Thomas Reinehr1, Gideon de Sousa, Martin Wabitsch. 1. Vestische Hospital for Children and Adolescents, University of Witten/Herdecke, Witten, Germany. T.Reinehr@kinderklinik-datteln.de
Abstract
OBJECTIVE: The aim of the study was to compare the benefits of 2 different therapeutic approaches on cardiovascular risk factors (CVRF) in obese children and adolescents. METHODS: We analyzed the changes of weight status (as standard deviation score-body mass index [SDS-BMI]), blood pressure, lipids, and insulin levels in obese children (age range, 10-14 years) during a 1-year outpatient intervention based on lifestyle changes (group A, n = 124) and during a 6-weekinpatient intervention program with dietary restriction and exercise therapy (group B, n = 119). In addition, we studied these parameters in 65 obese children without intervention for 1 year (control group). RESULTS: Age, degree of overweight, sex, and CVRF did not differ significantly between the control group and the intervention groups at baseline. During the observation period, CVRF did not change in the control group, whereas SDS-BMI slightly increased (+0.1 SDS-BMI). The SDS-BMI decreased significantly (P < 0.001) in group A (SDS-BMI, -0.40) and comparably in group B (SDS-BMI, -0.43). The decreases of total (P < 0.001) and low-density lipoprotein-cholesterol levels (P = 0.049) were significantly greater in group B, whereas triglyceride (P = 0.040) and insulin (P = 0.006) levels decreased significantly and were more pronounced in group A. High-density lipoprotein-cholesterol level increased significantly (P < 0.001) only in group A. Blood pressure decreased significantly (P < 0.01) and comparably in both intervention groups (A and B). CONCLUSIONS: In contrast to obese children without intervention, CVRF improved in obese children with intervention. The 6-week inpatient intervention led to a significant greater decrease of total and low-density lipoprotein-cholesterol levels as compared with the 1-year outpatient intervention, although the outpatient intervention yielded a significantly greater improvement in insulin, triglycerides, and high-density lipoprotein-cholesterol levels.
RCT Entities:
OBJECTIVE: The aim of the study was to compare the benefits of 2 different therapeutic approaches on cardiovascular risk factors (CVRF) in obesechildren and adolescents. METHODS: We analyzed the changes of weight status (as standard deviation score-body mass index [SDS-BMI]), blood pressure, lipids, and insulin levels in obesechildren (age range, 10-14 years) during a 1-year outpatient intervention based on lifestyle changes (group A, n = 124) and during a 6-week inpatient intervention program with dietary restriction and exercise therapy (group B, n = 119). In addition, we studied these parameters in 65 obesechildren without intervention for 1 year (control group). RESULTS: Age, degree of overweight, sex, and CVRF did not differ significantly between the control group and the intervention groups at baseline. During the observation period, CVRF did not change in the control group, whereas SDS-BMI slightly increased (+0.1 SDS-BMI). The SDS-BMI decreased significantly (P < 0.001) in group A (SDS-BMI, -0.40) and comparably in group B (SDS-BMI, -0.43). The decreases of total (P < 0.001) and low-density lipoprotein-cholesterol levels (P = 0.049) were significantly greater in group B, whereas triglyceride (P = 0.040) and insulin (P = 0.006) levels decreased significantly and were more pronounced in group A. High-density lipoprotein-cholesterol level increased significantly (P < 0.001) only in group A. Blood pressure decreased significantly (P < 0.01) and comparably in both intervention groups (A and B). CONCLUSIONS: In contrast to obesechildren without intervention, CVRF improved in obesechildren with intervention. The 6-week inpatient intervention led to a significant greater decrease of total and low-density lipoprotein-cholesterol levels as compared with the 1-year outpatient intervention, although the outpatient intervention yielded a significantly greater improvement in insulin, triglycerides, and high-density lipoprotein-cholesterol levels.
Authors: C Pedrosa; B M P M Oliveira; I Albuquerque; C Simões-Pereira; M D Vaz-de-Almeida; F Correia Journal: Eur J Nutr Date: 2010-11-25 Impact factor: 5.614
Authors: Ahmed Y M El-Medany; Laura Birch; Linda P Hunt; Rhys I B Matson; Amanda H W Chong; Rhona Beynon; Julian Hamilton-Shield; Rachel Perry Journal: Child Obes Date: 2020-08-11 Impact factor: 2.992