- Email: [email protected]
SALTO. SALzburg Together against Obesity
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Abstracts/Appetite 89 (2015) 301–330
Needs and challenges experienced by local communities and schools. A web-based learning platform. The HEPCOM Study R. FELDER-PUIG, the HEPCOM group. Ludwig Boltzmann Institute Health Promotion Research, Untere Donaustr. 47, A-1020 Vienna, Austria. [email protected] Several EU-funded projects aiming at the prevention of overweight and obesity in children and adolescents have been carried out, some of them with high-quality output. However, these projects usually do not incorporate activities to promote the actual use and implementation on the local levels. Therefore, the EU has funded a new project – HEPCOM – which is aimed to scale-up activities, to broaden their scope and to reach beyond small-scale dissemination and implementation efforts. HEPCOM involves 21 institutions from 16 countries. One of the goals was to design, develop, and launch a web-based platform that provides stakeholders (communities, schools, school authorities, policy makers, and others) with information, tools and resources to support and enhance successful strategies and activities for health-promotion focussing on eating, physical activity and psychosocial health with the ultimate goal of preventing childhood overweight and obesity. With this webbased platform, stakeholders will be granted easy access to activities and programmes of good practice, and get the chance to connect and exchange with each other – within or beyond national borders. In order to ensure relevance, usability and sustainability of the platform, 45 local community pilots around Europe will be carried out to provide practical guidance and good practice examples on how to use the platform and its tools in order to increase the level of community-based initiatives. Through national workshops in the participating countries and a final European conference, the final version of the HEPCOM learning platform will be launched for future use. http://dx.doi.org/10.1016/j.appet.2014.12.065
SALTO. SALzburg Together against Obesity S. RING-DIMITRIOU a,b , T. FREUDENTHALER a , V. AISTLEITNER a , A. IVAD c, K. PAULMICHL c, E. ARDELT-GATTINGER d, D. WEGHUBER c. a Sport Science and Kinesiology, Paris Lodron-University, Salzburg, Austria, b all SALTO and Obesity Academy Austria, c Pediatrics, Paracelsus Medical University, Salzburg, Austria, d Psychology, Paris LodronUniversity, Salzburg, Austria. [email protected] SALTO – Salzburg together against obesity – is a community based intervention programme aimed to reduce childhood obesity at school entry. In Austria 23% of boys and 15% of girls are characterized by unhealthy weight in 4- to 19-year-old subjects (Mayer et al., 2014). Regarding this, and the notion that a tracking of overweight/ obesity from childhood to adolescence cannot be avoided worldwide, early obesity prevention is warranted. We initiate a multi-disciplinary and multi-stakeholder approach to reduce the prevalence (BMISDS) at school entry (primary outcome). Secondary outcomes for children are reduction in sitting time, development of movement skills, increase in table water and vegetable consumption. In adults, beliefs and competences about healthy exercise and eating are targeted to improve behaviour. This early childhood obesity programme (5 years) targets 10% of the whole population of 3- to 6-year-old children in kindergarten (n = 1200), their parents and the kindergarten personnel in the federal state of Salzburg/AT. To bind stakeholders and to implement interventions aimed to improve
movement skills, activity and eating behaviour, we utilize methods of participative- and peer-concepts, cognitive and motivational theories, and social-norms marketing. Every participating kindergarten will be trained as whole and contributes actively in the tailoring of interventions to assure sustainability. The programme will be evaluated externally.
