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A comparative study of two diets in the treatment of primary exogenous obesity in children

Acta Paediatrica Academiae Scientiarum Hungaricae
|January 1, 1979
PubMed

Insights

This study compared ketogenic and hypocaloric diets in children with obesity. The ketogenic diet showed greater improvements in body weight and triglyceride levels, alongside better insulin regulation.

Area of Science:

  • Pediatric Endocrinology
  • Nutritional Science
  • Metabolic Disorders

Background:

  • Childhood obesity is a growing public health concern.
  • Dietary interventions are crucial for managing pediatric obesity.
  • Understanding the metabolic effects of different diets is essential.

Purpose of the Study:

  • To compare the efficacy of a ketogenic diet versus a hypocaloric diet in children with primary exogenous obesity.
  • To assess the impact of these diets on body weight, lipid profiles, and glucose/insulin metabolism.

Main Methods:

  • Randomized controlled trial involving 104 children aged 6-14 years with primary exogenous obesity.
  • Intervention period of eight weeks with either a ketogenic (low carbohydrate) or hypocaloric diet.
  • Measurements included body weight, serum triglycerides, cholesterol, glucose tolerance test, blood glucose, and plasma insulin before and after diets.

Main Results:

  • Significant reductions in body weight and triglyceride levels were observed with both diets.
  • The ketogenic diet demonstrated more pronounced effects on body weight and triglyceride reduction compared to the hypocaloric diet.
  • Significant improvements in fasting insulin, insulinogenic index, and post-glucose tolerance test insulin levels were noted in the ketogenic diet group.

Conclusions:

  • Ketogenic diets can be effective in managing childhood obesity, showing superior results in weight and triglyceride reduction.
  • Ketogenic diets positively influence insulin sensitivity and glucose metabolism in obese children.
  • Further research into long-term effects and broader metabolic impacts is warranted.

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