Diet quality index as a predictor of treatment efficacy in overweight and obese adolescents: The EVASYON study
| Autor: | Luis A. Moreno, Belén Zapatera, Manuel Lorenzo Delgado, Ahmad Agil, María E. Calle, A. Fernández-Mayorga, Santiago Navas-Carretero, T. Pozo, Miguel Martín-Matillas, J. Fernández, J A Martínez, M. Pérez-Expósito, Julia Wärnberg, Jose A. Martín-Lagos, R. Sanz, C. Muro, A. Villaseñor, Miguel García-Fuentes, David Martínez-Gómez, Javier Romeo, Pablo Tercedor, Danilo R. Silva, C. Pérez-Ballesteros, Óscar L. Veiga, M.G. Miranda, A.M. Pérez-Granados, Ascensión Marcos, Amelia A. Martí del Moral, A. Moleres, Domingo González-Lamuño, M.P. Vaquero, Germán Vicente-Rodríguez, P. Romero, T. Rendo, Gloria Bueno, J. M. Garagorri, María José Cuesta Aguilar, P. Rey, Gerardo Rodríguez, Pilar De Miguel-Etayo, Carlos Redondo-Figuero, Esther Nova, M.J. Piqueras, Amelia Marti, Javier Santabárbara, P. DeRufino, Teresa Amigo, E Martin-Bautista, Gemma López-Belmonte, Cristina Campoy, Virginia A. Aparicio, A. Carbonell, M. Garófano, Sonia Gómez-Martínez, Palma Chillón, R. Muñoz, María José Aradilla Marqués, D. Madruga, Ariel Villagra, Gonzalo Morandé, C. Azcona-SanJulian, Maria Cristina Azcona-San Julian, L. Barrios, Concepción Tomás, Ma.I. Mesana, M. A. Puertollano, P. Sánchez, E.L. Díaz |
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| Přispěvatelé: | Instituto de Salud Carlos III, Ministerio de Sanidad, Consumo y Bienestar Social (España), Ministerio de Asuntos Exteriores y Cooperación (España), Diputación General de Aragón, European Commission |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Pediatric Obesity Index (economics) Adolescent Family support Multi-intervention approach 030209 endocrinology & metabolism Overweight Adolescents Critical Care and Intensive Care Medicine Dietary compliance 03 medical and health sciences 0302 clinical medicine Intensive Phase Intervention (counseling) Weight Loss medicine Humans Meal 030109 nutrition & dietetics Nutrition and Dietetics business.industry Diet quality index Treatment efficacy Diet Weight Reduction Programs Diet quality Spain Physical therapy Patient Compliance Fat mass loss Female medicine.symptom business Nutritive Value |
| Zdroj: | Digital.CSIC. Repositorio Institucional del CSIC instname Zaguán. Repositorio Digital de la Universidad de Zaragoza |
| Popis: | The EVASYON Study Group. [Background & aim]: A diet quality index (DQI) is a tool that provides an overall score of an individual's dietary intake when assessing compliance with food-based dietary guidelines. A number of DQIs have emerged, albeit their associations with health-related outcomes are debated. The aim of the present study was to assess whether adherence to dietary intervention, and the overall quality of the diet, can predict body composition changes. [Methods]: To this purpose, overweight/obese adolescents (n = 117, aged: 13–16 years; 51 males, 66 females) were recruited into a multi-component (diet, physical activity and psychological support) family-based group treatment programme. We measured the adolescents' compliance and body composition at baseline and after 2 months (intensive phase) and 13 months (extensive phase) of follow-up. Also, at baseline, after 6 months, and at the end of follow-up we calculated the DQI. [Results]: Global compliance with the dietary intervention was 37.4% during the intensive phase, and 14.3% during the extensive phase. Physical activity compliance was 94.1% at 2-months and 34.7% at 13months and psychological support compliance were growing over the intervention period (10.3% intensive phase and 45.3% during extensive phase). Adolescents complying with the meal frequency criteria at the end of the extensive phase had greater reductions in FMI z-scores than those did not complying (Cohen's d = 0.53). A statistically significant association was observed with the diet quality index. DQI-A variation explained 98.1% of BMI z-score changes and 95.1% of FMI changes. [Conclusions]: We conclude that assessment of changes in diet quality could be a useful tool in predicting body composition changes in obese adolescents involved in a diet and physical activity intervention programme backed-up by psychological and family support. The study was supported by the Ministry of Health, Social Services and Equality via the Carlos III Institute of Health (FIS Grant PI051080, PI051579). The EVASYON study received the award for the best applied research project in 2009 from AESAN (Spanish Agency for Food Safety and Nutrition from the Spanish Ministry of Health and Consumer Affairs. The study was supported by Aragon's Regional Government (DGA, Diputación General de Aragón) and European Regional Development Fund. |
| Databáze: | OpenAIRE |
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