title: [The impact of nutritional education on metabolic disorders in obese children and adolescents].
abstract: BACKGROUND
  Childhood obesity has become a serious public health problem. Nutritional therapy plays an important role in its prevention and treatment.
  
  
  METHODS
  A nonrandomized clinical trial was conducted in 40 obese children and adolescents who underwent a complete medical history and assessment of eating habits through 24-hour food recall and a frequency of food consumption questionnaire. In all patients, body weight, height, skinfold thickness, waist and hip circumferences and fasting glucose, total cholesterol, high density lipoprotein (HDL)-cholesterol, low density lipoprotein (LDL)-cholesterol, and triglyceride levels were measured. The nutritional intervention consisted of identifying the calorie consumption and nutrient intake, and participants were given advice aimed at changing eating habits with a healthy normocaloric diet. After 4 months, biochemical, anthropometric and dietary indicators were measured again.
  
  
  RESULTS
  Significant reductions were observed in body weight (56.0 +/- 16.5 to 54.4 +/- 16.1 kg), body mass index (26.5 +/- 3.7 to 25.1 +/- 3.1), waist circumference (86.4 +/- 11.6 to 81.4 +/- 11.4 cm) and mid-arm circumference (29.0 +/- 5.0 to 26.0 +/- 4.2 mm). Significant reductions were also observed in total cholesterol (167.1 +/- 30.0 to 156.0 +/- 26.5 mg/dl) and LDL-cholesterol (103.0 +/- 21.4 to 84.6 +/- 26.0 mg/dl). A significant increase was found in HDL values (38.0 +/- 7.8 to 43.4 +/- 9.3 mg/dl). In all comparisons, the p-value was < 0.05.
  
  
  CONCLUSIONS
  Counseling aimed at changing eating habits is effective in reducing body weight and improves lipid profile in children and adolescents with obesity.
authors.affiliation: Unidad de Investigación en Epidemiología Clínica, Hospital Regional Carlos MacGregor Sánchez Navarro, Instituto Mexicano del Seguro Social, Delegación Benito Juárez, México DF, México. lubia.velazquez@imss.gob.mx
authors.forename: Lubia
authors.initials: L
authors.lastname: Velázquez López
authors.forename: Jennifer Marisol
authors.initials: JM
authors.lastname: Rico Ramos
authors.forename: Margarita
authors.initials: M
authors.lastname: Torres Tamayo
authors.forename: Patricia
authors.initials: P
authors.lastname: Medina Bravo
authors.forename: Luis Esteban
authors.initials: LE
authors.lastname: Toca Porraz
authors.forename: Jorge
authors.initials: J
authors.lastname: Escobedo de la Peña
mesh_terms: D000293:Adolescent; D002648:Child; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000178:diet therapy / Q000378:metabolism*; D010353:Patient Education as Topic