Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15

Sugar-sweetened beverage (SSB) consumption remains a major target for interventions to treat severe obesity in children. Understanding how total energy consumption is divided among different types of beverages remains unclear. This study retrospectively examined how the consumption of beverage calor...

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Main Authors: Zahra Mohseni, Dmitry Tumin, David N. Collier, Natalie Taft, Suzanne Lazorick
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/19/4171
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author Zahra Mohseni
Dmitry Tumin
David N. Collier
Natalie Taft
Suzanne Lazorick
author_facet Zahra Mohseni
Dmitry Tumin
David N. Collier
Natalie Taft
Suzanne Lazorick
author_sort Zahra Mohseni
collection DOAJ
description Sugar-sweetened beverage (SSB) consumption remains a major target for interventions to treat severe obesity in children. Understanding how total energy consumption is divided among different types of beverages remains unclear. This study retrospectively examined how the consumption of beverage calories (kcal) from 100% fruit juice and SSBs, and body mass index, assessed as a percent of the 95th sex- and age-specific percentile (%of 95BMI), changed during the treatment of children with obesity aged 2–18 years. Treatment was provided by an integrative multi-disciplinary team, comprising a physician, a dietician/ nutritionist and a behavioralist employing motivational interviewing and a small change approach to promote improved sustainable health habits and induce a net negative energy balance. The sample included 155 patients, with 341 visits. The median age was 11 years, 60% were girls, and there was a median follow-up of 3.1 months. At baseline, the median %of 95BMI was 135 and the median kcal/day intake was 436 from juice and 263 from SSB. For each additional 100 kcal consumed/day from SSB and juice, the %of 95BMI increased by 1.4 percentage points. In the follow-up, each additional month was associated with 7 fewer kcal/day from SSB and juice combined, with a 0.5 percentage point increase in %of 95BMI. Children in this treatment program consumed fewer calories from SSB over time, although the %of 95BMI did not decrease. SSBs other than soda accounted for the majority of beverage kcal intake, therefore potentially providing a targeted direction for interventions.
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spelling doaj.art-cc072fb9d946408eb275eff59e2d8fdb2023-11-19T14:51:11ZengMDPI AGNutrients2072-66432023-09-011519417110.3390/nu15194171Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15Zahra Mohseni0Dmitry Tumin1David N. Collier2Natalie Taft3Suzanne Lazorick4Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USASugar-sweetened beverage (SSB) consumption remains a major target for interventions to treat severe obesity in children. Understanding how total energy consumption is divided among different types of beverages remains unclear. This study retrospectively examined how the consumption of beverage calories (kcal) from 100% fruit juice and SSBs, and body mass index, assessed as a percent of the 95th sex- and age-specific percentile (%of 95BMI), changed during the treatment of children with obesity aged 2–18 years. Treatment was provided by an integrative multi-disciplinary team, comprising a physician, a dietician/ nutritionist and a behavioralist employing motivational interviewing and a small change approach to promote improved sustainable health habits and induce a net negative energy balance. The sample included 155 patients, with 341 visits. The median age was 11 years, 60% were girls, and there was a median follow-up of 3.1 months. At baseline, the median %of 95BMI was 135 and the median kcal/day intake was 436 from juice and 263 from SSB. For each additional 100 kcal consumed/day from SSB and juice, the %of 95BMI increased by 1.4 percentage points. In the follow-up, each additional month was associated with 7 fewer kcal/day from SSB and juice combined, with a 0.5 percentage point increase in %of 95BMI. Children in this treatment program consumed fewer calories from SSB over time, although the %of 95BMI did not decrease. SSBs other than soda accounted for the majority of beverage kcal intake, therefore potentially providing a targeted direction for interventions.https://www.mdpi.com/2072-6643/15/19/4171child obesitybeverage consumptionsugar-sweetened beverageschild obesity treatmentchild obesity intervention
spellingShingle Zahra Mohseni
Dmitry Tumin
David N. Collier
Natalie Taft
Suzanne Lazorick
Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
Nutrients
child obesity
beverage consumption
sugar-sweetened beverages
child obesity treatment
child obesity intervention
title Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
title_full Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
title_fullStr Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
title_full_unstemmed Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
title_short Longitudinal Patterns of Beverage Intake in Treatment-Seeking Children with Obesity in Eastern NC Using the Validated BEVQ-15
title_sort longitudinal patterns of beverage intake in treatment seeking children with obesity in eastern nc using the validated bevq 15
topic child obesity
beverage consumption
sugar-sweetened beverages
child obesity treatment
child obesity intervention
url https://www.mdpi.com/2072-6643/15/19/4171
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