Reference Mayer, M., Gleiss, A., Häusler, G., Borkenstein, M., Kapelari, K., Köstl, G., et al. (2014). Weight and body mass index (BMI). Current data for Austrian boys and girls aged 4 to under 19 years. Annals of Human Biology, 1–11. http://dx.doi.org/10.1016/j.appet.2014.12.066
Effect of breastfeeding on prevention of Metabolic Syndrome in overweight/obese children born of mothers with Gestational Diabetes A. MOSCA, M. MENNINI, A. PIEDIMONTE, R. MERCURIO, I.C. DE LUCIA, A. GIACOMINI, A. VANIA. Department of Paediatrics and Paediatric Neuropsychiatry, Rome “Sapienza” Univ., Italy. andrea.vania57@ gmail.com Breastfeeding protects against early obesity especially in infants exposed to unbalanced nutritional intake due to gestational diabetes (GD) (Crume et al., 2012; Owen et al., 2006). We wanted to evaluate mid-term influence of feeding’s type on obesity and metabolic syndrome (MS) in infants from GD mothers. Three hundred and thirty-eight overweight/obese pre-pubertal children (155 males, aged 10.86 ± 2.21 years) born of mothers with GD referred to our Operative Unit between 01/2011 and 01/2014 were divided into three groups: 1) 185 (54.73%) exclusive breast-feeding, 2) 84 (24.85%) formula, 3) 69 (20.42%) mixed. For all, main anthropometric and laboratory parameters were evaluated. Group 1 showed lower z-BMI, WtHR, Cholesterol, LDL-Cholesterol and HOMA-IR (p < 0.05) than Group 2 and Group 3: z-BMI 0.56 ± 0.08 vs. 0.61 ± 0.04 and 0.60 ± 0.03 respectively; Cholesterol 166.39 ± 25.23 vs. 177.87 ± 22.36 and 175.28 ± 22.87; LDL-Cholesterol 96.92 ± 15.23 vs. 104.29 ± 13.78 and 101.32 ± 12.99; HOMA-IR 2.71 ± 1.16 vs. 3.11 ± 1.09 and 2.85 ± 1.30. There were no significant differences in HDL-Cholesterol and Triglycerides. The risk for non-exclusively breastfed children (Group 2 + 3) to have higher values of z-BMI, WTHR and HOMA-IR is 2.31 for z-BMI>1.99, 1.98 for WtHR >0.50, but reaches 22.78 for HOMAIR >2.5. Even after 10 years, exclusively breast-fed children from GD mothers present significantly lower z-BMI, WTHR, Cholesterol, LDLCholesterol, HOMA-IR values. Children exposed to GD following mixed or, worse, exclusive formula-feeding show very high risk of insulin resistance (IR). Yet at mid-term, breast-feeding, even when partial, seems to protect against obesity and IR, thus representing a prevention tool of NIDDM at least until puberty.
References Crume, T. L., et al. (2012). International Journal of Obesity, 36, 529–534. Owen, C. G., et al. (2006). The American Journal of Clinical Nutrition, 84, 1043–1054. http://dx.doi.org/10.1016/j.appet.2014.12.067
Abstracts/Appetite 89 (2015) 301–330
Needs and challenges experienced by local communities and schools. A web-based learning platform. The HEPCOM Study R. FELDER-PUIG, the HEPCOM group. Ludwig Boltzmann Institute Health Promotion Research, Untere Donaustr. 47, A-1020 Vienna, Austria. [email protected] Several EU-funded projects aiming at the prevention of overweight and obesity in children and adolescents have been carried out, some of them with high-quality output. However, these projects usually do not incorporate activities to promote the actual use and implementation on the local levels. Therefore, the EU has funded a new project – HEPCOM – which is aimed to scale-up activities, to broaden their scope and to reach beyond small-scale dissemination and implementation efforts. HEPCOM involves 21 institutions from 16 countries. One of the goals was to design, develop, and launch a web-based platform that provides stakeholders (communities, schools, school authorities, policy makers, and others) with information, tools and resources to support and enhance successful strategies and activities for health-promotion focussing on eating, physical activity and psychosocial health with the ultimate goal of preventing childhood overweight and obesity. With this webbased platform, stakeholders will be granted easy access to activities and programmes of good practice, and get the chance to connect and exchange with each other – within or beyond national borders. In order to ensure relevance, usability and sustainability of the platform, 45 local community pilots around Europe will be carried out to provide practical guidance and good practice examples on how to use the platform and its tools in order to increase the level of community-based initiatives. Through national workshops in the participating countries and a final European conference, the final version of the HEPCOM learning platform will be launched for future use. http://dx.doi.org/10.1016/j.appet.2014.12.065
SALTO. SALzburg Together against Obesity S. RING-DIMITRIOU a,b , T. FREUDENTHALER a , V. AISTLEITNER a , A. IVAD c, K. PAULMICHL c, E. ARDELT-GATTINGER d, D. WEGHUBER c. a Sport Science and Kinesiology, Paris Lodron-University, Salzburg, Austria, b all SALTO and Obesity Academy Austria, c Pediatrics, Paracelsus Medical University, Salzburg, Austria, d Psychology, Paris LodronUniversity, Salzburg, Austria. [email protected] SALTO – Salzburg together against obesity – is a community based intervention programme aimed to reduce childhood obesity at school entry. In Austria 23% of boys and 15% of girls are characterized by unhealthy weight in 4- to 19-year-old subjects (Mayer et al., 2014). Regarding this, and the notion that a tracking of overweight/ obesity from childhood to adolescence cannot be avoided worldwide, early obesity prevention is warranted. We initiate a multi-disciplinary and multi-stakeholder approach to reduce the prevalence (BMISDS) at school entry (primary outcome). Secondary outcomes for children are reduction in sitting time, development of movement skills, increase in table water and vegetable consumption. In adults, beliefs and competences about healthy exercise and eating are targeted to improve behaviour. This early childhood obesity programme (5 years) targets 10% of the whole population of 3- to 6-year-old children in kindergarten (n = 1200), their parents and the kindergarten personnel in the federal state of Salzburg/AT. To bind stakeholders and to implement interventions aimed to improve
movement skills, activity and eating behaviour, we utilize methods of participative- and peer-concepts, cognitive and motivational theories, and social-norms marketing. Every participating kindergarten will be trained as whole and contributes actively in the tailoring of interventions to assure sustainability. The programme will be evaluated externally.
