Anja Kroke

University of Applied Sciences Fulda, Fulda, Hesse, Germany

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Publications (122)373.79 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: As nutrition-related chronic diseases have become more and more frequent, the importance of dietary prevention has also increased. Dietary fat plays a major role in human nutrition, and modification of fat and/or fatty acid intake could have a preventive potential. The aim of the guideline of the German Nutrition Society (DGE) was to systematically evaluate the evidence for the prevention of the widespread diseases obesity, type 2 diabetes mellitus, dyslipoproteinaemia, hypertension, metabolic syndrome, coronary heart disease (CHD), stroke, and cancer through the intake of fat or fatty acids. The main results can be summarized as follows: it was concluded with convincing evidence that a reduced intake of total and saturated fat as well as a larger intake of polyunsaturated fatty acids (PUFA) at the expense of saturated fatty acids (SFA) reduces the concentration of total and low-density lipoprotein cholesterol in plasma. Furthermore, there is convincing evidence that a high intake of trans fatty acids increases risk of dyslipoproteinaemia and that a high intake of long-chain polyunsaturated n-3 fatty acids reduces the triglyceride concentration in plasma. A high fat intake increases the risk of obesity with probable evidence when total energy intake is not controlled for (ad libitum diet). When energy intake is controlled for, there is probable evidence for no association between fat intake and risk of obesity. A larger intake of PUFA at the expense of SFA reduces risk of CHD with probable evidence. Furthermore, there is probable evidence that a high intake of long-chain polyunsaturated n-3 fatty acids reduces risk of hypertension and CHD. With probable evidence, a high trans fatty acid intake increases risk of CHD. The practical consequences for current dietary recommendations are described at the end of this article.

  • 08/2015; 2(3):516-536. DOI:10.3934/publichealth.2015.3.516
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    ABSTRACT: Early life, adiposity rebound, and puberty represent critical growth periods when food choices could have long-term relevance for cancer risk. We aimed to relate dietary patterns during these periods to the growth hormone-insulin-like-growth-factor (GH-IGF) axis, insulin resistance, and body fatness in adulthood. Data from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study participants with outcome data at 18-37 years, and ≥2 dietary records during early life (1-2 yr; n = 128), adiposity rebound (4-6 years, n = 179), or puberty (girls 9-14, boys 10-15 yr; n = 213) were used. Dietary patterns at these ages were derived by 1) reduced rank regression (RRR) to explain variation in adult IGF-I, IGF-binding protein-3 (IGFBP-3), homoeostasis model assessment for insulin resistance (HOMA-IR) and fat-mass index; 2) principal component analysis (PCA). Regarding RRR, the patterns "cake/canned fruit/cheese & eggs" (early life), "sweets & dairy" (adiposity rebound) and "high-fat foods" (pubertal boys) were independently associated with higher adult HOMA-IR. Furthermore, the patterns "favorable carbohydrate sources" (early life), "snack & convenience foods" (adiposity rebound), and "traditional & convenience carbohydrates" (pubertal boys) were related to adult IGFBP-3 (P trend < 0.01). PCA identified "healthy" patterns for all periods, but none was associated with the outcomes (P trend > 0.1). In conclusion, dietary patterns during sensitive growth periods may be of long-term relevance for adult insulin resistance and IGFBP-3.
    Nutrition and Cancer 07/2015; 67(6):1-16. DOI:10.1080/01635581.2015.1056313 · 2.32 Impact Factor
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    ABSTRACT: Physical activity (PA) is suggested to increase the peak bone mass and to minimize age-related bone loss, and thereby to reduce the risk of osteoporosis. However, the relation between PA and bone health considering the obesity status is unclear so far. The present study examines the association between PA levels and calcaneal broadband ultrasound attenuation (BUA), particularly under consideration of obesity. Data from a population-based sample of 6776 German women from the EPIC-Potsdam cohort were analyzed. Calibrated PA data were used. Statistical analyses were stratified by menopausal and obesity status. Multiple linear regression was used to model the relationship between PA and BUA levels after adjustment for age, body mass index (BMI), smoking status, education, alcohol and calcium intake, and hormone use. Peri-/premenopausal had higher BUA levels (112.39 ± 10.05 dB/MHz) compared to postmenopausal women (106.44 ± 9.95 dB/MHz). In both groups, BUA levels were higher in the fourth compared to the lowest quartile of PA (p for trend < 0.05). In women with BMI < 30, but not BMI ≥ 30 kg/m2, PA remained positively associated with BUA levels (p for interaction = 0.03). However, when waist circumference higher than 88 cm or body fat percentage (BF %) measures above the median were used to define obesity, a significant positive relationship was also observed in women with BMI < 30 kg/m2 but with higher waist circumference or BF %. In conclusion, our results strengthen the hypothesis that PA has a positive influence on BUA levels, though dependent on weight. Electronic supplementary material The online version of this article (doi:10.1007/s00223-015-0027-0) contains supplementary material, which is available to authorized users.
    Calcified Tissue International 06/2015; 97(4). DOI:10.1007/s00223-015-0027-0 · 3.27 Impact Factor
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    ABSTRACT: Objectives: To examine whether maximal velocities of weight, height and fat mass during potentially critical periods of growth were associated with body composition in young adulthood. Subjects/methods: Analyses were performed on 277 female and 271 male participants of the DOrtmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study with anthropometric measurements in young adulthood (18-25 years) as well as early life (0-2 years), mid-childhood (3-8 years) or puberty (9-15 years). Maximum growth velocities were calculated using the SuperImposition by Translation And Rotation (SITAR) routine or polynomial functions and related to adult fat mass index (FMI) and fat-free mass index (FFMI). Results: In early life, faster weight gain was associated with a moderately higher FMI and FFMI in young adulthood in women only (Ptrend=0.01). In mid-childhood and puberty, weight and fat mass velocities were related to adult FMI and FFMI in both sexes (Ptrend⩽0.002): relative differences between the highest and lowest tertiles of these growth velocities ranged 33-69% for adult FMI and 6-12% for adult FFMI. A higher mid-childhood height velocity was related to a modestly higher adult FMI in women only (Ptrend=0.0005). Conclusions: Faster gain in weight and body fat during mid-childhood and puberty appear to be particularly relevant for adult fat mass.
    European Journal of Clinical Nutrition 07/2014; 69(2). DOI:10.1038/ejcn.2014.131 · 2.71 Impact Factor
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    ABSTRACT: Objective: To examine the association of habitual animal and plant protein intake during the potentially critical period of puberty with body composition in young adulthood. Design and methods: Multivariable regression analyses were performed on data from 140 female and 122 male participants of the DONALD Study with ≥2 3-day weighed dietary records during puberty (girls 9-14 years; boys 10-15 years) and anthropometric measurements in young adulthood (18-25 years). Fat-free mass index (FFMI) and fat mass index (FMI) were estimated from four skinfolds. Results: In women, a higher pubertal animal protein consumption was independently related to higher levels of FFMI (ptrend = 0.001), but not to FMI (ptrend = 0.5). Adjusted means of FFMI in energy-adjusted tertiles of animal protein intake were 15.3 (95% confidence interval: 15.0, 15.5), 15.4 (15.1, 15.7), 16.2 (15.9, 16.6) kg/m(2) . In men, a higher animal protein intake was related to a higher FFMI (ptrend = 0.04) and a lower FMI (ptrend = 0.001) only after adjusting FFMI for current FMI levels and vice versa. Plant protein was not associated with body composition among either sex. Conclusions: Our results show that a higher pubertal animal protein consumption may yield a higher fat-free mass in young adulthood.
