TY - JOUR A1 - Mumm, Rebekka A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche JF - Acta paediatrica : nurturing the child N2 - Aim Growth is both a matter of amplitude and tempo. We aimed to develop references for body height, body weight and body mass index (BMI) with respect to tempo of maturity. Methods Data obtained from the German KiGGS study (2003-2006) on body height, body weight and presence or absence of the menarche were re-analysed in 3776 girls, aged 10-17years. We developed smoothed centiles for BMI-, body-height- and body-weight-for-age using the LMS method for premenarcheal and postmenarcheal girls. Results Body height, body weight and BMI differed significantly between premenarcheal and postmenarcheal girls. On average, postmenarcheal girls aged 11-17years were 5.3cm taller and 9.7kg heavier, and their BMI was 2.9kg/m2 higher than in premenarcheal girls of the same calendar age. Conclusion Adolescent BMI rises with calendar age and biological age. New reference charts for adolescent girls aged 10-18years were generated to be inserted into the currently used references to avoid misclassifying underweight and overweight pubertal girls. KW - Body mass index KW - Body mass index reference values KW - Menarche KW - Obesity KW - Overweight Y1 - 2014 U6 - https://doi.org/10.1111/apa.12625 SN - 0803-5253 SN - 1651-2227 VL - 103 IS - 7 SP - e312 EP - e316 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Mumm, Rebekka A1 - Hermanussen, Michael A1 - Scheffler, Christiane T1 - voice break as the marker of biological age JF - Acta paediatrica : nurturing the child N2 - Aim: We aimed to develop the first references for body height, body weight and body mass index (BMI) for boys based on the individual developmental tempo with respect to their voice break status. Methods: We re-analysed data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS study) on body height, body weight and body mass index based on the voice break, or mutation, in 3956 boys aged 10-17 years. We used the LMS method to construct smoothed references centiles for the studied variables in premutational, mutational and postmutational boys. Results: Body height, body weight and BMI differed significantly (p < 0.001) between the different stages of voice break. On average, boys were 5.9 cm taller, 5.8 kg heavier and had a 0.7 kg/m(2) higher BMI with every higher stage of voice break. Currently used growth references for chronological age in comparison with maturity-related references led to an average of 5.4% of boys being falsely classified as overweight. KW - Body mass index KW - Developmental tempo KW - Growth reference values KW - Overweight KW - Voice break Y1 - 2016 U6 - https://doi.org/10.1111/apa.13488 SN - 0803-5253 SN - 1651-2227 VL - 105 SP - e459 EP - e463 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Pawellek, Sabine A1 - Ziegeldorf, Alexandra A1 - Wulff, Hagen T1 - Strategien und Effekte digitaler Interventionen bei der Übergewichts- und Adipositastherapie von Kindern und Jugendlichen BT - ein systematischer Review BT - a systematic review JF - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz N2 - Background Rising obesity prevalence in childhood and adolescence are characterized by unhealthy lifestyles such as low physical activity due to high media use. Recent studies use the accessibility of this target group through digital media, whereby technologies represent new approaches in the intervention design of weight reduction. However, the question arises as to which digital combinations and methodological program concepts condition effective body mass index (BMI) changes. Aim To gain insights into effective program design and media use; digital intervention strategies for BMI reduction in overweight and obese children and adolescents will be analyzed and evaluated. Methods A systematic review was conducted in the databases MEDLINE via PubMed, Science Direct, and Web of Science to analyze studies from 2016 to 2021 on changes in BMI and BMI z-score of overweight and obese 6- to 18-year-olds. Methodological study quality was assessed according to the Cochrane Risk of Bias guidelines. Results From 3974 studies, seven articles describing the use of fitness wristbands, smartphones, and computer-based programs were identified. All media achieved BMI reductions, with smartphone interventions via calls and messages causing the most significant changes. Discussion Smartphones as providers of digital programs (e.g., apps) offer effective approaches to obesity reduction. Based on the data, the selection and combination of several media as well as the relevance of family involvement and the methodological foundation of the measures are confirmed. Due to the young age of the participants, media interventions must be made accessible to the target group. N2 - Hintergrund Steigende Adipositasprävalenzen im Kindes- und Jugendalter sind geprägt von ungesunden Lebensweisen wie geringer Bewegung durch hohen Medienkonsum. Neueste Studien nutzen die Erreichbarkeit dieser Zielgruppe durch digitale Medien, womit Technologien neue Ansätze in der Interventionsgestaltung der Gewichtsreduktion darstellen. Allerdings stellt sich die Frage, welche digitalen Kombinationen und methodischen Programmkonzepte effektive Body-Mass-Index(BMI)-Veränderungen bedingen. Ziel Um Erkenntnisse über effektive Maßnahmengestaltung und Medieneinsatz zu gewinnen, sollen digitale Interventionsstrategien zur BMI-Reduktion übergewichtiger Kinder und Jugendlicher analysiert und bewertet werden. Methoden Ein systematischer Review wurde in den Datenbanken Medline via PubMed, Science Direct und Web of Science zur Analyse von Studien aus den Jahren 2016 bis 2021 über Veränderungen im BMI und BMI-Z-Score von übergewichtigen und adipösen 6‑ bis 18-Jährigen durchgeführt. Die methodische Studienqualität wurde nach den Richtlinien des Cochrane Risk of Bias bewertet. Ergebnisse Aus 3974 Studien wurden 7 Artikel identifiziert, die den Einsatz von Fitnessarmbändern, Smartphones und computerbasierten Programmen beschreiben. Alle Medien erzielten BMI-Reduktionen, wobei Smartphoneinterventionen via Anrufe und Nachrichten die signifikantesten Veränderungen bewirkten. Diskussion Smartphones bieten als Anbieter digitaler Programme (z. B. Apps) effektive Ansatzpunkte zur Adipositasreduktion. Auf Basis der Datenlage bestätigt sich neben der Auswahl und der Kombination mehrerer Medien die Relevanz des Familieneinbezugs und die methodische Fundierung der Maßnahmen. Aufgrund des jungen Alters der Teilnehmenden müssen mediale Interventionen zielgruppengerecht zugänglich gemacht werden. T2 - Strategies and effects of digital interventions in overweight and obesity treatments in children and adolescents KW - Weight loss KW - Childhood and adolescence KW - Media KW - Lifestyle intervention KW - Body mass index KW - Gewichtsreduktion KW - Kindes- und Jugendalter KW - Medien KW - Lebensstilintervention KW - Body-Mass-Index Y1 - 2022 U6 - https://doi.org/10.1007/s00103-022-03512-3 SN - 1436-9990 SN - 1437-1588 VL - 65 IS - 5 SP - 624 EP - 634 PB - Springer CY - Berlin ; Heidelberg ER -