Evidence-based customized nutritional intervention improves body composition and nutritional factors for highly-adherent children and adolescents with moderate to severe obesity

초록

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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