Karl E Bergmann

Karl E Bergmann
Charité Universitätsmedizin Berlin | Charité · Department of Obstetrics

Professor of Pediatrics

About

218
Publications
12,415
Reads
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5,592
Citations
Citations since 2017
3 Research Items
1195 Citations
2017201820192020202120222023050100150200
2017201820192020202120222023050100150200
2017201820192020202120222023050100150200
2017201820192020202120222023050100150200
Additional affiliations
July 1994 - September 2003
Robert Koch Institut
Position
  • Head of the Division Health of Children and Adolsecents. Prevention Concepts
July 1984 - June 1994
Bundesgesundheitsamt - Federal Office of Health
Position
  • Head of the Department of Public Health and Statistics
May 1980 - June 1984
Bundesgesundheitsamt - Federal Office of Health
Position
  • Head of the Division of Therapeutic and Preventive Nutrition

Publications

Publications (218)
Article
Full-text available
Objectives: Our aim was to examine the effects of an early perinatal prevention program offered to mothers and families suffering from significant psychosocial burden. Methods: All mothers giving birth in a Berlin university hospital during Jan-Aug 2013 were screened with a standardized 27-item questionnaire by trained staff. Mothers with a scre...
Article
Background Interaction of respiratory multimorbidity and lung function has not been examined in longitudinal population studies. We aimed to assess the association of multimorbidity of asthma and rhinitis with lung function and bronchial hyperresponsiveness in comparison to single and no allergies from early school age to young adulthood. Methods...
Article
Aim To compare the growth attainment of preterm children and their cardiovascular risk factors at adolescence with the values measured in term children in Germany. Methods About 17,641 children aged 0 to <18 years were studied between 2003 and 2006 in the population representative German KiGGS survey (“German Health Interview and Examination Surve...
Article
Background: Phenotypes of childhood-onset asthma are characterized by distinct trajectories and functional features. For atopy, definition of phenotypes during childhood is less clear. Objective: To define phenotypes of atopic sensitization over the first 6 years of life by a latent class analysis (LCA) integrating three dimensions of atopy: all...
Chapter
The first few months of life represent a window of opportunity for neonatal oral tolerance induction and prevention of allergy. Maternal rather than paternal atopic status has a greater effect on the atopic outcome of the progeny, which raises the question of whether maternal factors such as immune status, breastfeeding, and immunologic constituent...
Article
Full-text available
Introduction: Preterm birth is a global scourge, the leading cause of perinatal mortality and morbidity. This study set out to identify the principal risk factors for preterm birth, based on the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). A range of possible factors influencing preterm birth were selected fo...
Article
Full-text available
Background and aim: Vitamin D deficiency causes rickets and osteomalacia. As vitamin D metabolites have hormonal functions and bind to receptors of at least 38 different tissues the present study investigated whether low 25-hydroxyvitamin D [25(OH)D] levels of children and adolescents are associated with effects on physical, mental and social healt...
Article
Full-text available
Background and aim Vitamin D deficiency causes rickets and osteomalacia. As vitamin D metabolites have hormonal functions and bind to receptors of at least 38 different tissues the present study investigated whether low 25-hydroxyvitamin D [25(OH)D] levels of children and adolescents are associated with effects on physical, mental and social health...
Article
Allergic rhinitis (AR) is one of the most common chronic diseases, usually starting in the first 2 decades of life. Information on predictors, risk, and protective factors is missing because of a lack of long-term prospective studies. Our aim was to examine early-life environmental and lifestyle determinants for AR up to age 20 years. In 1990, the...
Article
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Background The occurrence of allergic multimorbidity (coexistence of asthma, allergic rhinitis and eczema) has not been evaluated longitudinally from early childhood up to adulthood in a population-based study sample. We aimed to determine the prevalence of allergic multimorbidity up to age 20 stratified by parental allergies and sex/gender using e...
