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

• Published in: Nutrition research and practice Vol. 14; no. 3; pp. 262 - 275
• Main Authors: Kim, Jieun, Kim, YoonMyung, Seo, Young-Gyun, Park, Kyung-Hee, Jang, Han Byul, Lee, Hye-Ja, Park, Sang Ick, Lim, Hyunjung
• Format: Journal Article
• Language: English
• Published: Seoul 한국영양학회 01.06.2020; Korean Nutrition Society; The Korean Nutrition Society and the Korean Society of Community Nutrition
• Subjects: Adolescents; Body composition; Body fat; Children; Dietary intake; Energy intake; Intervention; Obesity; Original Research; Physical activity; 생활과학; dietary modification; adolescent; behavior; Pediatric obesity
• ISSN: 1976-1457; 2005-6168
• DOI: 10.4162/nrp.2020.14.3.262

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.