Impact of childhood obesity treatment on body composition and metabolic profile
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Impact of childhood obesity treatment on body composition and metabolic profile Marja Kalavainen, Pauliina Utriainen, Esko Vanninen, Matti Korppi, Outi Nuutinen Kuopio, Finland substantially. This result was not dependent on which intervention, family-oriented group program or routine counselling, was used.
Methods: Seventy obese prepubertal children were randomized into family-oriented group program (15 sessions for parents and children) and routine counselling (2 appointments for children). Body mass index (BMI), body composition and different metabolic risk factors were assessed before and after the 6-month intervention.
Introduction
World J Pediatr 2012;8(1):31-37 Key words: body composition; childhood obesity; metabolism
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Author Affiliations: Departments of Pediatrics and Clinical Nutrition, Kuopio University Hospital, Kuopio, Finland (Kalavainen M); Department of Pediatrics, Kuopio University Hospital and University of Eastern Finland, Finland (Utriainen P); Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital and University of Eastern Finland, Finland (Vanninen E); Pediatric Research Center, Tampere University and University Hospital, Tampere, Finland (Korppi M); Institute of Public Health and Clinical Nutrition, Department of Clinical Nutrition, University of Eastern Finland, Kuopio, Finland (Nuutinen O)
hildhood obesity is associated with adverse changes in cardiometabolic risk factors. [1] In prepubertal obese children, for example, serum triglycerides (TG) are increased, high density lipoprotein cholesterol (HDL-C) is decreased, and insulin sensitivity is impaired. [2] Waist circumference, in particular, is a predictor of metabolic abnormalities.[3] Childhood obesity at age of 7-13 years was found to be associated with coronary heart disease in adulthood in a large population-based study.[4] Randomized controlled trials on treatment of childhood obesity have documented conflicting impacts on cardiometabolic risk factors.[5-8] In a German nonrandomized study, metabolic abnormalities improved if the decrease in body mass index standard deviation score (BMI-SDS) was >0.5.[9,10] We have previously reported that a family-oriented group program stressing a health-promoting lifestyle was more effective[11] and also more costly[12] than was routine counselling in the treatment of 7-9 year old obese children. The aim of the present study was to compare the effects of these two programs on children's body composition and metabolic profile. In addition, the associations between changes in children's adiposity and levels of cardiometabolic risk factors were evaluated.
Corresponding Author: Matti Korppi, Pediatric Research Center, Tampere University and University Hospital, FinMed-3 building, FIN33014 Tampere University, Finland (Tel: +358-3-35518407; Fax: +358-335538420; Email: [email protected])
Methods
Results: Waist/height decreased more in the children attending the group treatment, but there were no significant differences between treatment arms in the changes of metabo
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