Dietary Patterns in Adolescent Obesity as Predictors of Long-Term Success Following an Intensive Inpatient Lifestyle Programme

Jana Brauchmann (), Anne-Madeleine Bau, Gert B. M. Mensink, Almut Richter, Andrea Ernert, Theresa Keller and Susanna Wiegand
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Jana Brauchmann: Center for Chronically Sick Children, Charité Universitätsmedizin Berlin, 13353 Berlin, Germany
Anne-Madeleine Bau: Center for Chronically Sick Children, Charité Universitätsmedizin Berlin, 13353 Berlin, Germany
Gert B. M. Mensink: Robert Koch Institute, 13353 Berlin, Germany
Almut Richter: Robert Koch Institute, 13353 Berlin, Germany
Andrea Ernert: Institute of Biostatistics and Clinical Epidemiology, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
Theresa Keller: Institute of Biostatistics and Clinical Epidemiology, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
Susanna Wiegand: Center for Chronically Sick Children, Charité Universitätsmedizin Berlin, 13353 Berlin, Germany

IJERPH, 2022, vol. 19, issue 24, 1-14

Abstract: (1) Background: Lifestyle interventions for adolescents with obesity show minor long-term effects on anthropometric parameters. The persistence of dietary changes after obesity inpatient rehabilitation has not been sufficiently investigated. (2) Objectives: To analyse dietary patterns in German adolescents with obesity as predictors of long-term success following an intensive inpatient lifestyle programme regarding food choices as well as body weight and comorbidities. (3) Methods: Food consumption data of 137 German adolescents with obesity aged 10-17 years were collected by a nutrition interview. Cluster analysis was used to group the participants according to their food consumption. Dietary patterns, changes in body weight and insulin resistance were compared over a 2-year-period. (4) Results: Three dietary patterns were identified. Big Eaters (n = 32) consume high amounts of total sugar and meat, Moderate Eaters (n = 66) have a diet comparable to the national average, and Snackers (n = 39) have a particularly high consumption of total sugar. Big Eaters and Snackers significantly reduced the consumption of total sugar. Among Moderate Eaters, no persistent changes were observed. (5) Conclusion: Weight reduction interventions can induce long-lasting changes in the diet of adolescents with obesity. Therefore, the success of a weight reduction intervention should not be determined by weight reduction only.

Keywords: childhood obesity; pediatric obesity; dietary pattern; weight reduction; inpatient rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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