    Obesity 12/2013; 21(12). DOI:10.1002/oby.20516 · 3.73 Impact Factor
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    ABSTRACT: Breastfeeding may lower chronic disease risk by long-term effects on hormonal status and adiposity, but the relations remain uncertain. To prospectively investigate the association of breastfeeding with the growth hormone- (GH) insulin-like growth factor- (IGF) axis, insulin sensitivity, body composition and body fat distribution in younger adulthood (18-37 years). Data from 233 (54% female) participants of a German cohort, the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study, with prospective data on infant feeding were analyzed. Multivariable linear as well as quantile regression were performed with full breastfeeding (not: ≤2, short: 3-17, long: >17 weeks) as exposure and adult IGF-I, IGF binding proteins (IGFBP) -1, -2, -3, homeostasis model assessment of insulin resistance (HOMA-IR), fat mass index, fat-free mass index, and waist circumference as outcomes. After adjustment for early life and socio-economic factors, women who had been breastfed longer displayed higher adult IGFBP-2 (ptrend = 0.02) and lower values of HOMA-IR (ptrend = 0.004). Furthermore, in women breastfeeding duration was associated with a lower mean fat mass index (ptrend = 0.01), fat-free mass index (ptrend = 0.02) and waist circumference (ptrend = 0.004) in young adulthood. However, there was no relation to IGF-I, IGFBP-1 and IGFBP-3 (all ptrend>0.05). Associations for IGFBP-2 and fat mass index were more pronounced at higher, for waist circumference at very low or high percentiles of the distribution. In men, there was no consistent relation of breastfeeding with any outcome. Our data suggest that breastfeeding may have long-term, favorable effects on extremes of adiposity and insulin metabolism in women, but not in men. In both sexes, breastfeeding does not seem to induce programming of the GH-IGF-axis.
    PLoS ONE 11/2013; 8(11):e79436. DOI:10.1371/journal.pone.0079436 · 3.23 Impact Factor
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    ABSTRACT: Recent studies provide evidence that insulin-like-growth-factor I (IGF-I) and its binding proteins (IGFBP) IGFBP-2 and IGFBP-3 are related to the risk of several common cancers. It remains to be clarified whether their concentrations can be programmed by protein intake from different sources during growth. This study addressed the hypothesis that animal protein intakes during infancy, mid-childhood, and adolescence differ in their relevance for the growth-hormone (GH)-IGF-I axis in young adulthood. Data from the Dortmund Nutritional and Anthropometric Longitudinally Designed Study participants with at least 2 plausible 3-d weighed dietary records during adolescence (age: girls, 9-14 y; boys, 10-15 y; n = 213), around the adiposity rebound (age 4-6 y; n = 179) or early life (age 0.5-2 y; n = 130), and one blood sample in young adulthood were included in the study. Mean serum concentrations of IGF-I, IGFBP-1, IGFBP-2, and IGFBP-3 were compared between tertiles of habitual animal protein intake using multivariable regression analysis. Habitually higher animal protein intakes in females during puberty were related to higher IGF-I (P-trend = 0.005) and IGFBP-3 (P-trend = 0.01) and lower IGFBP-2 (P-trend = 0.04), but not to IGFBP-1 in young adulthood. In turn, IGF-I concentrations in young adulthood were inversely related to animal protein intakes in early life among males only (P-trend = 0.03), but not to animal protein intake around adiposity rebound (P-trend > 0.5). Our data suggest that, among females, a habitually higher animal protein intake during puberty may precipitate an upregulation of the GH-IGF-I axis, which is still discernible in young adulthood. By contrast, among males, higher animal protein intakes in early life may exert a long-term programming of the GH-IGF-I axis.
