Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study
This study compared the effects of a real-world multidisciplinary intervention with additional exercise or nutritional elements and investigated the effectiveness of a booster intervention after weight regain. A total of 242 children and adolescents (age- and sex-specific body mass index [BMI] ≥ 85t...
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| Format: | Article |
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MDPI AG
2022-01-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/2/387 |
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| author | Sarah Woo Young-Su Ju Young-Gyun Seo Yoon-Myung Kim Hyunjung Lim Kyung-Hee Park |
| author_facet | Sarah Woo Young-Su Ju Young-Gyun Seo Yoon-Myung Kim Hyunjung Lim Kyung-Hee Park |
| author_sort | Sarah Woo |
| collection | DOAJ |
| description | This study compared the effects of a real-world multidisciplinary intervention with additional exercise or nutritional elements and investigated the effectiveness of a booster intervention after weight regain. A total of 242 children and adolescents (age- and sex-specific body mass index [BMI] ≥ 85th percentile, mean age: 10.82 years, 60% male) were allocated to three groups: usual care, exercise, or nutrition. Six-month active treatment with 1:1 session and a maintenance stage with group activities were repeated twice to comprise a 24-month intervention. The primary outcome was change % of the BMI z-score (zBMI). A total of 110 (45.4%) participants completed the 24-month intervention. A mixed-effects model analysis indicated no significant interaction effect of the intervention group and treatment phase on the zBMI change % (<i>p</i> = 0.976). However, there was a significant main effect of the treatment phase on zBMI change % at 6 months (β = −2.98, [95% CI, −5.69–0.27]), 18 months (β = −3.99, [95% CI, −6.76–1.22]), and 24 months (β = −3.23, [95% CI, −5.94–0.52]; <i>p</i> = 0.042). The improvements in zBMI, body fat %, and cardiometabolic markers were observed only among males. Whereas the additive effect of intensive exercise or nutritional feedback was not detected in the long term, a booster intervention with 1:1 counseling was effective even after weight regain during the maintenance period. It may be useful to combine individualized counseling with a less intensive form of group care for long-term maintenance in a real-world setting. |
| first_indexed | 2024-03-10T00:47:05Z |
| format | Article |
| id | doaj.art-73ecea326eca4e7baf1bac1b98d36b44 |
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| language | English |
| last_indexed | 2024-03-10T00:47:05Z |
| publishDate | 2022-01-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-73ecea326eca4e7baf1bac1b98d36b442023-11-23T14:58:39ZengMDPI AGNutrients2072-66432022-01-0114238710.3390/nu14020387Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN StudySarah Woo0Young-Su Ju1Young-Gyun Seo2Yoon-Myung Kim3Hyunjung Lim4Kyung-Hee Park5Department of Medical Sciences, College of Medicine, Hallym University, Chuncheon-si 24252, KoreaDepartment of Occupational Medicine, National Medical Center, Seoul 04564, KoreaDepartment of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University, Anyang-si 14068, KoreaUniversity College, Yonsei University International Campus, Incheon 21983, KoreaDepartment of Medical Nutrition, Kyung Hee University, Yongin-si 17104, KoreaDepartment of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University, Anyang-si 14068, KoreaThis study compared the effects of a real-world multidisciplinary intervention with additional exercise or nutritional elements and investigated the effectiveness of a booster intervention after weight regain. A total of 242 children and adolescents (age- and sex-specific body mass index [BMI] ≥ 85th percentile, mean age: 10.82 years, 60% male) were allocated to three groups: usual care, exercise, or nutrition. Six-month active treatment with 1:1 session and a maintenance stage with group activities were repeated twice to comprise a 24-month intervention. The primary outcome was change % of the BMI z-score (zBMI). A total of 110 (45.4%) participants completed the 24-month intervention. A mixed-effects model analysis indicated no significant interaction effect of the intervention group and treatment phase on the zBMI change % (<i>p</i> = 0.976). However, there was a significant main effect of the treatment phase on zBMI change % at 6 months (β = −2.98, [95% CI, −5.69–0.27]), 18 months (β = −3.99, [95% CI, −6.76–1.22]), and 24 months (β = −3.23, [95% CI, −5.94–0.52]; <i>p</i> = 0.042). The improvements in zBMI, body fat %, and cardiometabolic markers were observed only among males. Whereas the additive effect of intensive exercise or nutritional feedback was not detected in the long term, a booster intervention with 1:1 counseling was effective even after weight regain during the maintenance period. It may be useful to combine individualized counseling with a less intensive form of group care for long-term maintenance in a real-world setting.https://www.mdpi.com/2072-6643/14/2/387pediatric obesitylifestyle interventionbooster interventionmaintenance therapyBMI z-scorebody composition |
| spellingShingle | Sarah Woo Young-Su Ju Young-Gyun Seo Yoon-Myung Kim Hyunjung Lim Kyung-Hee Park Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study Nutrients pediatric obesity lifestyle intervention booster intervention maintenance therapy BMI z-score body composition |
| title | Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study |
| title_full | Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study |
| title_fullStr | Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study |
| title_full_unstemmed | Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study |
| title_short | Additive Effects of Exercise or Nutrition Intervention in a 24-Month Multidisciplinary Treatment with a Booster Intervention for Children and Adolescents with Overweight or Obesity: The ICAAN Study |
| title_sort | additive effects of exercise or nutrition intervention in a 24 month multidisciplinary treatment with a booster intervention for children and adolescents with overweight or obesity the icaan study |
| topic | pediatric obesity lifestyle intervention booster intervention maintenance therapy BMI z-score body composition |
| url | https://www.mdpi.com/2072-6643/14/2/387 |
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