Abstract
Nutritional surveillance is central to the care of all children because of the national propensity for childhood obesity and metabolic complications. Sound nutritional advice should be given at the earliest times in life, even prenatally, as healthy nutritional practices instituted at an early age are likely to be the most sustainable over the life course. The assessment of body mass index should be a routine part of clinical care and other body composition methods, such as waist circumference and regional skinfolds, and should be employed to ascertain compartmentalization of body fat with a focus on central adiposity. A critical assessment of dietary intake is necessary to identify eating patterns and choices that are amenable to change. The 24-h, multiple-pass food recall method is the most reliable, but all methods are fraught with technical flaws. Biochemical indicators including cardiometabolic risk profile, inflammatory biomarkers, and micronutrient levels, including vitamins D, E, and iron, should be routinely measured. Treatment is aimed primarily at lifestyle modifications that advocate sound nutritional practices with weight loss or weight maintenance in the growing child kept in mind. However, nutritional interventions are unlikely to be effective when instituted in isolation. A multidisciplinary management strategy that addresses nutritional, lifestyle, psychological, and pharmacological approaches is essential to promote the most optimal nutrition to prevent and treat the metabolic syndrome in childhood.
| Original language | English (US) |
|---|---|
| Title of host publication | Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues |
| Publisher | Springer-Verlag London Ltd |
| Pages | 283-309 |
| Number of pages | 27 |
| ISBN (Print) | 9781447123668, 9781447123651 |
| DOIs | |
| State | Published - Jan 1 2012 |
Fingerprint
Keywords
- Body composition
- Child
- Diet
- Metabolic syndrome
- Nutrition
- Nutritional evaluation
- Nutritional intervention
ASJC Scopus subject areas
- Medicine(all)
Cite this
Nutritional evaluation and intervention. / Watkins, Runa Diwadkar; Neri, Daniela; Miller, Tracie L.
Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues. Springer-Verlag London Ltd, 2012. p. 283-309.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Nutritional evaluation and intervention
AU - Watkins, Runa Diwadkar
AU - Neri, Daniela
AU - Miller, Tracie L
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Nutritional surveillance is central to the care of all children because of the national propensity for childhood obesity and metabolic complications. Sound nutritional advice should be given at the earliest times in life, even prenatally, as healthy nutritional practices instituted at an early age are likely to be the most sustainable over the life course. The assessment of body mass index should be a routine part of clinical care and other body composition methods, such as waist circumference and regional skinfolds, and should be employed to ascertain compartmentalization of body fat with a focus on central adiposity. A critical assessment of dietary intake is necessary to identify eating patterns and choices that are amenable to change. The 24-h, multiple-pass food recall method is the most reliable, but all methods are fraught with technical flaws. Biochemical indicators including cardiometabolic risk profile, inflammatory biomarkers, and micronutrient levels, including vitamins D, E, and iron, should be routinely measured. Treatment is aimed primarily at lifestyle modifications that advocate sound nutritional practices with weight loss or weight maintenance in the growing child kept in mind. However, nutritional interventions are unlikely to be effective when instituted in isolation. A multidisciplinary management strategy that addresses nutritional, lifestyle, psychological, and pharmacological approaches is essential to promote the most optimal nutrition to prevent and treat the metabolic syndrome in childhood.
AB - Nutritional surveillance is central to the care of all children because of the national propensity for childhood obesity and metabolic complications. Sound nutritional advice should be given at the earliest times in life, even prenatally, as healthy nutritional practices instituted at an early age are likely to be the most sustainable over the life course. The assessment of body mass index should be a routine part of clinical care and other body composition methods, such as waist circumference and regional skinfolds, and should be employed to ascertain compartmentalization of body fat with a focus on central adiposity. A critical assessment of dietary intake is necessary to identify eating patterns and choices that are amenable to change. The 24-h, multiple-pass food recall method is the most reliable, but all methods are fraught with technical flaws. Biochemical indicators including cardiometabolic risk profile, inflammatory biomarkers, and micronutrient levels, including vitamins D, E, and iron, should be routinely measured. Treatment is aimed primarily at lifestyle modifications that advocate sound nutritional practices with weight loss or weight maintenance in the growing child kept in mind. However, nutritional interventions are unlikely to be effective when instituted in isolation. A multidisciplinary management strategy that addresses nutritional, lifestyle, psychological, and pharmacological approaches is essential to promote the most optimal nutrition to prevent and treat the metabolic syndrome in childhood.
KW - Body composition
KW - Child
KW - Diet
KW - Metabolic syndrome
KW - Nutrition
KW - Nutritional evaluation
KW - Nutritional intervention
UR - http://www.scopus.com/inward/record.url?scp=84955400686&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955400686&partnerID=8YFLogxK
U2 - 10.1007/978-1-4471-2366-8_15
DO - 10.1007/978-1-4471-2366-8_15
M3 - Chapter
SN - 9781447123668
SN - 9781447123651
SP - 283
EP - 309
BT - Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues
PB - Springer-Verlag London Ltd
ER -