    Journal of Nutrition 05/2013; 143(7). DOI:10.3945/jn.113.175877 · 3.88 Impact Factor
  • A Wienecke · L Knorpp · K Stegmüller · A Kroke ·
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    ABSTRACT: Population attributable fractions (PAFs) for the risk factors alcohol intake and overweight in the German population were calculated to estimate the preventability of colorectal and breast cancer attributable to these risk factors. Estimates were based on national alcohol consumption and overweight prevalence data in the German population. Comparative analyses were used to evaluate the variation of PAF estimates according to changes in the calculation parameters. PAFs quantify the preventive potential that could result from removing or reducing the risk factor exposure, respectively. Postmenopausal breast cancer was estimated to be preventable by 13-23% if the population were normal weight. Among German men, 10-25% of colon cancers were attributable to alcohol consumption and 7-13% of colorectal cancers to overweight. The comparative analyses demonstrated that preventability estimates vary considerably with the chosen data (risk estimates, reference categories) for PAF calculation and can differ by up to 50%. Thus, data selection should be evidence based, for example, based on meta-analyses, in order to increase the validity of preventability estimates.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 01/2013; 56(3). DOI:10.1007/s00103-012-1625-x · 1.42 Impact Factor
  • A. Wienecke · L. Knorpp · K. Stegmüller · A. Kroke ·
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    ABSTRACT: Schätzungen zum präventiven Potenzial für die Risikofaktoren Alkohol und Übergewicht (bestimmt durch den BMI) bei Darm- und Brustkrebs wurden beispielhaft für Deutschland berechnet, um anschließend die Problematik der Schätzung von Präventionspotenzialen anhand von Vergleichsrechnungen zu diskutieren. Basierend auf Daten der Nationalen Verzehrsstudie II zum Alkoholkonsum und zur Anthropometrie (Körpermaße) der deutschen Bevölkerung wurden mittels verschiedener Risikoschätzer populationsattributable Fraktionen (PAF) berechnet. Die PAF beziffert den Anteil, um den sich das Auftreten einer Erkrankung verringern ließe, wenn der Krankheitsauslöser beseitigt oder reduziert würde. Hinsichtlich Darmkrebs ergab sich für Männer ein präventives Potenzial beim BMI von 7–13% und beim Alkoholkonsum von 10–25%. Das präventive Potenzial eines niedrigen BMI bei postmenopausalem Brustkrebs lag zwischen 13 und 23%. Die Vergleichsrechnungen zeigten, dass die Ergebnisse der Schätzungen stark von den gewählten Daten (Risikoschätzern, Referenzkategorien) abhingen und sich um bis zu 50% voneinander unterschieden. Um zukünftig validere Schätzungen zum Präventionspotenzial zu ermöglichen, sollte die Datenauswahl evidenzbasiert erfolgen und, wenn möglich, auf Risikoschätzer aus Metaanalysen zurückgegriffen werden.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 01/2013; 56(3). · 1.42 Impact Factor
  • Anja Kroke ·
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    ABSTRACT: Although diet and nutrition are considered important for health their relation to disease development, especially with respect to chronic diseases, often remains to be clarified. Recent comprehensive research efforts have substantially contributed to this clarification. However, methodological limitations of the underlying data have also become apparent. Random and systematic measurement errors of the applied assessment instruments are one considerable problem. For the most frequently used dietary assessment instrument, the food frequency questionnaire, statistical approaches for measurement error reduction have been developed. Future studies should work with novel assessment approaches. To this end, repeated 24-h recalls combined with questionnaires and, if applicable, with biomarkers are recommended.
    Public Health Forum 09/2012; 20(3):24.e1–24.e4. DOI:10.1016/j.phf.2012.06.007
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    ABSTRACT: Nutritive and bioactive components of human milk could be involved in programming metabolic systems that affect bone growth throughout the life course. Bone properties in childhood and adolescence might differ, depending on breastfeeding duration. Thus, breastfeeding could be a relevant factor in the context of primary osteoporosis prevention. The prospective association between breastfeeding duration and bone properties was investigated using the data of 284 participants of the Dortmund Nutritional and Anthropometric Longitudinally Designed Study. Breastfeeding duration was assessed during infancy. Bone properties were measured by peripheral quantitative computed tomography (pQCT) at ages 5-23 years. Cortical volumetric bone mineral density, cortical bone mineral content, strength strain index, total cross-sectional area of the bone and cross-sectional area of the cortical bone were determined at the 65% site of the radius. Linear regression analyses were performed to check for differences in pQCT parameters of subjects who had not or shortly been breastfed (0-16 weeks) and subjects who had been breastfed for a long duration (≥17 weeks). Multivariable models adjusted for age, gender, forearm length, muscle cross-sectional area, body mass index standard deviation score (SDS), height SDS and socio-economic status did not yield associations between breastfeeding duration and pQCT parameters. These findings suggest neither protective nor adverse effects of prolonged breastfeeding on bone health in childhood and adolescence. Influences of early nutrition on bone growth might be overridden by current effects of mechanical loads on bone physiology.
