Impact of a management strategy on child and adolescent overweight

Authors

  • Lisete Griebeler Souza Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente. Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul http://orcid.org/0000-0002-8710-1255
  • Zilda Elizabeth de Albuquerque Santos Faculdade de Medicina, Departamento de Nutrição, Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul http://orcid.org/0000-0002-8608-2937
  • Mariur Gomes Beghetto Escola de Enfermagem, Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul http://orcid.org/0000-0002-9437-4999
  • Elza Daniel de Mello Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente. Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul http://orcid.org/0000-0002-8725-3363

DOI:

https://doi.org/10.15448/1980-6108.2019.3.33486

Keywords:

Pediatric obesity, food and nutrition education, weight loss.

Abstract

AIMS: To evaluate, through anthropometric and biochemical parameters, the impact of an overweight management strategy implemented in an outpatient clinic for childhood obesity in a public hospital.
METHODS: Retrospective analysis of a cohort of 206 children and adolescents with a diagnosis of obesity or overweight, aged between 5 and 17 years, attended between 2010 and 2014 with an average period of three months during one year. The strategy evaluated consisted of counseling, with guidelines aimed at reducing sedentary activity time and increased physical activity and nutritional guidelines for healthier food choices. Were evaluated anthropometric parameters (body mass index, z-escore of body mass index by age, waist circumference, hip circumference and waist hip ratio) and biochemistry (fasting glucose, fasting insulinemia, homeostasis model assessment, total cholesterol (CT), high density lipoprotein (HDL-c), low density lipoprotein (LDL-c), triclycerides (TG) at the baseline, at 6 and 12 months of follow-up. Statistical analyzes were performed in the IBM SPSS Statistics 22.0, using the Generalized Estimating Equations model.
RESULTS: In 12 months, there was a significant reduction in BMI, Z score of BMI/age, percentage of individuals with BMI/age z score ≥ +2, WHR, percentage of individuals with WC > p90 and HC (p<0,001). Serum glycemia and insulin levels did not show significant reduction, only a trend, as did TC, LDL-c and TG, but HDL-c levels had a significant increase (p=0.035).
CONCLUSIONS: This strategy of management of childhood and adolescent overweight, based on counseling, made it possible to reduce significantly the levels of overweight, although the biochemical parameters were not reduced in the same proportion.

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Author Biographies

Lisete Griebeler Souza, Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente. Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul

Nutricionista. Mestre pelo Programa de Pós-Graduação em Saúde da Criança e do Adolescente da Universidade Federal do Rio Grande do Sul (FAMED-UFRGS), Porto Alegre, RS, Brasil

Zilda Elizabeth de Albuquerque Santos, Faculdade de Medicina, Departamento de Nutrição, Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul

Nutricionista. Doutora em Medicina e Ciências da Saúde. Professora do Departamento de Nutrição, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (FAMED-UFRGS), Porto Alegre, RS, Brasil

Mariur Gomes Beghetto, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul

Enfermeira. Doutora em Medicina Epidemiologia. Professora da Escola de Enfermagem, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.

Elza Daniel de Mello, Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente. Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul

Doutora em Pediatria. Professora do Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (FAMED-UFRGS), Porto Alegre, RS, Brasil.

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Published

2019-10-28

How to Cite

Souza, L. G., Santos, Z. E. de A., Beghetto, M. G., & Mello, E. D. de. (2019). Impact of a management strategy on child and adolescent overweight. Scientia Medica, 29(3), e33486. https://doi.org/10.15448/1980-6108.2019.3.33486

Issue

Vol. 29 No. 3 (2019)

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Original Articles

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