Assessment of body composition changes during a combined intervention for the treatment of childhood obesity.
Nutrition
; 59: 116-120, 2019 03.
Article
em En
| MEDLINE
| ID: mdl-30496955
ABSTRACT
OBJECTIVE:
One of the main objectives in the treatment of childhood obesity is to reduce the percentage of body fat mass without negatively affecting fat-free mass (FFM) and, consequently, longitudinal growth. The aim of this study was to analyze the changes that take place in body compartments in a group of patients with obesity under combined treatment.METHODS:
This was a longitudinal study with 109 children with obesity 9.1 to 13.9 y of age included in a combined dietary-behavioral-physical activity intervention. Weight, height, skinfold thickness, and waist circumference were registered, and body mass index (BMI), fat mass index (FMI), FFM and waist-to-height ratio (WHR) were calculated over a period of 12 mo. The BMI z-score allowed us to establish two groups obesity (nâ¯=â¯50) and severe obesity (nâ¯=â¯59). A nutritional improvement was considered when a decrease of BMI z-score of the initial value occurred after 12 mo of follow-up.RESULTS:
The improvement in nutritional status reached 61.5% (nâ¯=â¯67). In the obesity group with nutritional improvement (nâ¯=â¯32), FMI significantly decreased (P < 0.005) and there were no significant differences in weight, height z-score, FFM, and WHR throughout the combined intervention. In the severe obesity group with nutritional improvement (nâ¯=â¯35), there were no significant differences in weight, height z-score, FMI, FFM, and WHR throughout combined intervention.CONCLUSIONS:
Maintaining a constant weight in the mid- to long term to improve nutritional status would be adequate in children with infantile-juvenile obesity. However, maintaining a steady weight would not be sufficient for those patients diagnosed with severe obesity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Índice de Gravidade de Doença
/
Composição Corporal
/
Índice de Massa Corporal
/
Tecido Adiposo
/
Obesidade Infantil
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Nutrition
Assunto da revista:
CIENCIAS DA NUTRICAO
Ano de publicação:
2019
Tipo de documento:
Article