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Nutritional Counseling for Obese Children with Obesity-Related Metabolic Abnormalities in Korea
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Jeju National University Hospital, Jeju, Korea.
Insights
Child obesity in Korea is rising, impacting school-age and younger children. Effective management requires addressing risk factors and using tools like motivational interviewing for better health outcomes.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Child obesity presents a growing health concern in Korea, with alarming increases in prevalence since 2008.
- Obesity in children, including infants and preschoolers, has doubled, signaling a critical public health issue.
- Obese children face heightened risks for serious health complications.
Purpose of the Study:
- To outline essential considerations before initiating nutritional counseling for child obesity.
- To highlight key principles for effective short-term and long-term management of pediatric obesity.
- To introduce practical tools and approaches for nutritional counseling in pediatric obesity.
Main Methods:
- Assessment of modifiable risk factors associated with child obesity.
- Application of motivational interviewing techniques.
- Utilization of a multidisciplinary team approach for comprehensive care.
- Implementation of nutritional counseling tools such as the Traffic Light Diet, MyPlate, Food Balance Wheel, and Food Exchange Table.
Main Results:
- Identified modifiable risk factors, assessment strategies, and treatment principles as crucial for managing child obesity.
- Emphasized motivational interviewing and a multidisciplinary team approach for effective pediatric obesity management.
- Highlighted the role of detailed nutritional counseling, supported by dietitians, in managing associated conditions like diabetes mellitus.
Conclusions:
- Effective management of child obesity necessitates a thorough understanding of risk factors and tailored treatment principles.
- Motivational interviewing and a multidisciplinary approach are vital for successful pediatric obesity interventions.
- Nutritional counseling, utilizing various practical tools and expert support, plays a key role in improving health outcomes for obese children, including managing comorbidities.
Abstract:
Child obesity has become a significant health issue in Korea. Prevalence of obesity in school-age children in Korea has been alarmingly rising since 2008. Prevalence of obesity among infants and preschool-age children in Korea has doubled since 2008. Obese children may develop serious health complications. Before nutritional counseling is pursued, several points should be initially considered. The points are modifiable risk factors, assessment for child obesity, and principles of treatment. Motivational interviewing and a multidisciplinary team approach are key principles to consider in managing child obesity effectively in the short-term as well as long-term. Nutritional counseling begins with maintaining a daily log of food and drink intake, which could possibly be causing obesity in a child. Several effective tools for nutritional counseling in practice are the Traffic Light Diet plan, MyPlate, Food Balance Wheel, and 'Food Exchange Table'. Detailed nutritional counseling supported by a qualified dietitian is an art of medicine enabling insulin therapy and hypoglycemic agents to effectively manage diabetes mellitus in obese children.

