Bewegung und Sport im Kontext der kindlichen Adipositas

C. Graf; F. Bagheri; N. Ferrari

doi:10.1055/s-0038-1629277

Kinder- und Jugendmedizin, Inhaltsverzeichnis

Kinder- und Jugendmedizin 2015; 15(04): 250-254
DOI: 10.1055/s-0038-1629277

Adipositas

Schattauer GmbH

Bewegung und Sport im Kontext der kindlichen Adipositas

Physical activity and exercise in juvenile obesity

Autoren

C. Graf

¹Abteilung Bewegungs- und Gesundheitsförderung am Institut für Bewegungs- und Neurowissenschaft, Deutsche Sporthochschule Köln
F. Bagheri

¹Abteilung Bewegungs- und Gesundheitsförderung am Institut für Bewegungs- und Neurowissenschaft, Deutsche Sporthochschule Köln
N. Ferrari

¹Abteilung Bewegungs- und Gesundheitsförderung am Institut für Bewegungs- und Neurowissenschaft, Deutsche Sporthochschule Köln

Abstract

Zusammenfassung

Übergewicht und Adipositas im Kindes- und Jugendalter haben weltweit einen Höchst-stand erreicht. In der Prävention und Therapie spielen Bewegung, Spiel und Sport sowie die Vermeidung/Reduktion von sitzender Tätigkeit eine zentrale Rolle. Dabei geht es um die Steigerung des Kalorienverbrauchs sowie die positive Beeinflussung zahlreicher potenzieller Komorbiditäten, zum Beispiel kardiovaskulärer Risikofaktoren. Hinzu kommen günstige psychosoziale Aspekte, zum Beispiel Stärkung des Selbstvertrauens und der Selbstkompetenz. Bei der Durchführung müssen aber mögliche Risiken, zum Beispiel Belastungsasthma, ebenso wie potenzielle Barrieren berücksichtigt werden. Auch in der (Bewegungs-)Therapie gilt es, das gesamte kindliche Umfeld zu integrieren und insbesondere den Transfer in den häuslichen Alltag zu unterstützen. Zu diesem Zweck sollten daher neben sportlichen Inhalten insbesondere Alltagsaktivitäten eingeübt und gefördert werden, zum Beispiel durch die Nutzung von Schrittzählern. Als Bewegungsziel gelten täglich mindestens 90 und mehr Minuten an körperlicher Aktivität, die Nutzung audiovisueller Medien sollte hingegen auf ein Minimum reduziert (maximal 120 Minuten) oder in Form von Exergames oder APPs ggf. sogar zur Unterstützung eingesetzt werden.

Summary

Overweight and obesity in children and adolescents had reached its highest level worldwide. In the development of overweight and within interdisciplinary training programs physical activity and the avoidance of sedentary habits play an important role. Besides an increase in energy consumption potential comorbidities, e. g. cardiovascular risk factors, are improved. In addition positive psychosocial benefits occur, e. g. strengthening of self-esteem, personal and social skills. During the realization possible risks, e. g. exercise induced asthma, and barriers has to be taken into account. In terms of physical activity programs the children’s surrounding has to be integrated and the transfer in daily routine should be promoted. Therefore, in addition to athletic contents daily activities have to be trained and supported, e. g. via pedometers. At least 90 and more minutes of physical activity per day are recommended, the use of audiovisual media should be reduced to a minimum (max. 120 min) or in terms of exergames or APPs integrated.

