ABSTRACT
The high prevalence of childhood obesity necessitates broadly effective prevention measures. A behavioral program for children in daycare settings was developed, and its effects were assessed in a 2-year cluster randomized controlled trial. A total of 64 daycare settings were cluster randomized in a 2:1 ratio to intervention and control in order to assess the effects of the program. Samples of 1318 and 1340 children were assessed after 5.7±2.6 and 17.6±2.3 months. Main outcome measures were prevalence of high fruit and vegetable consumption and of low consumption of high caloric drinks at home assessed by parental questionnaires. TigerKids achieved a significantly higher prevalence of high home consumption of fruits (66.6 vs. 55.7%, p<0.0001) and vegetables (42.7 vs. 33.6%, p=0.001) as well as a lower frequency of high consumption of energy rich beverages (47.7 vs. 60.4%, p<0.0001). The TigerKids group tended to show a lower prevalence of overweight (13.9 vs. 18.0%, p=0.05) and obesity (3.4 vs. 5.4%, p=0.07) in the first year. TigerKids is a low cost program applied in daycare settings which achieves significant behavioral changes in the home environment.
Subject(s)
Health Promotion/statistics & numerical data , Obesity/epidemiology , Obesity/prevention & control , Adolescent , Child , Child, Preschool , Female , Germany/epidemiology , Humans , Male , Prevalence , Treatment OutcomeABSTRACT
By the mid 1980s, bovine spongiform encephalopathy (BSE) emerged in the United Kingdom (UK) and reached its peak in the early 1990s with up to 37,000 cases. In the year 2000, BSE was diagnosed for the first time for a cow born in Germany. Since then, 413 cases of BSE have been detected. About 10 years after the first BSE cases were detected, variant Creutzfeldt-Jakob disease (vCJD), a new variant of Creutzfeldt-Jakob disease (CJD), was described in the UK. Legal measures for protection from BSE are described. The number of cases of vCJD and the development of the BSE situation in Germany and Bavaria until 2009 are presented.
