E. Pavlovskaya, O. Titova, M. Bagaeva, M. Shavkina, T. Strokova
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Body fat mass (FM), fat-free mass (FFM), the amount of total body water, extracellular and intracellular fluid, protein, minerals, and the phase angle were determined. Results. At the beginning of the study, all children were found to have excess FM, and 47 (58%) had an increase in FFM due to muscle mass and intracellular fluid. By the end of treatment, there was a decrease in body weight, body mass index (BMI), BMI SDS, waist and hip circumference (p < 0.001) in all children. The amount of body fat decreased by 4.15% [2,6; 6,7]. Most children showed a statistically significant decrease in all FFM components by 2.4-2.7%. Protein loss during hospitalization was 0.3 kg [0.1; 0.4], mineral loss was 0.07 kg [0.01; 0.14]. The phase angle value at the beginning of the study was 5.5 [5.1; 6.1], at the end of the study – 5.4 [5.1; 5.9], p = 0.07. Conclusion. As a result of short-term adherence to the hypocaloric diet in inpatient settings, all children with obesity demonstrated a decrease in both FM and FFM against the background of a statistically significant decrease in BMI SDS. A comprehensive approach to treatment, combining the recommended calorie intake with the amount of protein according to the age group and structured physical activity, is necessary to preserve FFM in order to maintain resting energy expenditure. Body composition monitoring is required during the treatment of obesity. Key words: obesity, children, treatment, hypocaloric diet, fat-free mass, fat mass, body composition","PeriodicalId":53444,"journal":{"name":"Voprosy Detskoi Dietologii","volume":"14 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dynamics of body composition parameters in children with obesity against the background of hypocaloric diet in inpatient settings\",\"authors\":\"E. Pavlovskaya, O. Titova, M. Bagaeva, M. Shavkina, T. Strokova\",\"doi\":\"10.20953/1727-5784-2022-4-42-50\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective. To study the dynamics of body composition parameters in obese children against the background of hypocaloric diet in inpatient settings. Patients and methods. This study enrolled 89 children aged 5 to 17 (13 [12; 15]) years, of whom 44% were boys. The inpatient treatment program for obesity included a low-fat and low-carbohydrate diet with an energy value of 1668 kcal/day and therapeutic exercise. To assess the effectiveness of treatment, the clinical and anthropometric examination and body composition evaluation by bioelectrical impedance analysis (BIA) using the InBody 770 stationary analyzer (Biospace Co. Ltd., Korea) were performed at the beginning and at the end of inpatient treatment. Body fat mass (FM), fat-free mass (FFM), the amount of total body water, extracellular and intracellular fluid, protein, minerals, and the phase angle were determined. Results. At the beginning of the study, all children were found to have excess FM, and 47 (58%) had an increase in FFM due to muscle mass and intracellular fluid. By the end of treatment, there was a decrease in body weight, body mass index (BMI), BMI SDS, waist and hip circumference (p < 0.001) in all children. The amount of body fat decreased by 4.15% [2,6; 6,7]. Most children showed a statistically significant decrease in all FFM components by 2.4-2.7%. Protein loss during hospitalization was 0.3 kg [0.1; 0.4], mineral loss was 0.07 kg [0.01; 0.14]. The phase angle value at the beginning of the study was 5.5 [5.1; 6.1], at the end of the study – 5.4 [5.1; 5.9], p = 0.07. Conclusion. As a result of short-term adherence to the hypocaloric diet in inpatient settings, all children with obesity demonstrated a decrease in both FM and FFM against the background of a statistically significant decrease in BMI SDS. A comprehensive approach to treatment, combining the recommended calorie intake with the amount of protein according to the age group and structured physical activity, is necessary to preserve FFM in order to maintain resting energy expenditure. Body composition monitoring is required during the treatment of obesity. 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引用次数: 0
