A Comparison of the Impact of Two Methods of Nutrition-Behavioral Intervention on Selected Auxological and Biochemical Parameters in Obese Prepubertal Children—Crossover Preliminary Study

Agnieszka Kozioł-Kozakowska, Małgorzata Wójcik, Aleksandra Furtak, Dominika Januś and Jerzy B. Starzyk
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Agnieszka Kozioł-Kozakowska: Department of Pediatrics, Gastroenterology and Nutrition, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland
Małgorzata Wójcik: Children’s University Hospital in Krakow, 30-663 Krakow, Poland
Aleksandra Furtak: Children’s University Hospital in Krakow, 30-663 Krakow, Poland
Dominika Januś: Children’s University Hospital in Krakow, 30-663 Krakow, Poland
Jerzy B. Starzyk: Children’s University Hospital in Krakow, 30-663 Krakow, Poland

IJERPH, 2019, vol. 16, issue 16, 1-12

Abstract: Obese children are exposed to short and long-term health consequences, such as dyslipidemia, hypertension and diabetes mellitus. For these reasons, the prevention and treatment of obesity in the pediatric population is a challenge for health care professionals. The aim of this study was to evaluate whether an intensive intervention based on diet and physical activity has a better impact on the auxological and biochemical parameters than standard care (intervention). The study included 20 children (six boys, 14 girls), of the mean age 8.9 (SD 1.4) before puberty. The participants were randomly assigned to two groups: Group I (starting treatment with intensive intervention), and II (starting treatment with standard intervention). After three months, the groups were switched. The comparison of the two interventions in the study group indicates a better effectiveness of intensive intervention in the improvement of anthropometric parameters and majority of biochemical ones (except for insulin concentration, HOMA IR index and LDL cholesterol). As the result of intensive intervention, the mean % of weight-to-height excess and hip circumference decreased significantly ( p < 0.005). Our results confirm that complex intervention based on systematic control visits, including personalized dietitian counselling and physician care, during the weight reduction process is more effective than a one-off standard visit.

Keywords: weight reduction; children and adolescents; obesity; physical activity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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