Schlüsselwörter

Körperliche Aktivität - Kinder - Jugendliche - Adipositas - Sport

Keywords

Physical activity - exercise - children - adolescents - obesity

Volltext

Referenzen

Literatur
1 AGA-S3-Leitlinien. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter. Evidenzbasierte Leitlinien Prävention und Therapie der Adipositas 2014. www.a-g-a.de
2 Atlantis E, Barnes EH, Singh MA. Efficacy of exercise for treating overweight in children and adolescents: a systematic review. Int J Obes 2006; 30: 1027-1040.
3 Barton SB, Walker LLM, Lambert G. et al. Cognitive change in obese adolescents losing weight. Obes Res 2004; 12: 313-319.
4 Bös K, Bappert S, Tittlbach S, Woll A. Karlsruher Motorik-Screening für Kindergartenkinder (KMS 3-6). Sportunterricht 2004; 53: 79-87.
5 Brannon EE, Cushing CC. Is There an App for That? Translational Science of Pediatric Behavior Change for Physical Activity and Dietary Interventions: A Systematic Review. J Pediatr Psychol.
6 Church TS, Martin CK, Thompson AM. et al. Changes in weight, waist circumference and compensatory responses with different doses of exercise among sedentary, overweight postmenopausal women. PLoS ONE 2009; 4: e4515
7 Donnelly JE, Blair SN, Jakicic JM. et al. American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 2009; 41: 459-471.
8 Dordel S. Bewegungsförderung in der Schule. 4. Aufl. Dortmund: verlag modernes lernen; 2003
9 Dordel S, Kleine W. Motorische Leistungsfähigkeit und Gesundheit/Gesundheitsverhalten übergewichtiger und adipöser Grundschulkinder in Brennpunkte der Sportwissenschaft Band 29. Sankt AugustIn. Akademiaverla. 2005
10 Gortmaker SL, Must A, Sobol A. et al. Television viewing as a cause of increasing obesity among children in the United States, 1986-1990. Arch Pediatr Med 1996; 150: 356-362.
11 Graf C, Koch B Kretschmann-Kandel. et al. Correlation between BMI, leisure habits and motor abilities in childhood (CHILT-Project). Int J Obes 2004; 28: 22-26.
12 Graf C, Koch B, Dordel S. Übergewicht im Kindes- und Jugendalter. Dortmund: verlag modernes lernen; 2004
13 Graf C. Rolle der körperlichen Aktivität und der Inaktivität in der Entstehung und Therapie der juvenilen Adipositas. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 2010; 53: 699-706.
14 Graf C, Beneke R, Bloch W. et al. Recommendations for promoting physical activity for children and adolescents in Germany. A consensus statement. Obes Facts 2014; 7: 178-190.
15 Gutin B, Barbeau P, Owens S. et al. Effects of exercise intensity on cardiovascular fitness, total body composition and visceral adiposity of obese adolescents. Am J Clin Nutr 2002; 75: 818-826.
16 Hayashi T, Fujino M, Shindo M. et al. Echocardiographic and electrocardiographic measures in obese children after an exercise program. Int J Obes 1987; 11: 465-472.
17 Hobbs M, Pearson N, Foster PJ, Biddle SJ. Sedentary behaviour and diet across the lifespan: an updated systematic review. Br J Sports Med. 2014
18 Jekauc D, Reimers A, Wagner M, Woll A. Prevalence and socio-demographic correlates of the compliance with the physical activity guidelines in children and adolescents in Germany. BMC Public Health 2012; 12: 714
19 Kelley GA, Kelley KS, Pate RR. Effects of exercise on BMI z-score in overweight and obese children and adolescents: a systematic review with meta-analysis. BMC Pediatr 2014; 14: 225
20 Kimbro RT, Brooks-Gunn J, McLanahan S. Young children in urban areas: links among neighborhood characteristics, weight status, outdoor play, and television watching. Soc Sci Med 2011; 72: 668-676.
21 Konstabel K, Veidebaum T, Verbestel V. et al. IDEFICS consortium. Objectively measured physical activity in European children: the IDEFICS study. Int J Obes 2014; 38 (Suppl. 02) Suppl 135-143.
22 Lachowycz K, Jones AP. Greenspace and obesity: a systematic review of the evidence. Obes Rev 2011; 12: e183-189.
23 Lampert T, Sygusch R, Schlack R. Nutzung elektronischer Medien im Jugendalter. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007; 50: 643-652.
24 Larouche R, Saunders TJ, Faulkner G. et al. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health 2014; 11: 206-227.
25 Lawrenz A, Lawrenz W. Bedeutung von Bewegung und Sport beim adipösen Kind. In. Wabitsch M, Zwiauer K, Hebebrand J, Kiess W. (Hrsg): Adipositas bei Kindern und Jugendlichen - Grundlagen und Klinik. Berlin, Heidelberg, New York: Springer Medizin Verlag; 2005
