title: Diet and exercise intervention, with special reference to micronutrients, reduces cardiometabolic risk in overweight children.
abstract: OBJECTIVE
  To study the effect of lifestyle intervention in the presence of multivitamin-zinc supplementation in improving the cardiometabolic status of overweight children.
  
  
  METHODS
  Data were evaluated in 74 overweight children (11.3 ± 2.9 years) randomly assigned to three groups of intervention for 4 months as follows: group A: diet-exercise counseling with multivitamin-zinc supplementation; group B: diet-exercise counseling; and group C: placebo. Anthropometric, biochemical, carotid arterial and lifestyle parameters were assessed.
  
  
  RESULTS
  Lifestyle counseling resulted in significant reduction in inactivity, energy and fat intakes and increase in micronutrient density of diets and physical activity in groups A and B in comparison to group C. Percent decline in body fat was more in group A than in groups B and C. Percent change in triglycerides (-13.7%) was significantly higher in group A than in groups B (-5.9%) and C (5.7%). Pulse wave velocity and elasticity modulus reduced and arterial compliance improved significantly in group A than in group B.
  
  
  CONCLUSIONS
  Multivitamin-zinc supplementation with lifestyle intervention has a positive effect of on the cardiometabolic status of overweight children.
authors.affiliation: Hirabai Cowasji Jehangir Medical Research Institute, Sassoon Road, Pune, India.
authors.forename: Vaman V
authors.initials: VV
authors.lastname: Khadilkar
authors.forename: Deepa S
authors.initials: DS
authors.lastname: Pandit
authors.forename: Anuradha V
authors.initials: AV
authors.lastname: Khadilkar
authors.forename: Shashi A
authors.initials: SA
authors.lastname: Chiplonkar
authors.forename: Arun S
authors.initials: AS
authors.lastname: Kinare