A cluster randomised school-based lifestyle intervention programme for the prevention of childhood obesity and related early cardiovascular disease (JuvenTUM 3)

Siegrist, Monika; Hanssen, Henner; Lammel, Christoph; Haller, Bernhard; Halle, Martin
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p258
Academic Journal
Background: Childhood obesity is not only associated with adult obesity but also with increased risk of adult onset of type 2 diabetes and subsequent coronary heart disease. The potential effects of school-based health intervention programmes on cardiovascular risk and surrogate markers are unclear, as only few studies have attempted to investigate a complete risk profile including a detailed laboratory analysis or micro- and macrovascular function. In this study a comprehensive school-based randomized intervention programme will be investigated in 10-14-year old children addressing the influence of lifestyle intervention on inactivity, cardiometabolic risk factors and early signs of vascular disease. Methods/Design: 15 secondary schools in Southern Germany are randomly assigned to intervention or control schools. Children in the fifth grade (10-11 years) will be observed over four years. The study combines a schoolbased with a home-based approach, aiming at children, teachers and parents. The main components are weekly lifestyle-lessons for children, taught by regular classroom teachers to increase physical activity in- and outside of school, to improve eating patterns at school and at home, to reduce media consumption and to amplify wellbeing. In 4-6 annual meetings, teachers receive information about health-related topics with worksheets for children and supporting equipment, accounting for school-specific needs and strategies. Parents' trainings are provided on a regular basis. All examinations are performed at the beginning and at the end of every school year. Anthropometry includes measurements of BMI, waist and upper arm circumferences, skinfold thickness as well as peripheral blood pressure. Blood sampling includes lipid parameters, insulin, glucose, hsCRP, adiponectin, and IL-6 as well as testosteron and estrogen to determine maturation status. Vascular function is non-invasively assessed by measuring arterial stiffness in large arteries using a sphygmograph and by analysing arteriolar and venular diameters in the retinal microcirculation using a non-mydriatric vessel analyser. A questionnaire is filled out to determine daily physical activity, motivational factors, dietary habits, quality of life (KINDL-R) and socio-economic data. Physical fitness is assessed by a six-item test battery. Discussion: Our study aims to provide a feasible long-term intervention strategy to re-establish childhood health and to prevent obesity-related cardiovascular dysfunction in children.


Related Articles

  • Childhood Obesity and Risk of Cardiovascular Disease: A Review of the Science. Buiten, Cathy; Metzger, Bonnie // Pediatric Nursing;Jan/Feb2000, Vol. 26 Issue 1, p13 

    Presents information on a study which examined the association of childhood obesity to cardiovascular disease. Epidemiology of childhood obesity; Definitions of obesity; Obesity as a screening tool for childhood cardiovascular risk; Interventions for the prevention and treatment of childhood...

  • Active travel to non-school destinations but not to school is associated with higher physical activity levels in an ethnically diverse sample of inner-city schoolchildren. Smith, Lee; Aggio, Daniel; Hamer, Mark // BMC Public Health;1/5/2017, Vol. 17 Issue 1, p1 

    Background: This study investigated the association of travel mode to school and non-school destinations with objectively assessed health markers and physical activity in an ethnically diverse sample of inner-city UK schoolchildren.Methods: We used data from the Camden...

  • Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Caballero, Benjamin; Clay, Theresa; Davis, Sally M.; Ethelbah, Becky; Rock, Bonnie Holy; Lohman, Timothy; Norman, James; Story, Mary; Stone, Elaine J.; Stephenson, Larry; Stevens, June // American Journal of Clinical Nutrition;Nov2003, Vol. 78 Issue 5, p1030 

    Background: Childhood obesity is a major public health problem in the United States, particularly among American Indian communities. Objective: The objective was to evaluate the effectiveness of a school-based, multicomponent intervention for reducing percentage body fat in American Indian...

  • Now trending in Riyadh: Increased urbanization equals to more obesity in children and adolescents. Alfadda, Assim; Masood, Afshan // Saudi Journal of Gastroenterology;Jul2019, Vol. 25 Issue 4, p207 

    The article discusess a study according to which increased urbanization equals to more obesity in children and adolescents. It mentions that the research was carried out a school‑based survey that encompassed five geographic regions of Riyadh city using a probability proportionate...

  • Time Spent Outdoors at Midday and Children's Body Mass Index. Milne, Elizabeth; Simpson, Julie A.; English, Dallas R.; Johnston, Robyn; Giles-Corti, Billie // American Journal of Public Health;Feb2007, Vol. 97 Issue 2, p306 

    Objectives. We investigated whether the Kidskin sun protection intervention increased children's body mass index by reducing the time spent outdoors at midday. Methods. The Kidskin sun protection intervention involved 1614 Australian school children assigned to 1 of 3 groups: a control group, a...

  • Cardiovascular risk and attitudes to lifestyles: what do patients think? Silagy, Chris; Muir, John; Coulter, Angela; Thorogood, Margaret; Roe, Liane // BMJ: British Medical Journal (International Edition);6/19/93, Vol. 306 Issue 6893, p1657 

    Examines the relation between cardiovascular risk and the lifestyle of patients in England. Risk factors for the development of atherosclerosis; Assessment on the multifactorial etiology of the disease; Evaluation on the willingness of patients to modify smoking, diet and exercise.

  • Is the child father of the man? Robinson, Roger J. // BMJ: British Medical Journal (International Edition);3/28/92, Vol. 304 Issue 6830, p789 

    Focuses on the origins of the risk for cardiovascular diseases; Implications of the lifestyle hypothesis to the prediction for the risk of cardiovascular diseases; Significance of socioeconomic factors to the studies of mortality; Relations between early weight and later risk factors.

  • Cardiovascular Disease Risk. Guzman, Gina // Journal of Insurance Medicine;2005, Vol. 37 Issue 2, p169 

    Presents an abstract of the study "Lifestyle, Diabetes and Cardiovascular Risk Factors 10 Years After Bariatric Surgery," by L. Sjostrom, A. K. Lindroos et al.

  • Moving forward by looking back: lessons learned from long-lost lifestyles. Tremblay, Mark S.; Esliger, Dale W.; Copeland, Jennifer L.; Barnes, Joel D.; Bassett Jr., David R. // Applied Physiology, Nutrition & Metabolism;Aug2008, Vol. 33 Issue 4, p836 

    The paper briefly reviews the status and trends in physical activity, physical inactivity, and overweight/obesity in Canada; discusses the consequences of these trends; examines evidence that our frame of reference with respect to physical activity and obesity is changing; promotes the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics