Längsschnittstudie zu gesundheitsrelevanten Verhaltensmustern in der Grundschule

The Influence of Steroid Hormones on Tooth Wear in Children and in Adolescents

(1) Background: From a young age, boys are more often affected by tooth wear than girls. This suggests an influence of the male sex hormone (testosterone) on the aetiology of tooth wear. The aim of the present study was to investigate the incidence of tooth wear in relation to steroid hormone levels in children. (2) Methods: 1022 test persons aged between 10 and 18 (491 male, 531 female) from the LIFE Child study underwent medical and dental examination. Tooth wear was measured through clinical inspection. Blood samples were taken to determine hormone levels (testosterone, SHBG). The level of free testosterone was calculated from the ratio of testosterone to SHBG. Using multivariable methods, the incidence of tooth wear was analyzed as a function of hormone levels, while controlling for confounders such as age, sex, social status, and orthodontic treatment. (3) Results: The incidence of tooth wear increased with age in both sexes. Boys showed significantly more often attrition facets than girls (17.5% vs. 13.2%, p < 0.001). Subjects with tooth wear showed significantly higher free testosterone levels than those without (males: p < 0.001, females: p < 0.05). After controlling for confounding variables, the risk of tooth wear increased by approximately 30.0% with each year of life (odds ratio [OR]boys = 1.29, 95% confidence interval [CI] = 1.04−1.56; [OR]girls = 1.32, 95% CI = 1.08−1.61). In addition, the risk of tooth wear increased by 6.0% per free testosterone scale score only in boys (OR = 1.06, 95% CI = 1.01−1.12). (4) Conclusions: Tooth wear is common in children and in adolescents, and it increases steadily with age in both sexes. The stronger increase and the higher prevalence among male adolescents can be explained by the additional effect of free testosterone.

[Teacher-Based Health Promotion in Primary School Children in Baden-Württemberg: Effects on Endurance Performance and Incidence of Abdominal Obesity]

BACKGROUND

Health promotion has to start early. Many prevention programmes lack proof of effectiveness. A programme that promotes an active and healthy lifestyle for primary school children in Baden-Württemberg is "Join the Healthy Boat".

AIM

The effect of this one-year school-based intervention on endurance performance and incidence of paediatric abdominal obesity was investigated in a large cluster randomised study.

METHODS

Data of 1739 children (7.1±0.6 years) were available at baseline and follow-up. Background variables were assessed via parent questionnaires. Endurance performance (6-minute run) and anthropometric data were collected on-site. Children with waist-to-height-ratio (WHtR) ≥ 0.5 were classified as being abdominally obese. The difference in endurance capacity and the incidence of abdominal obesity between baseline and follow-up were calculated and analysed in simple and hierarchical regression models taking into account the school effect.

RESULTS

Adjusted for gender and grade level, the difference in completed meters in the intervention group after one year was significantly greater (70.5±128.6 vs. 59.2±106.6 m, n=1708). However, after taking into account data clustering of schools, the significance was lost. Odds for the development of abdominal obesity in the intervention group were more than halved after adjustment for gender, grade, baseline WHtR and no-breakfasts (odds ratio=0.48, 95% CI [0.25; 0.94], n=1535).

CONCLUSION

Children should learn to make healthy choices from an early age. With the prevention of abdominal obesity as an indicator, this intervention is characterised as an effective health promotion.

Long-term effect of migration background on the development of physical fitness among primary school children

BACKGROUND

Children with a low socioeconomic status and migration background are more likely to exhibit unfavorable health behavior patterns and higher BMI scores as well as lower physical activity and physical fitness.

AIM

To evaluate the effect of migration background on the development of physical fitness among primary school children from first to third grade.

METHODS

In this longitudinal study, height, weight, and physical fitness of primary school children from Tyrol/Austria were measured five times over a period of 2.5 years using the German motor performance test DMT 6-18 consisting of eight items testing different subdomains of physical fitness.

RESULTS

A total of 266 children (45% girls) participated in all five tests, of which 69 (26%) children reported to have a migration background (MB). Mixed-model ANOVA did not reveal a significantly different development of physical fitness (according to the mean total Z-score of DMT 6-18) over time, P = 0.883, partial ƞ²  < 0.01. However, children with MB showed significantly lower physical fitness compared to children without MB, P < 0.001, partial ƞ²  = 0.06. Controlling for BMI and age did not alter the interpretation of the results. Analyses of the single test items revealed significant differences in motor tests involving strength and endurance.

CONCLUSION

Primary school children with and without MB significantly increased their physical fitness over time in a comparable manner. However, children with MB showed a significantly lower physical fitness at all test time points, which was only partly explained by a higher mean BMI in children with MB. Children with MB outreached the mean baseline fitness level of children without MB not until the fourth test time point, that is after two years. Therefore, a special focus on physical fitness particularly including strength and endurance capacities should be directed to children with MB already in young ages.

Media use, sports activities, and motor fitness in childhood and adolescence

BACKGROUND

Physical activity is one of the key determinants of physical, mental, and social health of children and adolescents. Therefore, the early development of health-relevant behavior patterns is of high relevance.

AIM

To examine the impact of selected socioeconomic factors as well as media consumption, on sports activities and the motor skills of 10- to 14-year-old secondary school students.

METHODS

Body height and body weight were measured. The motor skills were determined with the Deutschen Motorik Test (DMT 6‑18; German Motor Test). Information about media use, media equipment, recreational sports activities, migration status, and the parents' profession was collected by means of a standardized questionnaire.

RESULTS

A total of 391 adolescents have been tested (male 235; female 156). Body mass index (BMI) types are evenly distributed on gender. On a weekday, the pupils spend 10.3 h using media (SD ± 9.1 h). On weekends, media use increases up to 12 h per day on average (SD ± 9.7 h). The number of available media is independent from the age of the respondents and the social status of their families. According to bivariate correlations, heavy media use, a high BMI as well as migration status correlate negatively with both sports activities and motor skills. BMI seems to have the strongest influence on athletic performance (b = 0.41).

CONCLUSION

Media use is an important determinant of juvenile sports activity and motor performance, being part of a complex juvenile leisure behavior.