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Multiple beneficial effects of 1-year nutritional-behavioral intervention on anthropometric and metabolic parameters in overweight and obese boys.
Tosi, M; Matelloni, I A; Mancini, M; Andreassi, A; Scopari, A; Rossi, A; Verduci, E; Berra, C; Manfrini, R; Banderali, G; Pecori Giraldi, F; Folli, F.
Afiliación
  • Tosi M; Department of Health Science, University of Milan, 20142, Milan, Italy.
  • Matelloni IA; Department of Paediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
  • Mancini M; Department of Health Science, University of Milan, 20142, Milan, Italy.
  • Andreassi A; Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.
  • Scopari A; Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.
  • Rossi A; Pediatric and Adolescent Andrological Unit, Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142, Milan, Italy.
  • Verduci E; Department of Health Science, University of Milan, 20142, Milan, Italy.
  • Berra C; Department of Health Science, University of Milan, 20142, Milan, Italy.
  • Manfrini R; Department of Paediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
  • Banderali G; Department of Endocrine and Metabolic Diseases, IRCCS MultiMedica, 20142, Milan, Italy.
  • Pecori Giraldi F; Department of Health Science, University of Milan, 20142, Milan, Italy.
  • Folli F; Departmental Unit of Diabetes and Metabolic Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, 20142, Milan, Italy.
J Endocrinol Invest ; 46(11): 2331-2342, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37069323
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: Metabolic and anthropometric risk factors in overweight and obese boys can be improved by a nutritional-behavioral intervention of 1-year duration.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Obesidad Infantil Tipo de estudio: Risk_factors_studies Límite: Child / Humans / Male Idioma: En Revista: J Endocrinol Invest Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Obesidad Infantil Tipo de estudio: Risk_factors_studies Límite: Child / Humans / Male Idioma: En Revista: J Endocrinol Invest Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia