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A new diet-exercise therapy in our obese-child clinic
Insights
This study introduces a new approach to treating childhood obesity by adjusting caloric intake based on severity and emphasizing walking exercise. This method effectively reduces body weight and improves fatty metabolite levels, aiding in adult disease prevention.
Area of Science:
- Pediatric Endocrinology
- Obesity Management
- Preventive Medicine
Background:
- Childhood obesity often persists into adulthood, leading to adult diseases (seijin-byoh).
- Many obese children struggle with severe exercise and diet therapies due to physical limitations.
- Effective treatment strategies are needed for childhood obesity to prevent long-term health consequences.
Purpose of the Study:
- To develop and evaluate a new, practical treatment procedure for childhood obesity.
- To focus on prophylaxis of adult diseases by addressing childhood obesity.
- To create a manageable treatment plan for obese children with movement difficulties.
Main Methods:
- Implemented a relaxed caloric intake control based on obesity severity (mild, moderate, severe).
- Adjusted macronutrient ratios, increasing protein/energy and decreasing fat/energy.
- Incorporated walking as a primary exercise, with speeds determined by individual lactate response to maximize fat utilization (approx. 75%).
Main Results:
- Achieved excellent results over five years of application.
- Demonstrated successful body weight reduction in obese children.
- Observed improvements in fatty metabolite levels without adverse effects on protein values.
Conclusions:
- The new procedure offers a practical and effective method for managing childhood obesity.
- This approach supports the prevention of adult diseases by addressing obesity early.
- The combination of adjusted diet and tailored exercise is beneficial for obese children.
Abstract:
Because a large percentage of childhood obesity may persist into adulthood and cause a hotbed of so-called seijin-byoh (adult diseases), its treatment should also be considered from the viewpoint of seijin-byoh prophylaxis. Most obese children, however, are awkward in their movements, in spite of binge eating or bulimia, and unable to carry out any severe exercise-diet therapy. For such subjects, we have designed a new practicable procedure, and obtained excellent results for the last five years. The main principle of our procedure is that the control of caloric intake is relaxed as much as possible after due consideration of a child's growth in height: no restriction for mild, 10-15% of the requirement for moderate, and 20-25% for severe obese children, respectively. The ratio of protein/energy is established at a higher level than usual, while that of fat/energy at a lower level. For exercise, walking is the most easy and important exercise and the proper speeds for individuals are converted from the same amount of movement determined at the 1st increase point of serum lactate values, where the proportion of movement-energy originating from body fat reaches the highest percentage at about 75%. Our new procedure is supported also by the fact that the reduction in body weight combines with the improvement in measurement values of fatty metabolites without any change in values of proteins.