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- Title
Effect of a higher protein diet and lifestyle camp intervention on childhood obesity (The COPE study): results from a nonrandomized controlled trail with 52-weeks follow-up.
- Authors
Jakobsen, Dorthe D.; Brader, Lea; Bruun, Jens M.
- Abstract
Purpose: In adults, diets rich in protein seem beneficial in relation to satiety, weight loss, and weight management; however, studies investigating dietary protein and weight development in children are scarce and inconsistent. This nonrandomized controlled trial aimed to investigate the effect of a higher protein diet during lifestyle intervention on anthropometry and metabolic biomarkers in children with overweight and obesity. Methods: Children (n:208) were recruited from two multicomponent lifestyle camps. One camp was assigned as the intervention group. In the intervention group, carbohydrates-rich foods at breakfast and two in-between-meals were replaced with protein-containing foods to increase the amount of protein from ~ 10–15 energy percent (E%) per day to ~ 25E% per day. Other components were similar between groups. Anthropometry and biochemical measurements were collected at baseline, 10 weeks (after camp) and 52 weeks. Results: The intervention group had a non-significant improvement in BMI-SDS (− 0.07 SD (− 0.19; 0.05), p = 0.24) compared to the control group, but in general, there was no effect of a higher protein diet on anthropometry and metabolic biomarkers. Overall, 10 weeks at camp resulted in a more favorable body composition [− 6.50 kg (p < 0.00), − 0.58 BMI-SDS (p < 0.00), and − 5.92% body fat (p < 0.00)], and improved metabolic health, with most changes maintained at 52 weeks. Conclusion: A higher protein diet had no significant effect on body composition and metabolic health; however, these lifestyle camps are an efficiatious treatment strategy for childhood obesity. Clinical trial registration: clinicaltrials.gov with ID: NCT04522921. Preregistered August 21st 2020.
- Subjects
LIFESTYLES; RESEARCH funding; BODY mass index; FOOD consumption; CLINICAL trials; BODY composition; QUESTIONNAIRES; TREATMENT effectiveness; DESCRIPTIVE statistics; PEDIATRICS; EXPERIMENTAL design; DIETARY proteins; HIGH-protein diet; CHILDHOOD obesity; ANTHROPOMETRY; CAMPING; BIOMARKERS; PATIENT aftercare; EVALUATION
- Publication
European Journal of Nutrition, 2024, Vol 63, Issue 6, p2173
- ISSN
1436-6207
- Publication type
Article
- DOI
10.1007/s00394-024-03420-z