Nutr Res Pract.  2020 Jun;14(3):262-275. 10.4162/nrp.2020.14.3.262.

Evidence-based customized nutritional intervention improves body composition and nutritional factors for highly-adherent children and adolescents with moderate to severe obesity

  • 1Department of Medical Nutrition, Kyung Hee University, Yongin 17104, Korea
  • 2University College, Yonsei University International Campus, Incheon 21983, Korea
  • 3Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang 14068, Korea
  • 4Center for Biomedical Sciences, Korea National Institute of Health, Cheongju 28159, Korea


Evidence-based customized nutritional interventions are required for effective treatment of moderate to severe obese children and adolescents.
Sixty six (64.1% of 103) of the eligible participants who joined the usual care or physical activity group in the clinic were involved in 16-week intervention. Customized nutritional intervention was implemented for each participant based on a nutrition care process (NCP) model. Sociodemographic assessment, anthropometrics data, health- and dietary-related behaviors, and dietary intake of the study subjects were assessed at baseline and follow-up. All participants engaged in 30-minute nutritional sessions on a monthly basis.
After 16 weeks, there were significant improvements in body composition [BMI (−0.8 ± 0.9, P < 0.05), BMI z-score (−0.3 ± 0.2, P < 0.001), body fat (kg) (−1.3 ± 2.1, P < 0.05), and body fat (%)(−1.5 ± 1.9, P < 0.05)] as well as macronutrient intake [total energy intake (kcal) (−563.7 ± 656.8, P < 0.05), energy (%) (−26.5 ± 30.0, P < 0.05) and fat (g) (−28.3 ± 40.6, P < 0.05)] in the adherent group than the non-adherent group. The SOC was higher in both groups after the intervention (P < 0.001).
Our results highlight the positive effects of an evidence-based approach as a multidisciplinary intervention for people-centered nutritional care and weight management.


Pediatric obesity; behavior; dietary modification; adolescent
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