The program led to statistically significant improvements in several metabolic parameters and food parenting practices.
Nutrients · 14 authors, 5 centres
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The program led to statistically significant improvements in several metabolic parameters and food parenting practices.
The intervention comprised a digital platform with apps for parents and clinicians, activity trackers, and games, paired with an individualized Mediterranean diet plan. Over the study period, statistically significant reductions were observed in glycated hemoglobin (mean change = −0.10, p = 0.013), SGOT (mean change = −1.84, p = 0.011), and SGPT (mean change = −2.95, p = 0.022). Food parenting practices also changed: emotional feeding/food as reward decreased (mean change −0.21, p = 0.007), while healthy eating guidance showed a trend toward increase (mean change = 0.11, p = 0.051). Regression analysis indicated that changes in BMI z-score correlated with changes in HOMA-IR, SGPT, and cortisol. Limitations include the absence of a control group (partly due to the COVID-19 pandemic), a small sample size, a lack of follow-up data, and a non-representative sample with a high proportion of severe obesity. The findings suggest the digital program may improve metabolic health and parenting practices, but further controlled studies are needed.