Updated prevalence rates of overweight and obesity in 4- to 10-year-old children in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in parental reports

Brettschneider, Anna-Kristin; Schienkiewitz, Anja; Schmidt, Steffen; Ellert, Ute; Kurth, Bärbel‐Maria

doi:10.1007/s00431-017-2861-8

Cited by 33 publications

(19 citation statements)

References 12 publications

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“…In Germany, the prevalence of overweight, including obesity, was reported to be 14.9% in children aged 4 to 10 years and 18.9% in children aged 11 to 17 years. 25,26 According to the WHO and WOF BMI evaluation criteria, the prevalence of overweight, including obesity, in our study population is comparable. On the contrary, according to the BMI evaluation criteria of DAG, the prevalence seems to be underestimated (7.5%).…”

Section: Discussionmentioning

confidence: 61%

“…The prevalence of overweight, including obesity, in children with CP in our study group depended on the BMI evaluation criteria used (WHO, WOF, or DAG), and was between 7.6% and 21.9% (Table ). In Germany, the prevalence of overweight, including obesity, was reported to be 14.9% in children aged 4 to 10 years and 18.9% in children aged 11 to 17 years . According to the WHO and WOF BMI evaluation criteria, the prevalence of overweight, including obesity, in our study population is comparable.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy

Duran

Schulze

Martakis

et al. 2018

Develop Med Child Neuro

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy

Duran

Schulze

Martakis

et al. 2018

Develop Med Child Neuro

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“…The internal validity of these measurements is likely to be high because they were performed using standardized protocols that were identical in the two studies. When we considered the external generalizability of our data, it was surprising that the percentage of overweight and obese participants (11.4%) in this seemingly high‐risk study population was lower than in the average German population (4–10 years old, 14.9% ; 11–17 years old, 18.9% ), and that the daily time spent in MVPA seemed relatively high. Our data covered a broad age range of MVPA measurements, and we accommodated potential age‐ and sex‐specific differences in both MVPA and all the outcome variables.…”

Section: Discussionmentioning

confidence: 99%

Physical activity is associated with lower insulin and C‐peptide during glucose challenge in children and adolescents with family background of diabetes

et al. 2018

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Aims Children and adolescents with a family history of diabetes are at increased risk of overweight, but little is known about the potentially beneficial effects of physical activity on these children. The objective of this study was to investigate the association between moderate to vigorous physical activity (MVPA) and metabolic and inflammatory risks in children and adolescents with a family background of Type 1 diabetes or gestational diabetes. Methods Valid MVPA measurements, made with accelerometers, were available from 234 participants (median age, 10.2 years) who had a first‐degree relative with either Type 1 or gestational diabetes. Anthropometric and metabolic measurements were made and cytokines measured, and were correlated with MVPA measurements, with stepwise adjustment for confounding factors, in a cross‐sectional analysis. Results MVPA was negatively associated with insulin and C‐peptide during challenge with an oral glucose tolerance test. MVPA was also significantly positively associated with the insulin sensitivity index, whereas no consistently significant associations were found between MVPA and BMI, blood pressure or cytokine levels. Discussion Our findings indicate that physical activity may have beneficial effects on insulin and C‐peptide metabolism in children and adolescents with a family background of diabetes, but show no evidence of a protective association with other health‐related outcomes.

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“…Since starting in 2011, >3,000 study children (0–18 years) have been recruited, most of whom (99%) coming from the city or the close proximity of Leipzig. Since one goal of the study is to identify risk factors for obesity in children, there is a slight over‐representation of children with obesity (Poulain et al, ) and under‐representation of children with normal‐weight compared to the German population (Brettschneider, Schienkiewitz, Schmidt, Ellert, & Kurth, ). However, the prevalence of underweight in the LIFE study is comparable to that of the German general population.…”

Section: Methodsmentioning

confidence: 99%

Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

Schmidt

Kirsten

Hiemisch

et al. 2019

Intl J Eating Disorders

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Objective Although avoidant/restrictive food intake disorder (ARFID) has been included as a new diagnostic entity of childhood feeding and eating disorders, there is a lack of measures to reliably and validly assess ARFID. In addition, virtually nothing is known about clinical characteristics of ARFID in nonclinical samples. Method The present study presents the development and validation of an ARFID module for the child and parent version of the Eating Disorder Examination (EDE) in a nonclinical sample of N = 39 children between 8 and 13 years with underweight and/or restrictive eating behaviors. For evaluating the ARFID module's reliability, the convergence of diagnoses between two independent raters and between the child and parent module was determined. The module's validity was evaluated based on the full‐length child version of the EDE, a 24 h food record, parent‐reported psychosocial functioning and self‐reported quality of life, and objective anthropometric measures. Results In total, n = 7 children received an ARFID diagnosis. The ARFID module showed high interrater reliability, especially for the parent version, and high convergence between child and parent report. Evidence for the module's convergent, divergent, and discriminant validity was provided. Specifically, children with versus without ARFID reported significantly less macro‐ and micronutrient intake and were more likely to be underweight. Discussion This pilot study indicates the child and parent version of the EDE ARFID module to be promising for diagnosing ARFID in a structured way but still necessitates a validation in a larger clinical and community‐based sample.

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Updated prevalence rates of overweight and obesity in 4- to 10-year-old children in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in parental reports

Cited by 33 publications

References 12 publications

Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy

Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy

Physical activity is associated with lower insulin and C‐peptide during glucose challenge in children and adolescents with family background of diabetes

Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

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