    Maternal and Child Nutrition 08/2012; 10(4). DOI:10.1111/j.1740-8709.2012.00443.x · 3.06 Impact Factor
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    ABSTRACT: Vegetables and fruit provide a significant part of human nutrition, as they are important sources of nutrients, dietary fibre, and phytochemicals. However, it is uncertain whether the risk of certain chronic diseases can be reduced by increased consumption of vegetables or fruit by the general public, and what strength of evidence has to be allocated to such an association. Therefore, a comprehensive analysis of the studies available in the literature and the respective study results has been performed and evaluated regarding obesity, type 2 diabetes mellitus, hypertension, coronary heart disease (CHD), stroke, cancer, chronic inflammatory bowel disease (IBD), rheumatoid arthritis (RA), chronic obstructive pulmonary disease (COPD), asthma, osteoporosis, eye diseases, and dementia. For judgement, the strength of evidence for a risk association, the level of evidence, and the number of studies were considered, the quality of the studies and their estimated relevance based on study design and size. For hypertension, CHD, and stroke, there is convincing evidence that increasing the consumption of vegetables and fruit reduces the risk of disease. There is probable evidence that the risk of cancer in general is inversely associated with the consumption of vegetables and fruit. In addition, there is possible evidence that an increased consumption of vegetables and fruit may prevent body weight gain. As overweight is the most important risk factor for type 2 diabetes mellitus, an increased consumption of vegetables and fruit therefore might indirectly reduces the incidence of type 2 diabetes mellitus. Independent of overweight, there is probable evidence that there is no influence of increased consumption on the risk of type 2 diabetes mellitus. There is possible evidence that increasing the consumption of vegetables and fruit lowers the risk of certain eye diseases, dementia and the risk of osteoporosis. Likewise, current data on asthma, COPD, and RA indicate that an increase in vegetable and fruit consumption may contribute to the prevention of these diseases. For IBD, glaucoma, and diabetic retinopathy, there was insufficient evidence regarding an association with the consumption of vegetables and fruit. This critical review on the associations between the intake of vegetables and fruit and the risk of several chronic diseases shows that a high daily intake of these foods promotes health. Therefore, from a scientific point of view, national campaigns to increase vegetable and fruit consumption are justified. The promotion of vegetable and fruit consumption by nutrition and health policies is a preferable strategy to decrease the burden of several chronic diseases in Western societies.
    European Journal of Nutrition 06/2012; 51(6):637-63. DOI:10.1007/s00394-012-0380-y · 3.47 Impact Factor
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    ABSTRACT: Nutrition-related health problems such as obesity are frequent among children and adolescents of Turkish descent living in Germany, yet data on their dietary habits are scarce. One reason might be the lack of validated assessment tools for this target group. We therefore aimed to validate protein and K intakes from one 24 h recall against levels estimated from one 24 h urine sample in children and adolescents of Turkish descent living in Germany. Cross-sectional analyses comprised estimation of mean differences, Pearson correlation coefficients, cross-classifications and Bland-Altman plots to assess the agreement between the nutritional intake estimated from a single 24 h recall and a single 24 h urine sample collected on the previous day. Dortmund, Germany. Data from forty-three study participants (aged 5-18 years; 26% overweight) with a traditional Turkish background were included. The 24 h recall significantly overestimated mean protein and K intake by 10·7 g/d (95% CI of mean difference: 0·6, 20·7 g/d) and 344 mg/d (95% CI 8, 680 mg/d), respectively. Correlations between intake estimates were r = 0·25 (P = 0·1) and 0·31 (P = 0·05). Both methods classified 70% and 69% of the participants into the same/adjacent quartile of protein and K intake and misclassified 7% and 7%, respectively, into the opposite quartile. Bland-Altman plots indicated a wide scattering of differences in both protein and K intake. Among children and adolescents of traditional Turkish descent living in Germany, one 24 h recall may only be valid for categorizing subjects into high, medium or low consumers.
