Lehmann Franziska, Varnaccia Gianni, Zeiher Johannes, Lange Cornelia, Jordan Susanne
Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Formerly Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
J Health Monit. 2020 May 7;5(Suppl 2):2-23. doi: 10.25646/6729. eCollection 2020 May.
Around 15% of children and adolescents in Germany are overweight or obese. To support the planning, implementation and evaluation of preventive activities, the Robert Koch Institute (RKI) has developed a population-wide monitoring of influencing factors relevant to the development of obesity during childhood (AdiMon). AdiMon is a web-based indicator system providing population-wide meaningful and regularly updated data on factors that influence obesity in kindergarten-age girls and boys (0- to 6-years-old). Towards the end of 2020, the RKI will expand the indicator system to also cover the 7- to 17-year-old age group. To this end, a systematic review of the literature was conducted, a process which served to identify over 80 relevant factors that influence the development of obesity. These factors have been attributed to the categories behaviour, environment, biology, pre- and postnatal, psychosocial factors and context. Compared to a previous literature review for kindergarten-age children, around one tenth of the influencing factors now identified are new, including 'peer group influences' and 'bullying'. As the results highlight, an array of influencing factors must be considered when expanding the monitoring system, ranging from individual health behaviour to the social framework conditions and environmental factors.
德国约15%的儿童和青少年超重或肥胖。为支持预防活动的规划、实施和评估，德国罗伯特·科赫研究所（RKI）开展了一项针对儿童期肥胖发展相关影响因素的全人群监测（AdiMon）。AdiMon是一个基于网络的指标系统，提供有关影响幼儿园年龄段女童和男童（0至6岁）肥胖因素的全人群有意义且定期更新的数据。到2020年底，RKI将扩大该指标系统，使其也涵盖7至17岁年龄组。为此，进行了一项系统的文献综述，该过程确定了80多个影响肥胖发展的相关因素。这些因素被归类为行为、环境、生物学、产前和产后、心理社会因素以及背景。与之前针对幼儿园年龄段儿童的文献综述相比，现在确定的影响因素中约有十分之一是新的，包括“同伴群体影响”和“欺凌”。正如结果所强调的，在扩大监测系统时必须考虑一系列影响因素，从个人健康行为到社会框架条件和环境因素。