26 LeBlanc AG, Chaput JP, McFarlane A. et al. Active video games and health indicators in children and youth: a systematic review. PLoS One 2013; 8: e65351
27 Lobstein T, Jackson-Leach R, Moodie ML. et al. Child and adolescent obesity: part of a bigger picture. Lancet 2015; 14: 61746-3.
28 Lloyd RS, Faigenbaum AD, Stone MH. et al. Position statement on youth resistance training: the 2014 International Consensus. Br J Sports Med 2014; 48: 498-505.
29 Lubans DR, Morgan PJ, Tudor-Locke C. A systematic review of studies using pedometers to promote physical activity among youth. Prev Med 2009; 48: 307-315.
30 McGovern L, Johnson J N, Paulo R. et al. Clinical review: treatment of pediatric obesity: a systematic review and meta-analysis of randomized trials. J Clin Endocrinol Metab 2008; 93: 4600-4605.
31 Oude Luttikhuis H, Baur L, Jansen H. et al. Interventions for treating obesity in children. Cochrane Database Syst Rev 2009; CD001872
32 Pate RR, O’Neill J R, Lobelo F. The evolving definition of “sedentary”. Exer Sport Sci Rev 2008; 36: 173-178.
33 Rey-López JP, Ruiz JR, Vicente-Rodríguez G. et al. HELENA Study Group. Physical activity does not attenuate the obesity risk of TV viewing in youth. Pediatr Obes 2012; 27: 240-250.
34 Robinson TN. Television viewing and childhood obesity. Pediatr Clin North Am 2001; 48: 1017-1025.
35 Ruiz JR, Ortega FB, Martínez-Gómez D. et al. HELENA Study Group. Objectively measured physical activity and sedentary time in European adolescents: the HELENA study. Am J Epidemiol 2011; 174: 173-184.
36 Ruiz JR, Huybrechts I, Cuenca-García M. et al. on behalf of the HELENA study group. Cardiorespiratory fitness and ideal cardiovascular health in European adolescents. Heart.
37 Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms „sedentary“ and „sedentary behaviours“. Appl Physiol Nutr Metab 2012; 37: 540-542.
38 Sims ST, Larson JC, Lamonte MJ. et al. Physical activity and body mass: changes in younger vs. older postmenopausal women. Med Sci Sports Exerc 2012; 44: 89-97.
39 Spengler S, Mess F, Schmocker E, Woll A. Longitudinal associations of health-related behavior patterns in adolescence with change of weight status and self-rated health over a period of 6 years: results of the MoMo longitudinal study. BMC Pediatr 2014; 14: 242
40 Strauss RS, Pollack HA. Social marginalisation of overweight children. Arch Pediatr Adolesc Med 2003; 157: 746-752.
41 Sullivan SM, Brashear MM, Broyles ST, Rung AL. Neighborhood environments and obesity among Afro-Caribbean, African American, and Non-Hispanic white adults in the United States: results from the National Survey of American Life. Prev Med 2014; 61: 1-5.
42 Tanaka C, Reilly JJ, Huang WY. Longitudinal changes in objectively measured sedentary behaviour and their relationship with adiposity in children and adolescents: systematic review and evidence appraisal. Obes Rev 2014; 15: 791-803.
43 Taylor RW, Farmer VL, Cameron SL. et al. School playgrounds and physical activity policies as predictors of school and home time activity. Int J Behav Nutr Phys Act 2011; 8: 38
44 Timmons BW, Leblanc AG, Carson V. et al. Systematic review of physical activity and health in the early years (aged 0-4 years). Appl Physiol Nutr Metab 2012; 37: 773-792.
45 Tremblay MS, Colley RC, Saunders TJ. et al. Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab 2010; 35: 725-740.
46 Treuth MS, Hunter GR, Figueroa-Colon R, Goran MI. Effects of strength training on intraabdominal adipose tissue in obese prepubertal girls. Med Sci Sports Exerc 1998; 30: 1738-1743.
47 Wearing JR, Nollen N, Befort C. et al. iPhone app adherence to expert-recommended guidelines for pediatric obesity prevention. Child Obe 2014; 10: 132-144.
48 White K, Schofield G, Kilding AE. Energy expended by boys playing active video games. J Sci Med Sport 2011; 14: 130-134.
49 Wójcicki TR, Grigsby-Toussaint D, Hillman CH. et al. Promoting Physical Activity in Low-Active Adolescents via Facebook: A Pilot Randomized Controlled Trial to Test Feasibility. JMIR Res Protoc 2014; 3: e56
50 Woll A, Kurth BM, Opper E. et al. The ’Motorik-Modul’ (MoMo): physical fitness and physical activity in German children and adolescents. Eur J Pediatr 2011; 170: 1129-1142.