    Public Health Nutrition 04/2012; 15(4):640-7. DOI:10.1017/S1368980011002734 · 2.68 Impact Factor
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    ABSTRACT: Early onset of puberty may confer adverse health consequences. Thus, modifiable factors influencing the timing of puberty are of public health interest. Childhood overweight as a factor in the earlier onset of menarche has been supported by prospective evidence; nonetheless, its overall contribution may have been overemphasized, since secular trends toward a younger age at menarche have not been a universal finding during the recent obesity epidemic. Current observational studies suggest notable associations between dietary intakes and pubertal timing beyond contributions to an energy imbalance: children with the highest intakes of vegetable protein or animal protein experience pubertal onset up to 7 months later or 7 months earlier, respectively. Furthermore, girls with high isoflavone intakes may experience the onset of breast development and peak height velocity approximately 7-8 months later. These effect sizes are on the order of those observed for potentially neuroactive steroid hormones. Thus, dietary patterns characterized by higher intakes of vegetable protein and isoflavones and lower intakes of animal protein may contribute to a lower risk of breast cancer or a lower total mortality.
    Nutrition Reviews 03/2012; 70(3):133-52. DOI:10.1111/j.1753-4887.2011.00461.x · 6.08 Impact Factor
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    ABSTRACT: The aim of the present study was to examine the association of pre-pubertal dietary energy density (ED) with both age and body fatness at the start of the pubertal growth spurt (age at take-off, ATO). Analyses included 219 DOrtmund Nutritional and Anthropometric Longitudinally Designed Study participants with sufficient height measurements to estimate ATO who provided 3 d weighed dietary records at baseline, i.e. 2 and 3 years before ATO (mean age 6·9 (SD 1·2) years). Mean energy intakes and amounts of foods/drinks consumed at baseline were derived from the records. ED (kJ/g) was calculated based on (1) all foods and drinks (ED_all), (2) foods and energy-containing drinks (ED_energy), (3) foods and milk as a drink, but no other beverages (ED_milk) and (4) foods only, solid or liquid (ED_food). Using multiple regression analyses, the association between the ED variables and ATO was investigated. Furthermore, Z-scores of BMI and fat mass index (FMI) at ATO were considered as outcomes to reflect body fatness at puberty onset. The results showed that ED at baseline was not associated with ATO, regardless of the ED method used. For example, mean ATO in the lowest v. highest tertile of ED_food was 9·3 (95 % CI 9·0, 9·5) v. 9·4 (95 % CI 9·1, 9·7) years, P(trend) = 0·8 (adjusted for sex, maternal age, birth weight, dietary protein, dietary fibre, baseline BMI Z-score). Similarly, ED was not independently associated with BMI or FMI Z-score at ATO (P(trend) = 0·3-0·9). In conclusion, dietary ED in childhood did not influence timing or body fatness at ATO in this cohort of healthy, free-living children.
