Speaker
Description
Authors: Katharina Bremer (Hannover Medical School), Ricarda Brender (Hannover Medical School), Frederick Groeger-Roth (Ministry of Justice Lower Saxony), Ulla Walter (Hannover Medical School)
Background: In Germany, the Green List Prevention evidence register was created as a tool of the prevention system Communities That Care (CTC) and so far includes measures for the psychosocial health of children and adolescents. The evidence register is currently being expanded to include measures on physical activity and nutrition. This submission reports the results of a literature review and evidence synthesis on risk and protective factors of physical activity and nutrition and discusses their fit with the CTC risk and protective factors.
Methods: To identify the risk and protective factors, an indicator system on obesity was used as a basis, supplemented by a rapid review. The more than 80 influencing factors were differentiated into risk factors and protective factors, and the underlying 543 articles were extracted and analysed. An influencing factor was considered proven (as with CTC) if at least two longitudinal studies show this effect. The number of factors was reduced in an inductive process. A qualitative evidence synthesis was realised for each factor and, where possible, effect estimates were listed. A synopsis was created between these factors and the existing CTC risk and protective factors.
Results: The identified behavioural and environmental risk and protective factors for physical activity and nutrition reflect a holistic public health perspective. They could be assigned to the CTC domains ‘peer/ individual’, ‘family’, ‘school’ and ‘community’. Fits with the existing CTC risk and protective factors were identified (e.g. parent-child bonding, family management, secure environment).
Discussion: The identified risk and protective factors are an important basis for the assessment, categorisation and search of measures for physical activity and nutrition in the Green List Prevention. With its thematic expansion the evidence register is evolving into a register for secure and healthy youth development. Matches to the existing CTC risk and protective factors emphasise the relevance of certain predictors.
| Conflict of interest | The project is funded by the Association of Private Health Insurers, Germany. |
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