Article
Full-text available
A novel non-invasive asthma prediction tool from the Leicester Cohort, UK, forecasts asthma at age 8 years based on 10 predictors assessed in early childhood, including current respiratory symptoms, eczema, and parental history of asthma. We aimed to externally validate the proposed asthma prediction method in a German birth cohort. The MAS-90 stud...
Article
Verhaltensauffalligkeiten im Kindesalter stellen einen Risikofaktor fur psychische Auffalligkeiten und verminderte schulische Leistungsfahigkeit dar. Die Studie untersucht, ob eine geringere Funktionalitat im Grundschulalter die Auftretenswahrscheinlichkeit von Schulproblemen in der Adoleszenz erhoht. Fragebogendaten der 9-, 11- und 15-Jahres Nachu...
Chapter
Full-text available
The increasing and extreme death toll of infants and children during the nineteenth century in industrializing countries was the starting signal for public recognition of the vulnerability of young children and their mothers and for public preventive measures. These ranged from city planning to improved hygiene, vaccinations against deadly infectio...
Article
The lack of longitudinal data analyses from birth to adulthood is hampering long-term asthma prevention strategies. We aimed to determine early-life predictors of asthma incidence up to age 20 years in a birth cohort study by applying time-to-event analysis. In 1990, the Multicenter Allergy Study included 1314 newborns in 5 German cities. Children...
Article
Abstract Natural processes do not always function perfectly. In breastfeeding, problems are encountered in up to 80% of mother-infant dyads. Altogether, in Western societies, the difficulties reduce the breastfeeding rate within the first months drastically. To deal with the problems of breastfeeding efficiently requires a profound understanding of...
Article
Full-text available
Hinweis der LeitthemenherausgeberKinderärzte und Zahnärzte tragen gleichermaßen Verantwortung für die Sicherstellung und Förderung der Zahngesundheit von Kindern und Jugendlichen. Bewusst gaben wir Vertretern der Zahlheilkunde als primären Zahnspezialisten in dieser Ausgabe der Monatsschrift Kinderheilkunde ein Forum, und mit Freude dürfen wir fest...
Article
Abstract Fetuses and breastfed children depend on the maternal docosahexaenoic acid (DHA) supply, which might have long-lasting consequences. We studied the growth of 6-year-old children whose mothers received supplemental DHA from midpregnancy to 3 months after delivery. One hundred and forty-four pregnant women had been randomized to receive one...
Article
IgE sensitization against grass pollen is a cause of seasonal allergic rhinitis. We sought to investigate the evolution at the molecular level and the preclinical predictive value of IgE responses against grass pollen. The German Multicentre Allergy Study examined a birth cohort born in 1990. A questionnaire was administered yearly, and blood sampl...
Article
Critical windows in the development of the human immune system may start preconceptionally. In utero, allergen exposure occurs via maternal blood and via amniotic fl uid. IgE synthesis was observed at 11 weeks gestation in fetal liver and lung. By 13-14 weeks fetal thymocytes respond to most mitogens, and in peripheral blood a response to inhalativ...
Article
To assess the prevalence and evaluate the most important risk factors for early postpartum anemia. The perinatal process data of 43,807 women delivering between 1993 and 2008 (90.1% of all deliveries) in the largest university obstetric department in Germany were analyzed, and the associations of Hb<8 g/dl with maternal characteristics, pregnancy r...
Article
Die Zahngesundheit von Kindern hat sich in Deutschland in den letzten drei Jahrzehnten insgesamt günstig entwickelt. Dazu haben das Engagement der Kinderärzte und die breite Verwendung von Fluoriden entscheidend beigetragen. Leider geht das Vorkommen von Milchzahnkaries in den letzten Jahren kaum noch zurück, in manchen Regionen steigt es sogar wie...
Article
Im Juni 1909 wurde das Kaiserin Auguste Victoria Haus in Berlin als erstes präventiv-pädiatrisches Institut eröffnet mit dem Ziel, die Säuglingssterblichkeit im Deutschen Reich zu senken. Dieses Ziel wurde erreicht. Seither ist ein beispielloser Rückgang der Sterblichkeit in allen Altersgruppen zu verzeichnen, und die Lebenserwartung stieg auf etwa...
