Obesity

Grocery intervention and DNA‐based assessment to improve diet quality in pediatric obesity: a pilot randomized controlled study

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Our study supports the potential of dietitian-guided food provisioning for improving diet quality in children with obesity and demonstrates an objective genomic approach for evaluating dietary shifts.

Study context

Population
Children with obesity aged 6–11 years
Participants
33 children
Comparison
Food provisioning plus usual care vs usual care
Primary endpoint
Change in child diet quality
Follow-up
Week 4
Methodological detailspilot
  • Pilot

Primary result

As reported in the abstract

Diet quality components

Β (whole grain increase)

0.20

95% CI 0.05–0.34P = 0.013

Intervention

Β (fiber increase)

2.52

95% CI 1.28–3.76P < 0.001

Intervention

Β (dairy decrease)

−1.31

95% CI −2.02 to −0.60P = 0.001

Intervention

Secondary outcomes

FoodSeq concordance with grocery orders

Adjusted R2
0.65; p < 0.001

FoodSeq shift toward low-energy-density plant taxa, intervention vs prior survey of a related cohort

β
8.64 (95% CI 5.18 to 12.14; p < 0.001)
  • Comparator: prior survey of diet in related cohort (n = 195, aged 10-18 years)

Microbiome, weight and food insecurity

No significant changes in microbiome, weight or food insecurity

Original publication

Grocery intervention and DNA‐based assessment to improve diet quality in pediatric obesity: a pilot randomized controlled study. Obesity (Silver Spring). Published 22 January 2025. doi:10.1002/oby.24205

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