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Acta Paediatr. 2010 Jun;99(6):888-95. doi: 10.1111/j.1651-2227.2009.01636.x. Epub 2009 Dec 11.

Dietary and lifestyle counselling reduces the clustering of overweight-related cardiometabolic risk factors in adolescents.

Author information

1
The Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland. maarit.hakanen@utu.fi

Abstract

AIM:

The aim of this study was to evaluate the impact of individualised dietary and lifestyle counselling, primarily aimed to decrease serum low-density lipoprotein cholesterol, on the clustering of overweight-related cardiometabolic risk factors in children.

DESIGN AND PARTICIPANTS:

The 7-month-old study children were randomized either to counselling (n = 540) or control group (n = 522).

MAIN OUTCOME MEASURES:

The 5- to 15-year-old participants who fulfilled the international criteria were classified as overweight. Being in the highest [lowest for high-density lipoprotein (HDL) cholesterol] age- and gender-specific quintile of body mass index (BMI), blood pressure, serum triglycerides, HDL cholesterol or glucose was considered a risk factor. A cluster was defined as having high BMI and > or = 2 other risk factors.

RESULTS:

The counselling did not reduce the prevalence of overweight in 5- to 15-year-old participants. From age 7 onwards, the proportion of children with > or = 2 risk factors was lower in the intervention than in the control group (p = 0.005). At the age of 15 years, 13.0% of girls and 10.8% of boys in the intervention group and 17.5% of girls and 18.8% of boys in the control group had the risk factor cluster (p = 0.046 for main effect of the study group). Having even one risk factor at the age of 5 years predicted the clustering of risk factors at the age of 15 years (OR: 3.8, p < 0.001).

CONCLUSION:

Repeated, individualized dietary and lifestyle counselling may reduce the clustering of overweight-related cardiometabolic risk factors in adolescents even though the counselling is not intense enough to prevent overweight.

[Indexed for MEDLINE]

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