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KMID : 1239920200140030262
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Nutrition Research and Practice
2020 Volume.14 No. 3 p.262 ~ p.275
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Evidence-based customized nutritional intervention improves body composition and nutritional factors for highly-adherent children and adolescents with moderate to severe obesity
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Kim Ji-Eun
Kim Yoon-Myung
Seo Young-Gyun
Park Kyung-Hee
Jang Han-Byul
Lee Hye-Ja
Park Sang-Ick
Lim Hyun-Jung
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Abstract
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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.
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KEYWORD
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Pediatric obesity, behavior, dietary modification, adolescent
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