Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention
High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 partici...
| Main Authors: | , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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MDPI AG
2022
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| Online Access: | https://hdl.handle.net/10171/64381 |
| _version_ | 1793400115782746112 |
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| author | Ojeda-Rodríguez, A. (Ana) Zazpe, I. (Itziar) Morell-Azanza, L. (Lydia) Chueca-Guindulain, M.J. (María Jesús) Azcona-San-Julian, M.C. (María Cristina) Marti-del-Moral, A. (Amelia) |
| author_facet | Ojeda-Rodríguez, A. (Ana) Zazpe, I. (Itziar) Morell-Azanza, L. (Lydia) Chueca-Guindulain, M.J. (María Jesús) Azcona-San-Julian, M.C. (María Cristina) Marti-del-Moral, A. (Amelia) |
| author_sort | Ojeda-Rodríguez, A. (Ana) |
| collection | DSpace |
| description | High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED). Both groups achieved a significant reduction in BMI standard deviation score (BMI-SDS), glucose and total cholesterol levels. Intake of Calcium, Iodine and vitamin D were higher in the intensive care group, with enhanced compliance with recommendations. Higher dietary scores were associated with lower micronutrient inadequacy. DQI-A and HLD-I were significantly higher in the intensive care group vs. usual care group after the treatment. In conclusion, we observed that an intensive lifestyle intervention was able to reduce BMI-SDS in children with abdominal obesity. Furthermore, participants significantly improved dietary indices getting closer to the nutritional recommendations. Therefore, these diet quality indices could be a valid indicator to evaluate micronutrient adequacy.High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED). Both groups achieved a significant reduction in BMI standard deviation score (BMI-SDS), glucose and total cholesterol levels. Intake of Calcium, Iodine and vitamin D were higher in the intensive care group, with enhanced compliance with recommendations. Higher dietary scores were associated with lower micronutrient inadequacy. DQI-A and HLD-I were significantly higher in the intensive care group vs. usual care group after the treatment. In conclusion, we observed that an intensive lifestyle intervention was able to reduce BMI-SDS in children with abdominal obesity. Furthermore, participants significantly improved dietary indices getting closer to the nutritional recommendations. Therefore, these diet quality indices could be a valid indicator to evaluate micronutrient adequacy. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-64381 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2022 |
| publisher | MDPI AG |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-643812024-01-24T08:58:38Z Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention Ojeda-Rodríguez, A. (Ana) Zazpe, I. (Itziar) Morell-Azanza, L. (Lydia) Chueca-Guindulain, M.J. (María Jesús) Azcona-San-Julian, M.C. (María Cristina) Marti-del-Moral, A. (Amelia) Dietary intervention Childhood obesity Mediterranean diet Nutritional requirements High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED). Both groups achieved a significant reduction in BMI standard deviation score (BMI-SDS), glucose and total cholesterol levels. Intake of Calcium, Iodine and vitamin D were higher in the intensive care group, with enhanced compliance with recommendations. Higher dietary scores were associated with lower micronutrient inadequacy. DQI-A and HLD-I were significantly higher in the intensive care group vs. usual care group after the treatment. In conclusion, we observed that an intensive lifestyle intervention was able to reduce BMI-SDS in children with abdominal obesity. Furthermore, participants significantly improved dietary indices getting closer to the nutritional recommendations. Therefore, these diet quality indices could be a valid indicator to evaluate micronutrient adequacy.High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED). Both groups achieved a significant reduction in BMI standard deviation score (BMI-SDS), glucose and total cholesterol levels. Intake of Calcium, Iodine and vitamin D were higher in the intensive care group, with enhanced compliance with recommendations. Higher dietary scores were associated with lower micronutrient inadequacy. DQI-A and HLD-I were significantly higher in the intensive care group vs. usual care group after the treatment. In conclusion, we observed that an intensive lifestyle intervention was able to reduce BMI-SDS in children with abdominal obesity. Furthermore, participants significantly improved dietary indices getting closer to the nutritional recommendations. Therefore, these diet quality indices could be a valid indicator to evaluate micronutrient adequacy. 2022-10-06T07:51:53Z 2022-10-06T07:51:53Z 2018 info:eu-repo/semantics/article https://hdl.handle.net/10171/64381 eng info:eu-repo/semantics/openAccess application/pdf MDPI AG |
| spellingShingle | Dietary intervention Childhood obesity Mediterranean diet Nutritional requirements Ojeda-Rodríguez, A. (Ana) Zazpe, I. (Itziar) Morell-Azanza, L. (Lydia) Chueca-Guindulain, M.J. (María Jesús) Azcona-San-Julian, M.C. (María Cristina) Marti-del-Moral, A. (Amelia) Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title | Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title_full | Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title_fullStr | Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title_full_unstemmed | Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title_short | Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| title_sort | improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention |
| topic | Dietary intervention Childhood obesity Mediterranean diet Nutritional requirements |
| url | https://hdl.handle.net/10171/64381 |
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