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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

1
Department of Pediatrics, Gastroenterology and Nutrition, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland
2
Children’s University Hospital in Krakow, 30-663 Krakow, Poland
3
Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, 30-663 Krakow, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(16), 2841; https://doi.org/10.3390/ijerph16162841
Received: 16 July 2019 / Revised: 4 August 2019 / Accepted: 6 August 2019 / Published: 8 August 2019
(This article belongs to the Special Issue Child Nutrition Management)
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. View Full-Text
Keywords: weight reduction; children and adolescents; obesity; physical activity weight reduction; children and adolescents; obesity; physical activity
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MDPI and ACS Style

Kozioł-Kozakowska, A.; Wójcik, M.; Furtak, A.; Januś, D.; Starzyk, J.B. 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. Int. J. Environ. Res. Public Health 2019, 16, 2841. https://doi.org/10.3390/ijerph16162841

AMA Style

Kozioł-Kozakowska A, Wójcik M, Furtak A, Januś D, Starzyk JB. 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. International Journal of Environmental Research and Public Health. 2019; 16(16):2841. https://doi.org/10.3390/ijerph16162841

Chicago/Turabian Style

Kozioł-Kozakowska, Agnieszka; Wójcik, Małgorzata; Furtak, Aleksandra; Januś, Dominika; Starzyk, Jerzy B. 2019. "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" Int. J. Environ. Res. Public Health 16, no. 16: 2841. https://doi.org/10.3390/ijerph16162841

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