The aim of this study is to compare the weight loss of obese adolescents on two different low-calorie diets: fixed diet plan and calorie-counting diet. This is a randomized clinical study with 66 obese adolescents (body mass index Z score (ZBMI)>+3, 13.7±0.7 years, 60.6% male) with anthropometric, food intake, physical activity, laboratory, body composition and stage of pubertal development data evaluated. There was a reduction in the ZBMI in both groups (P<0.0001), without significant difference between them (P=0.87). There was a significant reduction in insulin, and homeostasis model assessment insulin resistance (HOMA-IR), with no difference between groups. A reduction in total energy intake of the groups was found, with an increase in the proportion of protein and reduction in carbohydrates. In this cohort of severely obese adolescents, fixed diet plan and calorie-counting diet led to a similar reduction of ZBMI, metabolic markers and total energy intake.
Subscribe to Journal
Get full journal access for 1 year
only $33.25 per issue
All prices are NET prices.
VAT will be added later in the checkout.
Tax calculation will be finalised during checkout.
Rent or Buy article
Get time limited or full article access on ReadCube.
All prices are NET prices.
Hartmann-Boyce J, Johns DJ, Jebb SA, Aveyard P Behavioural Weight Management Review Group. Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression. Obes Rev 2014; 15: 598–609.
Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I . Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program. J Nutr Educ Behav 2008; 40: 369–373.
Kitzman-Ulrich H, Hampson R, Wilson DK, Presnell K, Brown A, O'Boyle M . An adolescent weight-loss program integrating family variables reduces energy intake. J Am Diet Assoc 2009; 109: 491–496.
Davis JN, Tung A, Chak SS, Ventura EE, Byrd-Williams CE, Alexander KE et al. Aerobic and strength training reduces adiposity in overweight Latina adolescents. Med Sci Sports Exerc 2009; 41: 1494–1503.
Estabrooks PA, Shoup JA, Gattshall M, Dandamudi P, Shetterly S, Xu S . Automated telephone counseling for parents of overweight children: a randomized controlled trial. Am J Prev Med 2009; 36: 35–42.
Ho M, Garnett SP, Baur L, Burrows T, Stewart L, Neve M et al. Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis. Pediatrics 2012; 130: e1647–e1671.
Epstein LH, Wing RR, Koeske R, Valoski A . Effects of diet plus exercise on weight change in parents and children. J Consult Clin Psychol 1984; 52: 429–437.
Berkowitz RI, Wadden TA, Tershakovec AM, Cronquist JL . Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial. JAMA 2003; 289: 1805–1812.
Díaz RG, Esparza-Romero J, Moya-Camarena SY, Robles-Sardín AE, Valencia ME . Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. J Am Diet Assoc 2010; 110: 285–290.
Sacher PM, Kolotourou M, Chadwick PM, Cole TJ, Lawson MS, Lucas A et al. Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity (Silver Spring) 2010; 18: S62–S68.
We thank the Applied Statistics Centre of the Institute of Mathematics and Statistics of the University of Sao Paulo and Institution of Higher Education Staff Improvement Coordination (CAPES).
The authors declare no conflict of interest.
About this article
Cite this article
Mendes, M., de Melo, M., Fernandes, A. et al. Effects of two diet techniques and delivery mode on weight loss, metabolic profile and food intake of obese adolescents: a fixed diet plan and a calorie-counting diet. Eur J Clin Nutr 71, 549–551 (2017). https://doi.org/10.1038/ejcn.2016.176
Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta‐analysis
Journal of Human Nutrition and Dietetics (2020)
Childhood obesity intervention studies: A narrative review and guide for investigators, authors, editors, reviewers, journalists, and readers to guard against exaggerated effectiveness claims
Obesity Reviews (2019)
Shared genetic influences on adolescent body mass index and brain structure: A voxel-based morphometry study in twins