Adipositas - Ursachen, Folgeerkrankungen, Therapie 2016; 10(01): 22-24
DOI: 10.1055/s-0037-1617692
Übersichtsarbeit
Schattauer GmbH

E-Health-Maßnahmen in der Adipositasprävention

E-health activities in obesity prevention
S. Herget
1   IFB AdipositasErkrankungen, Universität Leipzig
› Author Affiliations
Further Information

Publication History

Publication Date:
29 December 2017 (online)

Zusammenfassung

Die Bedeutung neuer Technologien und Medien in der Adipositasprävention hat in den letzten Jahren stark zugenommen. Diese richtet sich oftmals an die Zielgruppe von Kindern und Jugendlichen, da hier oftmals eine hohe Technologie-und Medienaffinität vorhanden ist.

Um die Wirksamkeit von Präventionsprogrammen gegen Adipositas und das Metabolische Syndrom zu erhöhen, sollten diese auf verschiedenen Interventionsebenen (dem Mikro-, Meso- und Community-Level) durchgeführt werden. Zudem können der Programmbezug zu einem psychologischen Model sowie die Inkorporation interaktiver Komponenten die Effektivität von Interventionsprogrammen steigern. Nutzerverhalten und Teilnahmeraten sollten hierbei kontinuierlich erfasst werden und die Kenntnis über Faktoren, die eine Implementation des Programmes erleichtern oder erschweren, kann zur Weiterentwicklung des Interventionsprogrammes beitragen.

Bisher stellten sich Familien- und Schulbasierte Adipositas-Interventionsprogramme als am effektivsten heraus. Präventionsprogramme, die das weitere soziale und lokale Umfeld („Community”) einschließen, sollten jedoch in Zukunft verstärkt wissenschaftlich untersucht werden, um anschließend in die Praxis übertragen werden zu können.

Summary

The importance of new technologies and media in the prevention of obesity has increased significantly in recent years. This depends often on the audience of children and adolescents, since a high technology and media affinity is often present.

To increase the effectiveness of prevention programmes against obesity and the metabolic syndrome, this should be at different levels of intervention carried out (the micro, meso and community level). In addition, the programme related to a psychological model and the incorporation of interactive components can increase the effectiveness of intervention programmes. User behaviour and participation rates should be recorded continuously and the knowledge of factors that facilitate or impede implementation of the programme, can contribute to the development of the intervention programme.

So far, family and school-based obesity intervention programmes effectively turned out to be the most effective. Prevention programmes that include the broader social and local environment („community”) should be studied further in the future to be subsequently transferred into practice.

 
  • Literatur

  • 1 Herouvi D, Karanasios E, Karayianni C, Karavanaki K. Cardiovascular disease in childhood: the role of obesity. Eur J Pediatr 2013; 172: 721-732.
  • 2 Halfon N, Verhoef PA, Kuo AA. Childhood antecedents to adult cardiovascular disease. Pediatr Rev 2012; 33: 51-60 quiz 61.
  • 3 Hillier F, Pedley C, Summerbell C. Evidence base for primary prevention of obesity in children and adolescents. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2011; 54: 259-264.
  • 4 Bundeszentrale für gesundheitliche Aufklärung (2014) Kinderübergewicht. http://www.bzga-kin deruebergewicht.de/ Köln: BzGA.
  • 5 Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JA. et al. Evaluating parents and adult caregivers as „agents of change” for treating obese children: evidence for parent behavior change strategies and research gaps: a scientific statement from the American Heart Association. Circulation 2012; 125: 1186-1207.
  • 6 Nguyen B, Kornman KP, Baur LA. A review of electronic interventions for prevention and treatment of overweight and obesity in young people. Obes Rev 2011; 12: e298-314.
  • 7 Li JS, Barnett TA, Goodman E, Wasserman RC, Kemper AR. Approaches to the prevention and management of childhood obesity: the role of social networks and the use of social media and related electronic technologies: a scientific statement from the American Heart Association. Circulation 2013; 127: 260-267.
  • 8 Maher CA, Lewis LK, Ferrar K, Marshall S, De Bourdeaudhuij I. et al. Are Health Behavior Change Interventions That Use Online Social Networks Effective? A Systematic Review. J Med Internet Res 2014; 16: e40.
  • 9 Thomas S, Heinrich S, Kuhnlein A, Radon K. The association between socioeconomic status and exposure to mobile telecommunication networks in children and adolescents. Bioelectromagnetics 31: 20-27.
  • 10 Schoffman DE, Turner-McGrievy G, Jones SJ, Wilcox S. (2013) Mobile apps for pediatric obesity prevention and treatment, healthy eating, and physical activity promotion: just fun and games?. Transl Behav Med 2010; 03: 320-325.
  • 11 Hebden L, Balestracci K, McGeechan K, Denney-Wilson E, Harris M. et al. ‘TXT2BFiT’ a mobile phone-based healthy lifestyle program for preventing unhealthy weight gain in young adults: study protocol for a randomized controlled trial. Trials 2013; 14: 75.
  • 12 Hohman KH, Price SN, Sonneville K, Rifas-Shiman SL, Gortmaker SL. et al. Can the Internet be used to reach parents for family-based childhood obesity interventions?. Clin Pediatr (Phila) 2012; 51: 314-320.
  • 13 Verloigne M, Van Lippevelde W, Maes L, Brug J, De Bourdeaudhuij I. Family-and school-based correlates of energy balance-related behaviours in 10–12-year-old children: a systematic review within the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Public Health Nutr 2012; 15: 1380-1395.
  • 14 Mackert M, Kahlor L, Tyler D, Gustafson J. Designing e-health interventions for low-health-literate culturally diverse parents: addressing the obesity epidemic. Telemed J E Health 2009; 15: 672-677.
  • 15 Markert J, Alff F, Zschaler S, Gausche R, Kiess W. et al. Prevention of childhood obesity: recruiting strategies via local paediatricians and study protocol for a telephone-based counselling programme. Obes Res Clin Pract 2013; 07: e476-486.
  • 16 Morrison LG, Yardley L, Powell J, Michie S. What design features are used in effective e-health interventions? A review using techniques from Critical Interpretive Synthesis. Telemed J E Health 2012; 18: 137-144.
  • 17 Whittemore R, Chao A, Popick R, Grey M. Schoolbased internet obesity prevention programs for adolescents: a systematic literature review. Yale J Biol Med 2013; 86: 49-62.
  • 18 Ruggeri K, Farrington C, Brayne C. A global model for effective use and evaluation of e-learning in health. Telemed J E Health 2013; 19: 312-321.
  • 19 Rudolf MC, Hunt C, George J, Hajibagheri K, Blair M. HENRY: development, pilot and long-term evaluation of a programme to help practitioners work more effectively with parents of babies and pre-school children to prevent childhood obesity. Child Care Health Dev 2010; 36: 850-857.