title: Intervention effects of a school-based health promotion programme on obesity related behavioural outcomes.
abstract: Studies have shown preventive effects of an active lifestyle during childhood on later life; therefore, health promotion has to start early. The programme "Join the Healthy Boat" promotes a healthy lifestyle in primary school children. In order to evaluate it, children's behaviours in respect of increased physical activity (PA), a decrease in screen media use (SMU), more regular breakfast, and a reduction of the consumption of soft drinks (SDC) were investigated. 1943 children (7.1 ± 0.6 years) participated in the cluster-randomised study and were assessed at baseline and 1736 of them at follow-up. Teachers delivered lessons, which included behavioural contracting and budgeting of SMU and SDC. Daily SMU, PA behaviours, SDC, and breakfast patterns were assessed via parental questionnaire. After one-year intervention, significant effects were found in the intervention group for SMU of girls, children without migration background, and children with parents having a low education level. In the control group, second grade children skipped breakfast significantly more often. Tendencies but no significant differences were found for PA and SDC. This intervention seems to affect groups, which are usually hard to reach, such as children of parents with low education levels, which shows that active parental involvement is vital for successful interventions.
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Susanne
authors.identifier: 0000-0002-0545-1500
authors.initials: S
authors.lastname: Kobel
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Tamara
authors.initials: T
authors.lastname: Wirt
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Schreiber
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Dorothea
authors.initials: D
authors.lastname: Kesztyüs
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kettner
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Nanette
authors.initials: N
authors.lastname: Erkelenz
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Olivia
authors.initials: O
authors.lastname: Wartha
authors.affiliation: Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
authors.forename: Jürgen M
authors.identifier: 0000-0001-8901-9450
authors.initials: JM
authors.lastname: Steinacker
mesh_terms: D002648:Child; D002652:Child Behavior; D004032:Diet; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000193:education / Q000523:psychology; D010342:Patient Acceptance of Health Care; D063766:Pediatric Obesity / Q000517:prevention & control* / Q000523:psychology; D015397:Program Evaluation; D011446:Prospective Studies; D012307:Risk Factors; D012572:School Health Services; D012574:Schools; D011795:Surveys and Questionnaires