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Anthropometric, Bone Age, and Bone Mineral Density Changes after a Family-Based Treatment for Obese Children

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Abstract

Our objective was to identify anthropometric, bone age, and bone mineral density (BMD) changes after a family-based treatment program for obese children. We conducted a longitudinal prospective study of 50 obese children (body mass index percentage [BMI%] ≥120%) aged 9.12 ± 1.72 years (range 6–13) at baseline. A family-based treatment program, based on inadequate feeding style with progressive modification, aerobic physical exercise increase, active parental involvement, and the use of behavioural strategies (contracting, self-monitoring, social reinforcement), was developed during a 12-month period. Anthropometric data, lumbar spine (L2-L4) BMD by dual-energy X-ray absorptiometry, bone age (BA), bone age to chronological age ratio (BA/CA), and predicted adult height (PAH) were determined at baseline and 12 months. The statistical method used was analysis of variance and the paired Student t-test. Mean BMI standard deviation score (SDS) loss was –0.61 ± 0.76 and BMI% loss was –5.17 ± 9.73%. Height SDS significantly decreased, BA/CA ratio also decreased significantly, and PAH change was not significant. Lumbar spine BMD SDS and BMD% did not significantly change. A family-based treatment program was effective in obese children by reducing by 5% the BMI in 1 year and increasing the activity level. Treatment reduced growth velocity and delayed bone maturation rate without affecting PAH, reflecting a situation of previous early maturation. The treatment did not modify gaining bone mass.

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Authors and Affiliations

  1. Department of Pediatrics, Virgen Macarena University Hospital, Avda, Dr. Fedriani s/n, Seville, 41009, Spain

    J. Antonio Bermudez de la Vega, Susana Bernal, F. Javier Gentil, Jose Gonzalez-Hachero & Ramón Pérez-Cano

  2. Department of Internal Medicine, Osteoporosis Unit, Virgen Macarena University Hospital, Avda, Dr. Fedriani s/n, Seville, 41009, Spain

    M. Angeles Vázquez & M. Jose Montoya

Authors
  1. J. Antonio Bermudez de la Vega
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  2. M. Angeles Vázquez
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  3. Susana Bernal
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  4. F. Javier Gentil
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  5. Jose Gonzalez-Hachero
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  7. Ramón Pérez-Cano
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Correspondence to M. Angeles Vázquez.

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Bermudez de la Vega, J.A., Vázquez, M.A., Bernal, S. et al. Anthropometric, Bone Age, and Bone Mineral Density Changes after a Family-Based Treatment for Obese Children. Calcif Tissue Int 81, 279–284 (2007). https://doi.org/10.1007/s00223-007-9071-8

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  • DOI: https://doi.org/10.1007/s00223-007-9071-8

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