Exp Clin Endocrinol Diabetes 2017; 125(08): 554-562
DOI: 10.1055/s-0043-101918
Article
© Georg Thieme Verlag KG Stuttgart · New York

Positive Effects of Promoting Physical Activity and Balanced Diets in a Primary School Setting with a High Proportion of Migrant School Children

Katharina S. Weber
1   Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
,
Olaf Spörkel
1   Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
,
Melina Mertens
1   Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
3   Department of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany
,
Alem Freese
1   Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
,
Klaus Strassburger
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
4   Institute for Biometrics and Epidemiology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
,
Boris Kemper
5   Municipal Sports Office of the capital city Düsseldorf, Düsseldorf, Germany
,
Clemens Bachmann
5   Municipal Sports Office of the capital city Düsseldorf, Düsseldorf, Germany
,
Knut Diehlmann
5   Municipal Sports Office of the capital city Düsseldorf, Düsseldorf, Germany
,
Theodor Stemper
6   Faculty of Sports Science, University of Wuppertal, Wuppertal, Germany
,
Anette E. Buyken
7   DONALD Study, IEL – Nutritional Epidemiology, University of Bonn, Germany
,
Kerstin Ketelhut
8   University of Applied Health Sciences, Gera, Germany
,
Karsten Müssig
1   Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Institute for Diabetes Research, Düsseldorf, Germany
2   German Center for Diabetes Research (DZD), München-Neuherberg, Germany
3   Department of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany
› Author Affiliations
Further Information

Publication History

received 07 October 2016
revised  04 January 2017

accepted 23 January 2017

Publication Date:
19 September 2017 (online)

Abstract

Background Children with migration background are at particular risk for overweight. We assessed the effects of a primary school-based initiative targeted at enhancing physical activity and dietary education among children with a high proportion of migration background.

Methods Four 3rd and 4th grade classes (n=70 children, 77% with migration background) participated in a 10-months intervention comprising 2 additional exercise lessons weekly and 10 nutrition lessons per school year. 6 school classes (n=125 children, 65% with migration background) served as control. Before and after the intervention, an assessment of physical fitness and motor skills and questionnaires on dietary behavior and knowledge were conducted. In a subgroup (n=37), after 6 months of the intervention, daily physical activity was assessed by accelerometer-based monitoring. Differences in changes between the groups were assessed using linear regression analyses.

Results Changes between the 2 time points for fitness and motor skill tests (differences in standard deviation scores) were larger in the intervention than in the control group for the total mean test value (β=0.38, p<0.001), driven by higher improvements in 5 of the 8 test items, i.e., obstacle race (speed) (β=0.22, p=0.049), standing long jump (strength) (β=0.35, p<0.001), sit-ups (strength) (β=0.33, p=0.002), stand and reach (mobility) (β=0.22, p=0.042), and 6 min run (endurance) (β=0.40, p<0.001), independently of confounders. Changes in dietary knowledge and consumption frequencies did not differ between groups.

Conclusions Promoting guided physical activity in a primary school setting with a high proportion of children with migration background positively affected parameters of fitness and motor skills.

Supporting Information

 
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