Diet macronutrient composition reported before treatment predicts BMI change in obese children: the role of lipids

In this study, we tested the hypothesis that diet composition reported by children before the beginning of an obesity treatment program could be a predicting factor of the clinical outcome. A sample of 138 obese 6–16-year-old children and adolescents were recruited. Anthropometry and dietary habits...

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Bibliographic Details
Published in:European journal of clinical nutrition 2012-09, Vol.66 (9), p.1066-1068
Main Authors: Maffeis, C, Maschio, M, Costanzi, S, Tommasi, M, Fasan, I, Morandi, A
Format: Article
Language:English
Subjects:
692/699/1702/393
692/700/1720
692/700/1750
Adolescent
Adolescents
Anthropometry
Biological and medical sciences
Body Mass Index
Care and treatment
Child
Children
Children & youth
Clinical Nutrition
Cohort Studies
Composition
Diet
Diet therapy
Dietary Fats - metabolism
Epidemiology
Feeding Behavior - physiology
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Humans
Internal Medicine
Intervention
Lipids
Logistic Models
Male
Management
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Methods
Nutrition
Obesity
Obesity - diet therapy
Obesity in children
Physical activity
Product/Service Evaluations
Public Health
ROC Curve
short-communication
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:In this study, we tested the hypothesis that diet composition reported by children before the beginning of an obesity treatment program could be a predicting factor of the clinical outcome. A sample of 138 obese 6–16-year-old children and adolescents were recruited. Anthropometry and dietary habits were recorded. Each patient participated in a multidimensional treatment program in an outpatient obesity public service clinic. Therapy was based on a 6-month educational program on nutrition, lifestyle and physical activity. Children with a lipid intake above 34.7% of total energy had a 2.5 times higher chance of reducing at least 1.5 units of BMI with treatment than children with lower lipid intake. These results suggest that the assessment of habitual diet, in particular diet composition before starting treatment, may help to identify obese children who are more sensitive to intervention and those who need more specific nutritional assistance.
ISSN:0954-3007
1476-5640
DOI:10.1038/ejcn.2012.97