Clin Nutr Res.  2019 Jul;8(3):184-195. 10.7762/cnr.2019.8.3.184.

Evidence-based Nutritional Intervention Protocol for Korean Moderate-Severe Obese Children and Adolescents

  • 1Department of Medical Nutrition, Kyung Hee University, Yongin 17104, Korea.
  • 2Research Institute of Medical Nutrition, Kyung Hee University, Seoul 02447, Korea.
  • 3Department of Sports Industry Studies, Yonsei University International Campus, Incheon 21983, Korea.
  • 4Center for Biomedical Sciences, Korea National Institute of Health, Cheongju 28159, Korea.
  • 5Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.


Diet-related behavioral modification for healthy eating and lifestyle is required to improve childhood obesity. The present study aimed to develop customized nutritional intervention protocol and education program to find barriers to adhere healthy diet and lifestyle for moderate to severe obese children and adolescents and their families. Theoretical framework approaches can be used to change behavior and achieve goals. Previous studies that described the relationship between behavioral modification and nutrition education theory were reviewed. The social cognitive theory and transtheoretical model were employed with behavioral changes to target a healthful diet and lifestyle. The nutrition care process (NCP) model was adopted to customize nutrition care for the participants. Customized nutritional intervention protocol was developed following as the four steps of the NCP. Firstly, nutrition status of the participants was assessed by the nutrition expert. Nutrition problems were described as "inadequate energy intake,""overweight/obesity," or "food and nutrition-related knowledge deficit." All nutrition sessions were designed for nutrition intervention to give nutritional knowledge and a practical mission in real life for individual goal setting and self-control. Meal planning, portion control, healthy snack selection and cooking with fruits and vegetables were consisted of five components of the nutrition education session. During each session, the participants and their families were interviewed by a nutrition expert for monitoring and evaluating diet-related goal setting and achievement. A theoretical and evidence-based nutritional intervention was developed for the secondary to tertiary prevention of childhood obesity. This nutrition intervention protocol and program might be helpful for the further research on childhood obesity. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0002111


Behavior therapy; Childhood obesity; Nutrition assessment; Nutrition care process

MeSH Terms

Behavior Therapy
Information Services
Life Style
Nutrition Assessment
Nutritional Status
Pediatric Obesity
Tertiary Prevention


  • Figure 1 The flowchart of literature review for the theoretical framework of nutritional intervention development.

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