Die Relevanz von Netzwerkarbeit in der schulischen Gesundheitsförderung

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - Die Schule ist einer der wichtigsten Orte, an dem die Förderung der Gesundheit von Kindern und Jugendlichen ansetzen kann,...     

Digitale Gesundheitskompetenz von Schülerinnen und Schülern. Ausprägung und Assoziationen mit dem Bewegungs- und Ernährungsverhalten

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - Während vermehrt Studienbefunde zur allgemeinen Gesundheitskompetenz (GK) vorliegen, mangelt es an Erkenntnissen zur...     

Recommendations for Promoting Physical Activity for Children and Adolescents in Germany. A Consensus Statement

Increasing physical activity and reduction of sedentary behaviour play important roles in health promotion and prevention of lifestyle-related diseases in children and adolescents. However, the question of how much physical activity is useful for which target group is still a matter of debate. International guidelines (World Health Organization; European Association for the Study of Obesity), which are mainly based on expert opinions, recommend 60 min of physical activity every day. Age- and sex-specific features and regional differences are not taken into account. Therefore, expert consensus recommendations for promoting physical activity of children and adolescents in Germany were developed with special respect to national data, but also with respect to aspects of specific target groups, e.g., children with a lower socio-economic status (SES) or with migration background. They propose 90 min/day of physical activity, or at least 12,000 steps daily. Additionally, lifestyle factors, especially restriction of media consumption, were integrated. The recommendations provide orientation for parents and caregivers, for institutions such as schools and kindergartens as well as for communities and stakeholders.Key Words: Physical activity, Sedentary behaviour, Children, Adolescents, Prevention     

Vorschläge zur Förderung der körperlichen Aktivität von Kindern und Jugendlichen in Deutschland

Background

An increase in physical activity and a reduction of sedentary behavior play important roles in health promotion and prevention of life style-related diseases in children and adolescents. However, the question of how much physical activity is useful for which target group is still a matter of debate.

Recommendations for promotion of physical activity

International guidelines based on expert opinions recommend at least 60 min of physical activity every day. Age-specific and sex-specific features and regional differences are not taken into account. Expert consensus recommendations were developed to promote physical activity of children and adolescents in Germany with special respect to national data and also aspects of specific target groups, e.g. children with lower socioeconomic status or with a migration background. The recommendations propose 90 min of physical activity or at least 12,000 steps daily. Additionally lifestyle factors, especially a limitation of media consumption were integrated. The recommendations provide orientation for parents and caregivers as well as institutions, such as schools and kindergartens through to communities and stakeholders.     

Familiäre Gesundheitsförderung

Background

Health behaviour is substantially determined and shaped by early childhood experiences within the family environment. However, as a constitutionally protected social space, families are not obliged to follow specific health behaviour standards or to take part in preventive measures. This means that the family cannot be seen as a setting, as described in the prevention law (PrävG) and the intervention logic of the setting approach is not directly applicable to the family environment.

Objectives

The purpose of the article is to explore the new challenges for family health promotion arising from the PrävG prevention law.

Methods

The article analyses the new family-related statutory regulations of PrävG including the relevant actors, responsibilities and intersecting regulation issues taking into account the federal child protection law (Bundeskinderschutzgesetz) adopted in 2012. The article then goes on to define requirements for health promotion in families derived from the Ottawa Charter. In the final section, the transition approach is applied, considering relevant factors for health promotion especially around childbirth and identifying needs and enabling factors for health promotion in the family environment.

Results

Family health promotion should be designed as a common task of health services, child and youth services and other local actors. The three core strategies of the Ottawa Charter—Advocate, Enable and Mediate—are suitable to guide the process. “Prevention Chains” are coordinated actor networks constructed to assist families in the promotion of health and the management of transitions. The PrävG creates a new role for medical prevention management and for communities to become the “umbrella setting” for health promotion.

Discussion

Family health promotion is a complex challenge for actors involved in providing and supporting health services, those in the local environment and at the steering level. It requires an independent research-based intervention approach including the identification of adequate methods and clearly acknowledged institutional responsibilities.