Milk proteins and micronutrients could be beneficial in the prevention and treatment of obesity. The objective was to evaluate a supplement with milk proteins and multivitamins and minerals with nutrition education on anthropometry, body composition, micronutrient status, blood pressure, lipid profile, systemic inflammation, leptin and insulin resistance in obese children at baseline and after 6 months.
Obese children were selected in elementary schools from 5 rural communities of the State of Querétaro. One hundred fifty two obese children (Z-score \>2 standard deviations) aged 6-11y were randomly assigned to receive one of two treatments: 1) 237mL/day of milk proteins and multiple micronutrients supplement (MPMS) plus Nutrition Education (NE) program or 2) NE alone for 24 weeks. Children in both groups were evaluated at baseline and 6 months after treatment initiated. At both times the following variables were evaluated: Visit 1 (Screening): Mothers and parents received oral and written information regarding all aspects of the study. Informed consent, medical history, demographic information, weight and height were obtained. Visit 2 (Clinical Laboratory testing): A blood preasure and sample was taken by an specialist. Blood test included Glucose, total cholesterol, triglycerides, HDL cholesterol and LDL cholesterol, Tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6) and interleukin-10 (IL-10), C reactive protein, insulin and leptin. Visit 3 (Nutrition Clinic at UAQ): body composition was determined by DEXA. The NE were given at Nutrition Clinic and school to the children's parents each week.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
152
Obese children were divided in 2 groups. A group received the supplement plus nutrition education and other group was a control, only received nutrition education.
Group received nutrition education program during 6 months
Total body fat
change in fat
Time frame: baseline to 6 months
Total cholesterol
Change in total cholesterol
Time frame: Beaseline to 6 months
HDL
change in HDL
Time frame: Baseline to 6 months
LDL
change in LDL
Time frame: baseline to 6 months
Triglycerides
change in triglycerides
Time frame: baseline to 6 months
Glucose
change in glucose
Time frame: baseline to 6 months
Interleukin 6 (IL-6)
Change in IL-6
Time frame: baseline to 6 months
Interleukin 10 (IL-10)
change of IL-10 change in IL-10
Time frame: baseline to 6 months
C reactive protein (CRP)
change of CRP
Time frame: baseline to 6 months
Bone mineral density (BMD)
change in BMD
Time frame: baseline to 6 months
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Body mass index (BMI)
Change in BMI
Time frame: Baseline to 6 months
Zinc levels
Change in zinc levels
Time frame: baseline to 6 months
Iron levels
Change in iron levels
Time frame: baseline to 6 months
A vitamin levels
change in A vitamin levels
Time frame: baseline to 6 months
C vitamin levels
change of C vitamin levels
Time frame: baseline to 6 months
D vitamin levels
change in D vitamin levels
Time frame: baseline to 6 months
E vitamin levels
change of E vitamin levels
Time frame: baseline to 6 months
Systolic blood pressure (SBP)
change in SBP
Time frame: baseline to 6 months
Diastolic blood pressure (DBP)
change in (DBP)
Time frame: baseline to 6 months