Overweight prevention implemented by primary school teachers : a randomised controlled trial

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Bibliographic Details
Title translated into German:Übergewicht Prävention implementiert durch Grundschullehrer : eine randomisierte kontrollierte Studie
Author:Brandstetter, Susanne; Klenk, Jochen; Berg, Swantje; Galm, Christoph; Fritz, Michael; Peter, Richard; Prokopchuk, Dmytro; Steiner, Ronald P.; Wartha, Olivia; Steinacker, Jürgen; Wabitsch, Martin
Published in:Obesity facts
Published:5 (2012), 1, 1-11, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
ISSN:1662-4025, 1662-4033
Online Access:
Identification number:PU201303002126

Author's abstract

Objective: To describe the effects of URMEL-ICE, a German school-based intervention for overweight prevention, on children’s BMI and other measures of fat mass. Methods: A cluster-randomised controlled design was used. The intervention which focused on physical activity, TV time and soft drink consumption was integrated into a second-grade curriculum and was implemented by classroom teachers themselves. It comprised 29 teaching lessons, 2 short exercise blocks per day and 6 family homework lessons. BMI was assessed as primary outcome measure, waist circumference and skinfold thickness as secondary outcomes. Data of 945 children were analysed. Results: Multivariate analyses adjusted for baseline values showed no statistically significant effect of the intervention on BMI, but on waist circumference (–0.85; 95% confidence interval (95% CI) –1.59 to –0.12) and subscapular skinfold thickness (–0.64; 95% CI –1.25 to –0.02). After additional adjustment for individual time lag between baseline and follow-up, these effects were reduced to –0.60 (95% CI –1.25 to 0.05) and –0.61 (95% CI –1.26 to 0.04) and lost their statistical significance. Conclusion: This study contributes to the field of randomised school-based studies on overweight prevention and shows that within a 1-year, integrated intervention no effect on BMI, but a tendency towards effects on fat mass can be achieved. Verf.-Referat