Body Mass Index In Obese Adolescents Research Articles

DEMOGRAPHIC CHARACTERISTICS AND BODY MASS INDEX IN OBESE ADOLESCENTS

Background: The prevalence of adolescent obesity is increasing in Indonesia. Obesity can reduce the quality of life, especially as most obese adolescents remain obese after they become adult. In obese adolescents, the higher their IMT (intima-media thickness), the higher the risk of cardiovascular disease in adulthood. Purpose: The aim of this study is to analyse the correlation of demographic characteristics with BMI (body mass index) in adolescents with obesity. Methods: This study is a cross-sectional study on adolescents with obesity conducted in the Paediatric Nutrition and Metabolic Disease Clinic of Dr Soetomo General Hospital, Surabaya. The data on demographic characteristics, such as gender, number of siblings, paternal education, maternal education, and maternal occupation, were collected using the interview method. Data on anthropometry were collected to calculate BMI. Obesity is established if it is higher than the 95th percentile, based on CDC percentile of BMI, according to age and sex. Data were analysed using multiple regression. Results: A total of 59 obese adolescents, between 13 and 16 years old, were involved. As many as 49.20% of respondents had one sibling. As many as 52.50% of respondents had a father with a high school education and 44.10% of respondents had mothers with a high school education; 61% of respondents had working mothers. There was no correlation between BMI and demographic characteristics (p> 0.05), except for number of siblings (p = 0.02). Conclusion: In this study, the number of siblings was correlated with BMI. A study with a greater number of obese adolescents and with adolescents who have normal nutritional status is needed to fully assess the influence of demographic characteristics on BMI in obese adolescents.

A community-based motivational personalised lifestyle intervention to reduce BMI in obese adolescents: results from the Healthy Eating and Lifestyle Programme (HELP) randomised controlled trial

ObjectiveApproximately 7% of children and young people aged 5–15 years in the UK have obesity at a level likely to be associated with comorbidities. The majority of multicomponent lifestyle programmes...

Metformin in combination with structured lifestyle intervention improved body mass index in obese adolescents, but did not improve insulin resistance

This study assessed the efficacy of adding metformin to a structured lifestyle intervention in reducing BMI in obese adolescents with insulin resistance. Obese adolescents (25) aged 10-16 years with a body mass index (BMI) > 95th percentile and insulin resistance (Homeostasis Model Assessment-HOMA) > 3.0 were assessed in a community clinic. A structured lifestyle intervention comprising nutritional and exercise education and motivational support in both individual and group sessions was delivered over 6 months. Subjects were randomized to lifestyle intervention alone or with metformin (1500 g daily). The primary outcome measures were a change in BMI and modification of metabolic risk factors, including insulin resistance, plasma lipids and adipocytokines. Eleven adolescents receiving lifestyle and metformin intervention and 14 receiving lifestyle alone completed the study. BMI decreased by 1.8 kg/m(2) with lifestyle and metformin but did not change with lifestyle alone. HOMA was significantly decreased in the lifestyle intervention group, but not following metformin, while the adiponectin/leptin ratio improved significantly in both groups. Dyslipidemic profiles improved most significantly with metformin. We conclude that metformin in combination with a 6-month structured lifestyle intervention is effective in reducing BMI in obese adolescents but did not improve insulin resistance. Lifestyle intervention, with or without metformin, improved metabolic risk factors such as plasma lipids and adipocytokines.