PMID- 14731095
OWN - NLM
STAT- MEDLINE
DCOM- 20040219
LR  - 20191108
IS  - 1530-1567 (Print)
IS  - 1530-1567 (Linking)
VI  - 4
IP  - 1
DP  - 2004 Jan-Feb
TI  - A pilot study to determine the feasibility of the low glycemic index diet as a 
      treatment for overweight children in primary care practice.
PG  - 28-33
AB  - BACKGROUND: The prevalence of overweight children is increasing. Experimental 
      evidence and specialty clinic trials suggest that a low glycemic index (LGI) diet 
      could be an effective primary care-based treatment for overweight children. 
      OBJECTIVE: Conduct a pilot study to determine whether parents of overweight 
      children can lower the glycemic index (GI) of their child's diet after receiving 
      brief instructions and a handout from their pediatrician; and the diet's impact 
      on body mass index (BMI). PATIENTS: Children 5-12 years with BMIs greater than 
      the 95th percentile. INTERVENTION: Brief description of the LGI diet and a 
      handout categorizing foods based on their GI and sample meals. DESIGN: 
      Nonrandomized, 12-week pilot study. MEASURES: BMI, 24-hour recall, and food 
      frequency questionnaire (FFQ) at entry; 3-day food records at 3, 6, and 9 weeks; 
      BMI, FFQ, and questionnaire at 12 weeks. A GI score derived from standard GI 
      tables. RESULTS: Of 34 children initially enrolled, 15 completed the study. Of 
      these, 14 lowered their GI score (mean initial score = 26.6; mean score at 12 
      weeks 15.6; P <.0001). Mean daily carbohydrate (CHO) intake decreased by 73 g 
      over the study period (P <.02), and mean daily caloric intake decreased by 292 
      kcal (P <.02). All 15 parents described the diet as easy to understand; 10 
      reported that their child was generally able to follow the diet. BMI Z-score 
      decreased in 12 of 15 children. CONCLUSION: This pilot study suggests that 
      implementing the LGI diet is feasible in primary care for some patients. Further 
      study is warranted with larger study and comparison groups.
FAU - Young, Paul C
AU  - Young PC
AD  - Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, 
      Utah 84132, USA. paul.young@hsc.utah.edu
FAU - West, Shala A
AU  - West SA
FAU - Ortiz, Karen
AU  - Ortiz K
FAU - Carlson, Joseph
AU  - Carlson J
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Ambul Pediatr
JT  - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric 
      Association
JID - 101089367
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - Child
MH  - *Diet, Diabetic
MH  - Family Practice
MH  - Feasibility Studies
MH  - Female
MH  - *Glycemic Index
MH  - Humans
MH  - Male
MH  - Obesity/*diet therapy
MH  - Patient Satisfaction
MH  - Pilot Projects
EDAT- 2004/01/21 05:00
MHDA- 2004/02/20 05:00
CRDT- 2004/01/21 05:00
PHST- 2004/01/21 05:00 [pubmed]
PHST- 2004/02/20 05:00 [medline]
PHST- 2004/01/21 05:00 [entrez]
AID - S1530-1567(05)60265-1 [pii]
AID - 10.1367/1539-4409(2004)004<0028:apstdt>2.0.co;2 [doi]
PST - ppublish
SO  - Ambul Pediatr. 2004 Jan-Feb;4(1):28-33. doi: 
      10.1367/1539-4409(2004)004<0028:apstdt>2.0.co;2.