Article
In June 1909, The Empress Auguste Victoria House in Berlin was opened. This first institute for preventive paediatrics had the objective to overcome infant mortality in Germany. This objective was attained. Since then, an unprecedented decrease of mortality in all age groups occurred as well as a doubling of life expectancy. With this "retreat of d...
Article
Knowledge of the risks of smoking during pregnancy induces only part of the pregnant women to give up smoking. How many pregnant women in Germany smoke from the beginning to delivery, and what characterises these smokers, is the topic of this article. Results from the German Mikrozensus, several national surveys, perinatal statistics and Euro-scip...
Article
Hintergrund und Fragestellung: Das Wissen um die negativen Wirkungen des Rauchens bewegt nur einen Teil der Schwangeren dazu, es aufzugeben. Welcher Anteil der Schwangeren bei uns raucht und mit welchen Merkmalen dieses Verhalten verbunden ist, behandelt der vorliegende Beitrag. Methoden: Daten des Mikrozensus, mehrerer Bundesgesundheitssurveys, de...
Article
Full-text available
The supply of docosahexaenoic acid (DHA, 22:6omega-3), important for fetal/infant neurodevelopment, depends on the maternal fatty acid (FA) status, which may be marginal in central Europe. Therefore, we investigated the effect of a daily vitamin/mineral supplement with and without 200 mg DHA from mid-pregnancy through lactation on the DHA concentra...
Article
Newborn size is the result of intrauterine growth. Premature, low birthweight of <2,500 g, small for gestational age (SGA, <10th percentile), or intrauterine growth-restricted (IUGR) newborns may have similar weights. Serial fetal biometry (ultrasound), required for the diagnosis, timing and severity of intrauterine growth restriction in the indivi...
Article
Newborn size is the result of intrauterine growth. Premature, low birthweight of <2,500 g, small for gestational age (SGA, <10th percentile), or intrauterine growthrestricted (IUGR) newborns may have similar weights. Serial fetal biometry (ultrasound), required for the diagnosis, timing and severity of intrauterine growth restriction in the individ...
Article
Fragestellung: In dieser Studie soll zum einen untersucht werden, welche Merkmale der Mütter mit einer Berufstätigkeit zwei Jahre nach der Geburt des Kindes verbunden sind. Zum anderen sollen Unterschiede der gesundheitsbezogenen Lebensqualität zwischen berufstätigen und nicht berufstätigen Müttern analysiert werden unter Berücksichtigung anderer M...
Article
Im Rahmen des bundesweiten Kinder- und Jugendgesundheitssurveys (KiGGS) wurden bei 17.641 Jungen und Mädchen eine Reihe anthropometrischer Messgrößen standardisiert erhoben. Für den kompletten Altersbereich (0–17 Jahre) wurden hierzu Körpergröße und Körpergewicht, Kopfumfang und Oberarmlänge sowie 2 Hautfaltendicken (Trizeps, Subscapula) ermittelt;...
Article
Die Erhebungen des Kinder- und Jugendgesundheitssurvey (KiGGS) zwischen Mai 2003 und Mai 2006 erfassten insgesamt 17.641 Kinder und Jugendliche in 167 für die Bundesrepublik repräsentativen Städten und Gemeinden. Mit den derzeit verfügbaren Daten zu perinatalen Risiken für die Gesundheit und Entwicklung von Kindern wurden folgende Ergebnisse gewonn...
Article
In the nationwide German Health Interview and Examination Survey for Children and Adolescents (KiGGS), a number of anthropometric parameters were assessed in a standardised way in 17,641 boys and girls. To this end, body weight and height, head circumference and upper arm length, as well as two skinfold thicknesses (triceps, subscapular) were measu...
Article
KIGGS is a health survey on 17,641 children and adolescents in 167 communities representative for Germany, conducted between May 2003 and May 2006. Of the perinatal indicators, only a small proportion of data important for long-term outcomes was available for statistical analysis, and is presented here. In the past 20 years the mean weight gain dur...