摘要
目标。研究住院低热量饮食背景下肥胖儿童体成分参数的动态变化。患者和方法。本研究招募了89名5至17岁的儿童(13 [12;[15])岁,其中44%是男孩。肥胖症的住院治疗计划包括低脂肪和低碳水化合物饮食,能量值为1668千卡/天,以及治疗性运动。为了评估治疗的有效性,在住院治疗开始和结束时,使用InBody 770固定式分析仪(Biospace Co. Ltd., Korea)进行临床和人体测量检查,并通过生物电阻抗分析(BIA)评估身体成分。测定体脂质量(FM)、无脂质量(FFM)、体内总水量、细胞外液和细胞内液、蛋白质、矿物质和相角。结果。在研究开始时,发现所有儿童都有过量的FM, 47例(58%)的FFM由于肌肉质量和细胞内液而增加。治疗结束时,所有儿童的体重、体重指数(BMI)、BMI SDS、腰围和臀围均下降(p < 0.001)。体脂量下降4.15% [2,6;6、7]。大多数儿童FFM各成分均有统计学意义上的下降,降幅为2.4-2.7%。住院期间蛋白质损失0.3 kg [0.1;0.4],矿物质损失0.07 kg [0.01];0.14]。研究开始时相角值为5.5 [5.1;6.1],研究结束时- 5.4 [5.1;5.9], p = 0.07。结论。由于在住院环境中短期坚持低热量饮食,所有肥胖儿童的FM和FFM都有所下降,而BMI SDS有统计学意义上的显著下降。综合治疗方法,将推荐的卡路里摄入量与根据年龄组和有组织的身体活动的蛋白质量结合起来,是保持FFM以维持静息能量消耗所必需的。在治疗肥胖的过程中,需要监测身体成分。关键词:肥胖,儿童,治疗,低热量饮食,无脂量,脂肪量,身体成分
Dynamics of body composition parameters in children with obesity against the background of hypocaloric diet in inpatient settings
Objective. To study the dynamics of body composition parameters in obese children against the background of hypocaloric diet in inpatient settings. Patients and methods. This study enrolled 89 children aged 5 to 17 (13 [12; 15]) years, of whom 44% were boys. The inpatient treatment program for obesity included a low-fat and low-carbohydrate diet with an energy value of 1668 kcal/day and therapeutic exercise. To assess the effectiveness of treatment, the clinical and anthropometric examination and body composition evaluation by bioelectrical impedance analysis (BIA) using the InBody 770 stationary analyzer (Biospace Co. Ltd., Korea) were performed at the beginning and at the end of inpatient treatment. Body fat mass (FM), fat-free mass (FFM), the amount of total body water, extracellular and intracellular fluid, protein, minerals, and the phase angle were determined. Results. At the beginning of the study, all children were found to have excess FM, and 47 (58%) had an increase in FFM due to muscle mass and intracellular fluid. By the end of treatment, there was a decrease in body weight, body mass index (BMI), BMI SDS, waist and hip circumference (p < 0.001) in all children. The amount of body fat decreased by 4.15% [2,6; 6,7]. Most children showed a statistically significant decrease in all FFM components by 2.4-2.7%. Protein loss during hospitalization was 0.3 kg [0.1; 0.4], mineral loss was 0.07 kg [0.01; 0.14]. The phase angle value at the beginning of the study was 5.5 [5.1; 6.1], at the end of the study – 5.4 [5.1; 5.9], p = 0.07. Conclusion. As a result of short-term adherence to the hypocaloric diet in inpatient settings, all children with obesity demonstrated a decrease in both FM and FFM against the background of a statistically significant decrease in BMI SDS. A comprehensive approach to treatment, combining the recommended calorie intake with the amount of protein according to the age group and structured physical activity, is necessary to preserve FFM in order to maintain resting energy expenditure. Body composition monitoring is required during the treatment of obesity. Key words: obesity, children, treatment, hypocaloric diet, fat-free mass, fat mass, body composition
期刊介绍:
The scientific journal Voprosy Detskoi Dietologii is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Food Science, Pediatrics, Perinatology, and Child Health, Nutrition and Dietetics, Клиническая медицина.