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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MDPI AG
2023-09-01
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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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institution | Directory Open Access Journal |
issn | 2072-6643 |
language | English |
last_indexed | 2024-03-10T21:39:05Z |
publishDate | 2023-09-01 |
publisher | MDPI AG |
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series | Nutrients |
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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