Article
We compared growth of infants whose mothers either did or did not receive docosahexaenoic acid (DHA) supplements during pregnancy and lactation. At 21 weeks' gestation, 144 women were enrolled into a randomized, double-blind clinical trial receiving: (1) a basic supplement consisting of vitamins and minerals (BS), or (2) BS plus 4.5 g fructooligosa...
Article
We studied those characteristics of mothers that are related to occupational activity two years after the birth of the first child. Differences in the health-related quality of life between working mothers and mothers who are not working were also analysed, taking other parameters into account, in particular household income. 311 mothers with a fir...
Article
Über 90% der Erwachsenen haben schon heute einen Hausarzt. Die Anzahl der Arztkontakte beim Hausarzt wächst mit der Anzahl der chronischen Krankheiten eines Befragten und den Störungen in seiner subjektiven Gesundheit. Ältere Mitbürger, Personen mit niedrigerem Sozialstatus und mit einem höheren BMI suchen einen Hausarzt häufiger auf. Personen mit...
Article
The magnitude and the development of the prevalence of overweight and obesity in Germany during the past 20 years are analysed in this contribution. Using body mass index (BMI) data of the National Examination Surveys (1984-1992), the German National Health Interview and Examination Survey 1998 as well as the Telephone Health Survey 2003, all repre...
Article
An analysis of the possible influences on primary health care utilization is made. The theoretical framework is the health behavioural model of R. M. Andersen, dividing the influencing variables into the components predisposing characteristics, enabling resources, and need factors. The study was based on data from the German National Health Examina...
Article
Der Artikel befasst sich mit der Analyse möglicher Einflüsse auf die Inanspruchnahme niedergelassener Ärzte durch die Bevölkerung in einem Jahr. Die theoretische Grundlage bildet das Verhaltensmodell nach R. M. Andersen, das die Einflussgrößen der Inanspruchnahme in die Komponenten „Predisposing“, „Enabling“ und „Need“ konzeptionell unterteilt. Die...
Article
The magnitude and the development of the prevalence of overweight and obesity in Germany during the past 20 years are analysed in this contribution. Using body mass index (BMI) data of the National Examination Surveys (1984–1992), the German National Health Interview and Examination Survey 1998 as well as the Telephone Health Survey 2003, all repre...
Article
A population study was performed to identify the prevalence of all kinds of adverse reactions to food. In a representative cross-sectional survey performed in 1999 and 2000 in Berlin, 13 300 inhabitants of all ages were addressed by questionnaire. This questionnaire was answered by 4093 persons. All respondents mentioning any sign of food intoleran...
Article
Zu den belastenden Erfahrungen junger Eltern gehort die nachtliche Ruhestorung durch den Saugling. In einer Longitudinalstudie sollten der Verlauf der Schlafstorungen, ihre Ursachen sowie die Beeinfusbarkeit durch eine Elternschule untersucht werden. Methodik: In der Klinik fur Geburtsmedizin wurden von Juli bis Dezember 1999 konsekutiv alle deutsc...
Article
Exzessives Schreien (ES) von Sauglingen wird zunehmend ein Beratungsthema in der Praxis. Wie haufig ES vorkommt, ob es Einflussfaktoren gibt, wie es sich auswirkt und ob es sich durch eine Elternschule andern lasst, wurde in einer kontrollierten Studie untersucht. Methoden: Auf der Wochenstation des Charite-Virchow-Klinikums wurden von Juli bis Dez...
Article
Nach der Entbindung erleben viele Mutter eine depressive Phase, die nicht immer abklingt. Wir verfolgten den Verlauf der Depressivitat bei Muttern und Vatern nach Geburt des ersten Kindes uber zwei Jahre Methodik: Auf der Wochenstation wurden von Juli bis Dezember 1999 streng konsekutiv 206 Eltern eines ersten Kindes rekrutiert und zu Elternseminar...
Article
Full-text available
Der Kinder- und Jugendgesundheitssurvey soll repräsentative, gültige Daten und Erkenntnisse zur gesundheitlichen Situation von Kindern und Jugendlichen in Deutschland als entscheidende Voraussetzung für die Bewertung und die Verbesserung von deren gesundheitlicher Lage schaffen. Forschung und insbesondere Blutentnahmen an nichteinwilligungsfähigen...
Article
The problem of preterm deliveries has worsened in developed countries over the past decade. To evaluate whether multiple deliveries had an impact on this development, we analyzed the data of the Berlin Perinatal Survey from 1993-1999 for 206,308 deliveries. The prevalence of preterm deliveries was fairly constant during this period, and the proport...
Article
To investigate the trend in the prevalence of neonatal macrosomia and to evaluate the influences of potential determinants, key features of 206 308 hospital deliveries (97% of all) in Berlin in the years 1993–99, collected by the Berlin Medical Board, were analysed using SPSS 10.0. After exclusion of multiple births and preterm infants, there was a...
Article
Knowledge about predictors of alcohol intake in Germany is scarce. The purpose of this study was to analyze the association of sociodemographic and lifestyle characteristics and quality of life with alcohol consumption among German adults. Analyses are based on cross-sectional data of the German adult population derived from the representative Germ...
Article
Prematurity is one of the most stubborn health problems in our society, no other problem impairs afflicted children more seriously and long lasting. In spite of remarkable progress in the treatment of premature infants, the outcomes are still not satisfying and the prematurity rate is still increasing. Prevention of prematurity therefore seems a pu...
Article
Full-text available
The prevalence of adiposity in childhood is increasing. Is breast-feeding protective as suggested by cross-sectional studies? In a longitudinal birth cohort study, we tested whether breast-feeding for more than 2 months has preventive effects against overweight and adiposity at 6 y. Of 1314 children representing the catchment areas of six delivery...
Article
The German National Health Interview and Examination Survey for Children and Adolescents aims at obtaining generalisable and practically convertible data and knowledge of the health situation of children and adolescents aged between 0 and 18 and living in Germany. After an extensive preparatory period of conceptional work by the Robert Koch Institu...
Article
The National Health Survey for Children and Adolescents intends a comprehensive description of the health status of children and adolescents. In this context physical examination of children and adolescents permits collection of objective data concerning physical development, certain body functions and selected performance parameters. Most importan...
Article
Laboratory tests will be performed as part of the National Health Survey for Children and Adolescents to identify health risks and to determine the seroprevalence of disease markers. The parameters were selected from haematology, clinical chemistry, allergology, endocrinology and serology of infectious diseases as indicators of individual health ri...
Article
The first German Health Survey for Children and Adolescents will start in 2003. During three years, a representative sample of children and adolescents between 0 and 18 years of age shall be examined and will, together with their parents, be interviewed on health-relevant issues. With this survey, health information on about 18,000 children will be...
Article
The German National Health Survey for Children and Adolescents aims at collecting representative data on the health status of the population in the 0 to 18 years age bracket. Examination of about 18.000 participants is planned. In this cross-sectional study relevant data concerning health services will be gathered. These include parameters of healt...
Article
At the beginning of the 21st century, the German Health Interview and Examination Survey of Children and Adolescents will for the first time provide the data essential for programmes of disease prevention and health promotion as well as for the development of health targets. This it will create key information for an evidence-based health policy. T...
Article
In the pilot study of the National Health Survey for Children and Adolescents which has been conducted under the responsibility of the Robert Koch Institute from March 12th 2001 to March 15th 2002, 1,630 children and adolescents from 0 to 17 years as well as their parents have been included. Methodological issues have been very prominent. Questionn...
Article
Full-text available
Im Jahre 2003 wird der erste deutsche Kinder- und Jugendgesundheitssurvey beginnen. Über drei Jahre wird eine repräsentative Stichprobe der Kinder und Jugendlichen im Alter zwischen 0 und 18 Jahren untersucht und gemeinsam mit ihren Eltern zu gesundheitsrelevanten Themen befragt. Mit dem Survey sollen Gesundheitsdaten von ca. 18 000 Kindern gewonne...
Article
Im Rahmen des Kinder- und Jugendgesundheitssurveys werden zur Charakterisierung bzw. Prävalenzerhebung von gesundheitlichen Risiken und Krankheiten Laboruntersuchungen durchgeführt. Die ausgewählten Parameter aus der Hämatologie, Klinischen Chemie, Allergologie, Endokrinologie und Infektionsserologie geben Hinweise auf eine gesundheitliche Gefährdu...
Article
Full-text available
In den vom Robert Koch-Institut eigenverantwortlich durchgeführten Pretest des Kinder- und Jugendgesundheitssurveys wurden vom 12. März 2001 bis zum 15. März 2002 insgesamt 1630 Kinder und Jugendliche im Alter zwischen 0 und 18 Jahren sowie deren Eltern einbezogen. Hierbei spielten insbesondere methodische Anliegen eine wichtige Rolle. So wurden Be...
Article
The National Health Survey for Children and Adolescents intends a comprehensive description of the health status of children and adolescents. In this context physical examination of children and adolescents permits collection of objective data concerning phy- sical development, certain body functions and selected perfor- mance parameters. Most impo...
Article
The German National Health Survey for Children and Adoles- cents aims at collecting representative data on the health status of the population in the 0 to 18 years age bracket. Examination of about 18.000 participants is planned. In this cross-sectional study relevant data concerning health services will be gathered. These include parameters of hea...
Article
Full-text available
Der Kinder- und Jugendgesundheitssurvey hat das Ziel, für Deutschland verallgemeinerungsfähige, umsetzungsrelevante Daten und Erkenntnisse zur gesundheitlichen Situation von Kindern und Jugendlichen im Altersbereich zwischen 0 und 18 Jahren zu gewinnen. Nach umfangreichen Konzipierungs- und Vorbereitungsarbeiten durch das Robert Koch-Institut ist g...
Article
Full-text available
Der Kinder- und Jugendgesundheitssurvey wird mit seinen für Deutschland repräsentativ erhobenen Daten am Beginn des 21. Jahrhunderts erstmalig wesentliche Erkenntnisse für die Prävention, die Gesundheitsförderung und die Entwicklung von Gesundheitszielen liefern. Damit wird eine entscheidende Voraussetzung für eine „evidence-based health policy” ge...
Article
The German National. Health Interview and Examination Survey for Children and Adolescents aims at obtaining generalisable and practically convertible data and knowledge of the health situation of children and adolescents aged between 0 and 18 and living in Germany. After an extensive preparatory period of conceptional work by the Robert Koch Instit...
Article
The National Health Survey for Children and Adolescents intends a comprehensive description of the health status of children and adolescents. in this context physical examination of children and adolescents permits collection of objective data concerning physical development, certain body functions and selected performance parameters. Most importan...
Article
Laboratory tests will be performed as part of the National Health Survey for Children and Adolescents to identify health risks and to determine the seroprevalence of disease markers. The parameters were selected from haematology, clinical chemistry, allergology, endocrinology and serology of infectious diseases as indicators of individual health ri...
Article
The first German Health Survey for Children and Adolescents will start in 2003. During three years, a representative sample of children and adolescents between 0 and 18 years of age shall be examined and will, together with their parents, be interviewed on health-relevant issues. With this survey, health information on about 18,000 children will be...
Article
The German National Health Survey for Children and Adolescents aims at collecting representative data on the health status of the population in the 0 to 18 years age bracket. Examination of about 18.000 participants is planned. In this cross-sectional study relevant data concerning health services will be gathered. These include parameters of healt...
Article
At the beginning of the 21(st) century, the German Health Interview and Examination Survey of Children and Adolescents will for the first time provide the data essential for programmes of disease prevention and health promotion as well as for the development of health targets. This it will create key information for an evidence-based health policy....