[Hypocaloric diet and normocaloric diet in outpatient treatment in a group of children and adolescents].
OBJECTIVE
The epidemic of obesity, mostly in pediatric age, is of increasing concern because of the impact of overweight on health status in adult life. We have evaluated the impact of two regimens (balanced hypocaloric diet or balanced normocaloric diet) in a group of children ad adolescents.


METHODS
We have studied 260 patients seen at a community pediatric clinic. Of these, 45 overweight, 35 obese and 6 patients with normal weight were selected. The subjects were assigned to a hypocaloric balanced diet plus lifestyle changes or a normocaloric balanced diet plus lifestyle changes.


RESULTS
In the obese patients on a hypocaloric diet, 64% of subjects remained in the "obese" category and 14% decided to shift to the "normocaloric diet". Also, the drop-out rate was 12%. In the obese patients on a normocaloric diet, 38% remained in the obese category, while 46% showed a reduction of their BMI to the "overweight" category. Moreover, the drop-out rate was lower (5%).


CONCLUSIONS
These findings suggest that a more gentle approach to obesity/overweight in pediatric patients, with less restrictive nutritional interventions, could achieve a better compliance of the family, with a consistent reduction of overweight.
Fontana
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ASL 2 Savona, Dipartimento Materno Infantile, Centro di Dietologia Pediatrica.
Damonte
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C
Pregliasco
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P
Roggi
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C
D000293:Adolescent; D000553:Ambulatory Care; D031204:Caloric Restriction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000178:diet therapy*; D050177:Overweight / Q000178:diet therapy