1. A 24-week intervention based on nutrition care process improves diet quality, body mass index, and motivation in children and adolescents with obesity.
- Author
-
Lee, So Yeong, Kim, Jieun, Oh, Seulki, Kim, YoonMyung, Woo, Sarah, Jang, Han Byul, Lee, Hye-Ja, Park, Sang Ick, Park, Kyung Hee, and Lim, Hyunjung
- Subjects
- *
BODY weight , *COMPARATIVE studies , *DIET , *DIET therapy , *FOOD quality , *RESEARCH methodology , *MOTIVATION (Psychology) , *NUTRITION education , *CHILDHOOD obesity , *QUESTIONNAIRES , *SALT , *SELF-efficacy , *BODY mass index , *RANDOMIZED controlled trials , *TREATMENT effectiveness , *SEVERITY of illness index , *DESCRIPTIVE statistics , *EVALUATION , *ADOLESCENCE , *CHILDREN - Abstract
Higher motivation could support to lead behavioral change for obese children and adolescents. This study aimed to evaluate the effects of a nutrition care process (NCP)–based intervention targeted on diet and weight status in moderate to severe obese children and adolescents in Korea. One hundred four subjects (mean age: 10.95 years, body mass index (BMI) ≥97th percentile of age-sex) participated in the present study. Subjects were divided into a usual care group (UG) and a nutrition group (NG). All participants underwent nutrition education 6 times. The NG received individual access and continuous monitoring and setting goals with respect to nutritional problems. Consumption of high-calorie, low-nutrient (HCLN) food was significantly decreased (P <.05) and the Diet Quality Index-International (DQI-I) score also increased with respect to sodium (P <.001). The total self-efficacy score was increased from 9.15 to 10.14 points (P <.01). After 24 weeks, the BMI-z-score decreased from 2.27 to 2.19 in the NG (P <.05); however, no group difference was found. BMI-z-score was negatively associated with self-efficacy (β = -0.03, P <.019). NCP-based intervention might be helpful to solve dietary problems by enhancing self-efficacy and lower BMI-z-score in moderately to severely obese children and adolescents. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF