Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Lifestyle modifications in an adolescent dormi­tory: a clinical trial

  • Abu-Kishk, Ibrahim (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Alumot-Yehoshua, Michal (School of Nutritional Sciences, Faculty of Agriculture, The Hebrew University of Jerusalem) ;
  • Reisler, Gadi (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Efrati, Shai (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Kozer, Eran (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Doenyas-Barak, Keren (Nephrology Unit, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Feldon, Michal (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Dagan, Zahi (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University) ;
  • Reifen, Rami (School of Nutritional Sciences, Faculty of Agriculture, The Hebrew University of Jerusalem) ;
  • Berkovitch, Matitiahu (Pediatric Division, Assaf Harofeh Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University)
  • Received : 2013.09.20
  • Accepted : 2013.12.24
  • Published : 2014.12.10
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Abstract

Purpose: Childhood obesity is an increasing public health issue worldwide. We examined dietary patterns among adolescents in a dormitory school, identified obese adolescents and tried to intervene to improve food habits and physical activity. Methods: We conducted an experimental prospective longitudinal study based on 36 obese (body mass index $[BMI]{\geq}95th$ percentile) adolescents (aged 12-18 years) compared with controls (healthy children: normal age-appropriate BMI ($BMI{\leq}85th$ percentile). Six months' intervention included lifestyle-modification counseling (once a week by a clinical dietician), and an exercise regimen twice a week, 60 minutes each time, instructed by a professional pediatric trainer). Both groups underwent baseline measurements at the beginning of the study and 6 months later (arterial stiffness, blood pressure, pulse, weight and height, hemoglobin, creatinine, liver enzymes, highly sensitive C-reactive protein and complete lipid profile). Results: Twenty-one participants completed the study. Low compliance from participants, school staff and parents was observed (participation in planned meetings; 71%-83%). BMI significantly decreased from $32.46{\pm}3.93kg/m^2$ to $30.32{\pm}3.4kg/m^2$ (P=0.002) in the study group. Arterial stiffness was not significantly different between the 2 groups and did not change significantly after 6 months' intervention (P=0.494). No significant changes in CRP and lipid profile were observed after the intervention. Conclusion: Making lifestyle modifications among adolescents in a dormitory school is a complex task. Active intervention indeed ameliorates BMI parameters. However, in order to maximize the beneficial effects, a multidisciplinary well-trained team is needed, with emphasis on integrating parents and the school environment.

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References

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