childhood obesity
Conditions
Interventions
The intervention group will consist of 96 participants and will receive 6 monthly consultations along with 6 standardized educational activities and contextualized with the 10 steps of the Food Guide
protein (15-30%), total fat (<30%), saturated fat <7% and cholesterol <200mg.
The prepared food plan will present information on the schedules, groups of
foods (milk and dairy products, breads and sim
Behavioural
SP6.026
Sponsors
Hospital Universitário Pedro Ernesto
Hospital Universitário Pedro Ernesto
Eligibility
Age
7 Years to 10 Years
Inclusion criteria
Inclusion criteria: Be between 7 and 10 years old. Be obese.
Exclusion criteria
Exclusion criteria: Possessing pre-existing genetic disorders associated with obesity such as congenital leptin deficiency, Down syndrome, Prader-Willi syndrome) or endocrine disorder (hypothyroidism, Cushing's syndrome). Children and adolescents with some deficiency that prevents the accomplishment of anthropometric measurements. Patients undergoing nutritional monitoring and using medications for weight loss.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end point of the study will be the variation of the Body Mass Index (BMI). In all consultations, the primary outcome and secondary endpoints, except insulin resistance, will be assessed, which will be assessed at baseline, in the third month, and at the end of the study. The body weight will be measured in portable electronic scale (Tanita BC-558). The height will be checked in duplicate, using a portable anthropometer, from the AlturaExata brand. Both measures will be measured with the evaluated, barefoot, wearing light clothes, with the arms extended to the side of the body, positioned by the horizontal plane of Frankfurt. The classification of nutritional status will be based on the values of BMI / Age, in z-scores, using the new curves of the World Saida Organization (WHO, 2007) using WHO- Anthro Plus 2007 software (WHO, 2007 ). The values obtained will be classified according to the cut-off points recommended by the WHO for children over 5 years of age, being low weight: below -2Z; eutrophy: between -2 and + 1Z; overweight: between +1 and + 2Z; obesity between + 2Z and + 3Z and severe obesity above 3Z of the reference median. This classification will be performed at the baseline to confirm the inclusion criteria. | — |
Secondary
| Measure | Time frame |
|---|---|
| Ratio of height and waist. To measure waist circumference, a flexible, inelastic tape measure measuring 150 cm and a variation of 0.1 mm shall be used. The Waist Circumference will be mediated with a tape horizontally midway between the lower border of the latter and the iliac crest (Callawayay et al., 1988). As the images became a constant tape on the skin, however, without the rapidity of the tissues, being evaluated the permanence with relaxed abdomen and with the arms extended to the side of the body. Measure the waist circumference and height, both in centimeters.;Circumference of the neck. The Neck Circumference will be measured at the average neck height.;Blood pressure. Blood pressure will be measured with the Omron®Hem 742 digital and electronic device, previously validated for use in adolescents (Christofaro et al., 2009). Before taking the measurement, it will be certified that the child or adolescent does not have a full bladder, did not take medication and / or coffee, did not feed until 30 minutes before the procedure and did not practice physical exercises until 1 hour before. The measurement will be performed on the right arm at the same level as the heart, leaning against a table with a flat surface with the palm of the hand facing up and the elbow slightly flexed. The individual should sit with their feet in contact with the flat floor or platform and remain in that position for 5 minutes at rest before the measurement (Pickering et al., 2005). Two BP measurements will be performed with a minimum interval of 2 minutes, and an average of 2 measurements will be calculated. If the difference between the 2 measurements is greater than or equal to 5 mmHg, 3 new measurements will be taken.;Percentage of body fat. The PGC will be evaluated by means of electric bioimpedance (BIA), using the portable electronic scale (Tanita BC-558). To reduce possible measurement errors, guidelines will be given to parents and children about the ingestion of liquids, coff | — |
Countries
Brazil
Contacts
Public ContactJoana Brandão
IMS-UERJ
Outcome results
None listed