title: Individualized tailor-made dietetic intervention program at schools enhances eating behaviors and dietary habits in obese Hispanic children of low socioeconomic status.
abstract: Hispanic children and those from low-socioeconomic status are predisposed to unhealthy eating habits and obesity.
  
  
  OBJECTIVE
  to implement an individualized, face-to-face, parent supported, and school-partnership dietetic intervention to promote healthy eating habits and decrease body mass index. Prospective school year dietetic intervention of 101 obese, Hispanic, low-socioeconomic school-age children representative of Monterrey, Mexico, consisted of anthropometrics, dietetic assessment, energy-restriction tailor-made daily menus, and parental education every three weeks. Student's t-test was used for means comparison. A significant decrease was found in body mass index percentile (96.43 ± 3.32 to 93.42 ± 8.12/P = 0.00) and energy intake/day of -755.7 kcal/day (P = 0.00). Among other energy dense foods with significant decline in servings/day and servings/week were processed meats (3.13 ± 1.43 to 2.19 ± 1.04/P = 0.00 and 5.60 ± 1.75 to 4.37 ± 2.10/P = 0.00, resp.), saturated fat (1.47 ± 1.08 to 0.78 ± 0.79/P = 0.00 and 2.19 ± 2.18 to 1.1 ± 1.36/P = 0.00), sweetened beverages (2.79 ± 1.99 to 1.42 ± 1.21 and 6.21 ± 1.72 to 3.89 ± 2.80/P = 0.00), and desserts and refined-grain bakery (1.99 ± 1.54 to 1.32 ± 1.59 and 2.85 ± 2.54 to 1.57 ± 2.20/P = 0.00). There was a significant increase in servings/day and servings/week of water (2.98 ± 2.02 to 4.91 ± 2.37 and 6.62 ± 2.03 to 6.87 ± 0.91/P = 0.00, resp.) and nutrient dense foods such as fruits (1.31 ± 0.89 to 1.66 ± 0.96 and 3.34 ± 2.24 to 4.28 ± 2.43/P = 0.00) and fish and poultry (3.76 ± 2.15 to 4.54 ± 2.25/P = 0.00). This intervention created healthy eating habits and decreased body mass index in a high risk population.
  
  
  BACKGROUND
  NCT01925976.
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Leticia
authors.identifier: 0000-0002-2076-1769
authors.initials: L
authors.lastname: Elizondo-Montemayor
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Diana
authors.initials: D
authors.lastname: Moreno-Sànchez
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Norma G
authors.initials: NG
authors.lastname: Gutierrez
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Fabiola
authors.identifier: 0000-0003-3989-4526
authors.initials: F
authors.lastname: Monsivais-Rodriguez
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Ubaldo
authors.identifier: 0000-0001-9643-9293
authors.initials: U
authors.lastname: Martinez
authors.affiliation: Clinical Nutrition and Obesity Research Center, School of Medicine and Health Sciences, Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Ana C
authors.initials: AC
authors.lastname: Lamadrid-Zertuche
authors.affiliation: Tecnológico de Monterrey, Avenue Morones Prieto 3000 Pte., Col. Los Doctores, 64710 Monterrey, NL, Mexico.
authors.forename: Martin M
authors.initials: MM
authors.lastname: Hernandez-Torre
mesh_terms: D031204:Caloric Restriction; D002648:Child; D018752:Diet, Fat-Restricted; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009765:Obesity / Q000178:diet therapy* / Q000453:epidemiology / Q000208:ethnology; D011203:Poverty; D012574:Schools