    The British journal of nutrition 08/2011; 106(3):345-9. DOI:10.1017/S0007114511001772 · 3.45 Impact Factor
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    ABSTRACT: To investigate whether the development of body composition into adolescence differs among children with an early, average, or late pubertal growth spurt (age at take-off [ATO]). Mixed-effect polynomial models were applied to serial anthropometric measurements spanning from 4 years before to 4 years after ATO in 215 DONALD participants. Sex-specific trajectories of fat mass index (FMI, FM/m(2) ), fat-free mass index (FFMI, FFM/m(2) ), and their z-scores were compared among those with an early, average, or late ATO. Compared with girls with a late ATO (reference group), those with an early or average ATO experienced a significant increase in FFMI z-scores [β (standard error) for linear trends in early and average ATO group: +0.15 (0.05) FFMI z-scores/year (P = 0.001) and +0.11 (0.04) FFMI z-scores/year (P = 0.005), respectively, adjusted for early life factors]. Similar differences were observed in boys [adjusted β (standard error): +0.20 (0.06) FFMI z-scores/year (P = 0.0004) and +0.07 (0.05) FFMI z-scores/year (P = 0.1), respectively]. Graphical illustration of the predicted trajectories revealed that differences in relative FFMI emerged from ATO onward. For FMI, comparison with late maturers showed a more pronounced quadratic trend (kg/m(2) /years(2) ) (P = 0.01) among early-maturing girls and a reduced linear trend in FMI z-scores/year (P = 0.04) among early-maturing boys. This longitudinal study suggests that children who experience an early pubertal growth spurt accrue progressively more fat-free mass during the first years of puberty than late-maturing peers of the same age. Higher levels of adiposity commonly observed in adults with early puberty onset are, thus, likely to develop subsequently in later adolescence.
    American Journal of Human Biology 03/2011; 23(2):216-24. DOI:10.1002/ajhb.21125 · 1.70 Impact Factor
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    ABSTRACT: Hintergrund Körperliche Bewegung zählt zu den zentralen Gesundheitsressourcen und bietet präventive Potenziale. Sie ist daher als Handlungsfeld gesundheitsfördernder Hochschulen von Bedeutung. An der Hochschule Fulda wurde im Hinblick auf Partizipation nach Stellenwert und Wünschen bzgl. Bewegungsförderung gefragt. Methoden Anhand der hochschulischen Organisationsstruktur wurden relevante Akteure statusgruppenübergreifend ausgewählt. Als Erhebungsinstrumente kamen leitfadengestützte Interviews sowie eine Fokusgruppe zum Einsatz. Die Interviews wurden aufgezeichnet, in Memos dokumentiert, kategorisiert und einer qualitativen Inhaltsanalyse nach Mayring unterzogen. Die Fokusgruppe wurde dokumentiert und über „knowledge maps“ ausgewertet. Ergebnisse Über alle Statusgruppen hinweg wurde die Verankerung von körperlicher Bewegung in den Hochschulalltag gewünscht. Spezifische Bedürfnisse waren heterogen. Alle Maßnahmen sollten niedrigschwellig, umfassend und nachhaltig sein und durch eine angemessene Informationsvermittlung und Vermarktung begleitet werden. Schlussfolgerung Hochschulen eignen sich als Settings für Bewegungsförderung. Sie sollte dauerhaft in den Hochschulalltag integriert werden und einen Kulturwandel fördern.
    Prävention und Gesundheitsförderung 02/2011; 7(1). DOI:10.1007/s11553-011-0316-z
  • T Kühn · A Kroke · T Remer · E Schönau · A Buyken ·

    Das Gesundheitswesen 09/2010; 72. DOI:10.1055/s-0030-1266375 · 0.62 Impact Factor
  • L Knorpp · A Kroke · D Niebuhr ·

    Das Gesundheitswesen 09/2010; 72. DOI:10.1055/s-0030-1266670 · 0.62 Impact Factor

Publication Stats

5k Citations
373.79 Total Impact Points


  • 2008-2014
    • University of Applied Sciences Fulda
      • Department of Nutritional, Food and Consumer Sciences
      Fulda, Hesse, Germany
  • 2010
    • University Hospital Essen
      Essen, North Rhine-Westphalia, Germany
  • 2006-2008
    • University of Bonn
      • Institute of Nutrition and Food Science (IEL)
      Bonn, North Rhine-Westphalia, Germany
  • 2004-2007
    • Research Institute of Child Nutrition
      Dortmund, North Rhine-Westphalia, Germany
  • 1997-2004
    • German Institute of Human Nutrition
      • Department of Epidemiology
      Berlín, Berlin, Germany
  • 2003
    • Freie Universität Berlin
      Berlín, Berlin, Germany
  • 1999-2001
    • German Cancer Research Center
      • Division of Cancer Epidemiology
      Heidelburg, Baden-Württemberg, Germany