Multiple beneficial effects of 1-year nutritional-behavioral intervention on anthropometric and metabolic parameters in overweight and obese boys.

Childhood obesity Dietary intervention Fat mass HOMA index Healthy Eating Plate Insulin resistance Insulin sensitivity Mediterranean Diet Transaminase

Journal

Journal of endocrinological investigation
ISSN: 1720-8386
Titre abrégé: J Endocrinol Invest
Pays: Italy
ID NLM: 7806594

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 08 03 2023
accepted: 02 04 2023
medline: 9 10 2023
pubmed: 18 4 2023
entrez: 17 4 2023
Statut: ppublish

Résumé

Childhood obesity is on the rise worldwide increasing the risk for metabolic, cardiovascular and liver diseases in children. Eating habits and lifestyle changes are currently the standard of care for treating pediatric obesity. Our study aimed to determine the impact of a dietary intervention based on the Mediterranean Diet (MD) and the Health Eating Plate, on anthropometric and metabolic parameters in obese and overweight boys. We studied 126 overweight/obese boys with anthropometric measurements, blood biochemistry and nutrient intakes evaluation by means of Food Frequency Questionnaire (FFQ) at baseline, at 6 and 12 months after a nutritional-behavioral intervention. We observed a significant reduction in energy, macronutrients and micronutrients intakes. BMI-SDS significantly decreased after 1 year with the proportion of obese boys decreasing by 33% and of overweight boys by 41%, while also all fat mass measures decreased both in obese and overweight individuals. In obese boys, ALT decreased significantly after 1-year nutritional intervention and these changes correlated with BMI-SDS reduction. Insulin-resistance and secretion indexes correlated with fat mass and BMI-SDS. In obese boys, significant changes were observed at 6 months for insulin concentrations, 1/HOMA-IR and QUICKI. With regard to the lipid profile, significant decreases were observed for total and LDL cholesterol in obese boys. Metabolic and anthropometric risk factors in overweight and obese boys can be improved by a nutritional-behavioral intervention of 1-year duration.

Identifiants

pubmed: 37069323
doi: 10.1007/s40618-023-02088-2
pii: 10.1007/s40618-023-02088-2
doi:

Substances chimiques

Insulin 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2331-2342

Informations de copyright

© 2023. The Author(s), under exclusive licence to Italian Society of Endocrinology (SIE).

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Auteurs

M Tosi (M)

Department of Health Science, University of Milan, 20142, Milan, Italy.
Department of Paediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.

I A Matelloni (IA)

Department of Health Science, University of Milan, 20142, Milan, Italy.

M Mancini (M)

Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.

A Andreassi (A)

Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.

A Scopari (A)

Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.

A Rossi (A)

Department of Health Science, University of Milan, 20142, Milan, Italy.

E Verduci (E)

Department of Health Science, University of Milan, 20142, Milan, Italy.
Department of Paediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.

C Berra (C)

Department of Endocrine and Metabolic Diseases, IRCCS MultiMedica, 20142, Milan, Italy.

R Manfrini (R)

Department of Health Science, University of Milan, 20142, Milan, Italy.
Departmental Unit of Diabetes and Metabolic Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, 20142, Milan, Italy.

G Banderali (G)

Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.

F Pecori Giraldi (F)

Department of Clinical Sciences and Community Health, University of Milan, 20142, Milan, Italy.

F Folli (F)

Department of Health Science, University of Milan, 20142, Milan, Italy. franco.folli@unimi.it.
Departmental Unit of Diabetes and Metabolic Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, 20142, Milan, Italy. franco.folli@unimi.it.

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