The effect of dietary intervention and physical activities on the lipid profile of obese children
Keywords:
febrile convulsion, recurrent febrile convulsion
Abstract
Background Obesity is defined as body weight increase due toexcessive fat accumulation. Obesity during childhood and teenage
years is related to cardiovascular risks including hyperinsulinism,
hypercholesterolemia, decreased high density lipoprotein (HOI),
and hypertension. The principles of managing obesity are reducing
energy intake and increasing energy use, e.g., by increasing physical
activities, changing life habits and, most importantly by involving
family in the therapeutic process.
Objective To evaluate the effect of dietary intervention and
physical activity on obese children.
Methods Seventy-six obese primary school children were
randomly allocated to either receive intervention (diet and
physical activities) or no intervention. At the beginning of the
study, lipid profile was measured in all subjects. Subjects in the
intervention group were asked to reduce calorie intake by 200 -
500 kCal per day, and participating in a walk of 20-30 minutes for
five days per week over a period of one month. After one month,
the lipid profile of both groups was remeasured and compared.
Results After one month, 7 3 children had successfully completed
the study and had complete data for analysis. There was a
significant change in the mean HOL level before intervention
(47.3 [SO 36.2] mg/dl) compared with after intervention (100.5
[SO 35.7] mg/dl, P<0.05) in the group where intervention was
implemented.
Conclusion There are no significant differences in serum lipid
values after intervention in both groups.
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RM, Jenson HB, editors. Nelson textbook of pediatrics. 16'h
edition. Philadephia: WB Saunders, 2000; p. 172-6.
2. Dietz WH, Bellitzi MC. Introduction: the use of body mass
of index of to assess obesity in children. Am J Clin Nutr.
1999;70:123S-5S.
3. Mclennan J. Obesity in children tackling a growing problem.
Australian Family Physcian. 2004;33:33-6.
4. Five SCVC, Arrais RF, Almeida MG, Souza ZM, Pedrosa
LFC. Plasma of lipid profile and lipid peroxidation in
overweight or obese children and adolescents. J Pediatr.
2004;80:23-8.
5. Kamelia E. Kejadian obesitas pada anak usia 10-13 tahun
di tiga sekolah dasar negeri dan tiga sekolah dasar swasta
kotamadya Medan [Thesis]. Medan: North Sumatera
University; 1999.
6. Freemark M. Obesity. Available from: http: //www.emedecine.
com/ped! topicl699.htm
7. Melany TA. Profit klinis laboratoris serta sikap dan perilaku
murid sekolah dasar dengan obesitas: Studi kasus di SO
Tarakanita 5, SOl Al-Azhar rawamangun dan SOl AIAzhar
Kelapa Gading Jakarta [Thesis]. Jakarta: University
oflndonesia; 2002.
8. Srinivasan SR, Berenson GS. Serum apolipoprotein A1 and
B as markers of coronary artery disease risk in early life: The
Bogalusa heart study. Clin Chern. 1995;41:159-64.
9. Goran Ml, Ball GDC, Cruz ML. Cardiovascular Endocrinology
2: Obesity and risk of type 2 diabetes and cardiovascular
disease in children and adolescents. J Clin Endocrinol.
2003;88:1417-27.
10. Childhood and Adolescent Obesity. Available from:
http: I /www. Healtyeatingclub. com/ info/ articles/infantchild!
childhoodobesity.htm.
11. Al-Shehri SN, Saleh ZA, Salama MM, Hassan YM.
Prevalence of hyperlipidemia among Saudi School Children
in Riyadh. An Saudi Med. 2004;24:6-8.
12. Obert P, Mandigout S, Vinet A, N'Guyen LD, Stacken F,
Courteix D. Effect of aerobic training and detraining on left
ventricular dimensions and diastolic function in prepubertal
boys and girls. lnt J Sports Med. 2001 ;22:90-6.
13. Sung RYT, Yu C, Chang SKY, Mo SW, Woo KS, Lam CWK.
Effect of dietary intervention and strength training and
blood lipid level in obese children. Arch Dis Child. 2002;86;
407-10.
14. Chen AK, Roberts CK, Barnard RJ. Effect of a short-term
diet and exercise intervention on metabolic syndrome in
overweight children. Metabolism Clinical and Experimental.
2006;55:871-8.
15. Kraus WE, Houmard JA, Duscha BD. Effects of the amount
and intensity of exercise on plasma lipoproteins. N Eng! J
Med. 2007;347:1483-92.
16. Nemed D, Barkan S, Epstein Y. Short and long -term
beneficial effects of a combined dietary-behavioral-physical
activity intervention for the treatment of childhood obesity.
Pediatrics. 2005; 115:443-9.
Published
2009-04-30
How to Cite
1.
Atikah F, Siddik N, Sembiring T, Ariani A. The effect of dietary intervention and physical activities on the lipid profile of obese children. PI [Internet]. 30Apr.2009 [cited 24Nov.2024];49(2):108-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/536
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Received 2016-09-10
Accepted 2016-09-10
Published 2009-04-30
Accepted 2016-09-10
Published 2009-04-30
