A 24-week intervention based on nutrition care process improves diet quality, body mass index, and motivation in children and adolescents with obesity

So Yeong Lee, Jieun Kim, Seulki Oh, Yoon Myung Kim, Sarah Woo, Han Byul Jang, Hye Ja Lee, Sang Ick Park, Kyung Hee Park, Hyunjung Lim

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)53-62
Number of pages10
JournalNutrition Research
Volume84
DOIs
Publication statusPublished - Dec 2020

Keywords

  • BMI-z-score
  • NCP
  • dietary intervention
  • motivation
  • pediatric obesity

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