Evidence-based customized nutritional intervention improves body composition and nutritional factors for highly-adherent children and adolescents with moderate to severe obesity
- Author:
Jieun KIM
1
;
YoonMyung KIM
;
Young-Gyun SEO
;
Kyung-Hee PARK
;
Han Byul JANG
;
Hye-Ja LEE
;
Sang Ick PARK
;
Hyunjung LIM
Author Information
- Publication Type:Original Research
- From:Nutrition Research and Practice 2020;14(3):262-275
- CountryRepublic of Korea
-
Abstract:
BACKGROUND/OBJECTIVES:Evidence-based customized nutritional interventions are required for effective treatment of moderate to severe obese children and adolescents.
SUBJECTS/METHODS:Sixty six (64.1% of 103) of the eligible participants who joined the usual care or physical activity group in the clinic were involved in 16-week intervention. Customized nutritional intervention was implemented for each participant based on a nutrition care process (NCP) model. Sociodemographic assessment, anthropometrics data, health- and dietary-related behaviors, and dietary intake of the study subjects were assessed at baseline and follow-up. All participants engaged in 30-minute nutritional sessions on a monthly basis.
RESULTS:After 16 weeks, there were significant improvements in body composition [BMI (−0.8 ± 0.9, P < 0.05), BMI z-score (−0.3 ± 0.2, P < 0.001), body fat (kg) (−1.3 ± 2.1, P < 0.05), and body fat (%)(−1.5 ± 1.9, P < 0.05)] as well as macronutrient intake [total energy intake (kcal) (−563.7 ± 656.8, P < 0.05), energy (%) (−26.5 ± 30.0, P < 0.05) and fat (g) (−28.3 ± 40.6, P < 0.05)] in the adherent group than the non-adherent group. The SOC was higher in both groups after the intervention (P < 0.001).
CONCLUSIONS:Our results highlight the positive effects of an evidence-based approach as a multidisciplinary intervention for people-centered nutritional care and weight management.
