THE EFFECTS OF DIET THERAPY ON CLINICAL AND BIOCHEMICAL PARAMETERS AND BODY COMPOSITION IN OVERWEIGHT

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Background:   Only  medical   nutrition   therapy and physical activity can be used for treatment of the group  2 (p > 0.05). The fat mass in children of the group  1 decreased from 44.4% [39.1; 48.3] to Department of Pediatric Gastroenterology, Hepatology, and Nutrition1; Assistant, Chair of Dietetics and2obesity in children. In many cases, it is reasonable to  start  treatment in a hospital. Aim: To assess changes  of clinical and  biochemical  parameters and body composition with diet therapy in overweight  and  obese  children  in an  in-patient department. Materials and methods: We examined 537 children with obesity aged 13 years [11;  14] (group  1) and  104  overweight   children aged  13 [12; 14] years (group  2). Anthropometric parameters,   body   composition    by   means   ofbioimpedance  measurement,  clinical  chemistry 43.1% [37.9; 47.7] (p < 0.001), in group 2, from 33.8% [31.1; 38.5] to 32.6% [30; 36.7] (p = 0.017). The lean mass  decreased in 86.2 and  93.7% of patients, respectively.  There  were  significant  reductions on  the   levels  of  serum   total   cholesterol,  low density lipoproteins, triglycerides, high density lipoproteins  and  increase  in uric acid, compared to  their  respective  baseline  values. Conclusion: During  the  in-hospital  treatment period  obese children  show  improvements  of nutritive  status, Nutrition, Postgraduate Training FacultyPavlyuchkova Mariya S. – PhD, Dietologist1parameters of lipid and carbohydrate metabolism significant   reduction   of   fat   body   mass   with                were  assessed   at  baseline   and  at  the   end   of treatment. Duration of hospital stay was 14 days. The  children   were  on  a  diet  with  a  reduced caloric,  fat  and  carbohydrate  content.  Results: The bodymass  decreased by 5.7% [4.5; 6.9] from baseline  in the  group  1 and  by 5.3% [3.8; 7.5] in concomitant decrease  of lean mass due to a rapidbodyweight reduction.

About the authors

E. V. Pavlovskaya

Hospital of Research Institute of Nutrition, Moscow

Author for correspondence.
Email: elena_pavlovsky@rambler.ru
Pavlovskaya Elena V. – PhD, Senior Research Fellow, Department of Pediatric Gastroenterology, Hepatology, and Nutrition Russian Federation

T. V. Strokova

Hospital of Research Institute of Nutrition, Moscow; N.I. Pirogov Russian National Research Medical University, Moscow

Email: elena_pavlovsky@rambler.ru
Strokova Tat'yana V. – MD, PhD, Head of Department of Pediatric Gastroenterology, Hepatology, and Nutrition1; Head of Chair of Dietetics and Nutrition, Postgraduate Training Faculty Russian Federation

A. G. Surkov

Hospital of Research Institute of Nutrition, Moscow

Email: elena_pavlovsky@rambler.ru
Surkov Aleksandr G. – PhD, Leading Research Fellow, Department of Pediatric Gastroenterology, Hepatology, and Nutrition Russian Federation

M. E. Bagaeva

Hospital of Research Institute of Nutrition, Moscow; N.I. Pirogov Russian National Research Medical University, Moscow

Email: elena_pavlovsky@rambler.ru
Bagaeva Madlena E. – PhD, Senior Research Fellow, Department of Pediatric Gastroenterology, Hepatology,and Nutrition; Assistant, Chair of Dietetics andNutrition, Postgraduate Training Faculty Russian Federation

M. S. Pavlyuchkova

Hospital of Research Institute of Nutrition, Moscow; N.I. Pirogov Russian National Research Medical University, Moscow

Email: elena_pavlovsky@rambler.ru
Pavlyuchkova Mariya S. – PhD, Dietologist Russian Federation

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Copyright (c) 2015 Pavlovskaya E.V., Strokova T.V., Surkov A.G., Bagaeva M.E., Pavlyuchkova M.S.

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