vs from 10.7 to 13.0 mm in 'control schools', P < 0.01) as well as in percentage fat mass of overweight children (increase by 3.6 vs 0.4% per year without and with intervention, respectively; P < 0.05). CONCLUSION: First results of KOPS are promising. Besides health promotion,a better school education and social support seem to be promising strategies for future interventions.

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Documento generato il 23/01/20 alle ore 06:40:27