Reference Mayer, M., Gleiss, A., Häusler, G., Borkenstein, M., Kapelari, K., Köstl, G., et al. (2014). Weight and body mass index (BMI). Current data for Austrian boys and girls aged 4 to under 19 years. Annals of Human Biology, 1–11. http://dx.doi.org/10.1016/j.appet.2014.12.066
Effect of breastfeeding on prevention of Metabolic Syndrome in overweight/obese children born of mothers with Gestational Diabetes A. MOSCA, M. MENNINI, A. PIEDIMONTE, R. MERCURIO, I.C. DE LUCIA, A. GIACOMINI, A. VANIA. Department of Paediatrics and Paediatric Neuropsychiatry, Rome “Sapienza” Univ., Italy. andrea.vania57@ gmail.com Breastfeeding protects against early obesity especially in infants exposed to unbalanced nutritional intake due to gestational diabetes (GD) (Crume et al., 2012; Owen et al., 2006). We wanted to evaluate mid-term influence of feeding’s type on obesity and metabolic syndrome (MS) in infants from GD mothers. Three hundred and thirty-eight overweight/obese pre-pubertal children (155 males, aged 10.86 ± 2.21 years) born of mothers with GD referred to our Operative Unit between 01/2011 and 01/2014 were divided into three groups: 1) 185 (54.73%) exclusive breast-feeding, 2) 84 (24.85%) formula, 3) 69 (20.42%) mixed. For all, main anthropometric and laboratory parameters were evaluated. Group 1 showed lower z-BMI, WtHR, Cholesterol, LDL-Cholesterol and HOMA-IR (p < 0.05) than Group 2 and Group 3: z-BMI 0.56 ± 0.08 vs. 0.61 ± 0.04 and 0.60 ± 0.03 respectively; Cholesterol 166.39 ± 25.23 vs. 177.87 ± 22.36 and 175.28 ± 22.87; LDL-Cholesterol 96.92 ± 15.23 vs. 104.29 ± 13.78 and 101.32 ± 12.99; HOMA-IR 2.71 ± 1.16 vs. 3.11 ± 1.09 and 2.85 ± 1.30. There were no significant differences in HDL-Cholesterol and Triglycerides. The risk for non-exclusively breastfed children (Group 2 + 3) to have higher values of z-BMI, WTHR and HOMA-IR is 2.31 for z-BMI>1.99, 1.98 for WtHR >0.50, but reaches 22.78 for HOMAIR >2.5. Even after 10 years, exclusively breast-fed children from GD mothers present significantly lower z-BMI, WTHR, Cholesterol, LDLCholesterol, HOMA-IR values. Children exposed to GD following mixed or, worse, exclusive formula-feeding show very high risk of insulin resistance (IR). Yet at mid-term, breast-feeding, even when partial, seems to protect against obesity and IR, thus representing a prevention tool of NIDDM at least until puberty.
References Crume, T. L., et al. (2012). International Journal of Obesity, 36, 529–534. Owen, C. G., et al. (2006). The American Journal of Clinical Nutrition, 84, 1043–1054. http://dx.doi.org/10.1016/j.appet.2014.12.067