Übergewicht und Adipositas im Grundschulalter - gesundheitsökonomische Aspekte der Prävention und Untersuchung der Erkrankungshäufigkeit und gesundheitsbezogenen Lebensqualität
Auch gedruckt in der BibliothekW: W-H 13.506
Ressourcen- / MedientypDissertation, Text
Datum der Freischaltung2014-01-23
Aim: Firstly the cost-effectiveness analysis of the URMEL-ICE intervention. Secondly, associations of central obesity and physical activity with health in primary school children in the Baden-Württemberg Study. Methods: URMEL-ICE intervention with data from 719 children analysed, effectiveness measured as prevented gain of waist circumference (WC) and waist to height ratio (WHtR). First cross-sectional data collection of the Baden-Württemberg Study including 1948 children. Parental information on children’s health related quality of life (HRQoL; KINDLR, EQ5D-Y VAS), number of sick days and visits to a physician during the last year, physical activity patterns. Central obesity defined as WHtR equal to or greater 0.5. Results: WC gain was 1.61 cm and WHtR 0.014 less in the URMEL-ICE intervention vs. control. Intervention costs € 24.09 per child. Incremental cost-effectiveness ratio (ICER) was € 11.11 (95 % confidence interval (CI) [8.78; 15.02]) per cm WC and € 18.55 (95 % CI [14.04; 26.86]) per unit (0.01) WHtR gain prevented. In the Baden-Württemberg Study children with central obesity differed from the others in the number of sick days (9.05 vs. 6.84, p < 0.001) and visits to a physician (3.58 vs. 2.91, p < 0.05). HRQoL of centrally obese children was lower in EQ5D-Y VAS (88.1 vs. 91.6, p < 0.001) and in KINDLR subscales ‘school’ (79.9 vs. 82.5, p < 0.05) and ‘friends’ (75.4 vs. 78.3, p < 0.05). Children who were physically active for 60 min/day on at least four days a week, were less frequently sick for more than five days (OR 0.70) and had a higher HRQoL measured with KINDLR (OR 1.73) and EQ5D-Y VAS (OR 1.41). Conclusion: The URMEL-ICE study provides new information about cost-effectiveness of structured health promotion in primary school. Cross-sectional results from the Baden-Württemberg Study show higher rates of sick days, visits to a physician and lower HRQoL in children with central obesity. This emphasizes the meaning of an early onset of health promotion and prevention.
LizenzStandard (ohne Print-On-Demand)
Obesity; Prevention and control
LCSHQuality of life