Milk-Based Nutritional Supplements in Conjunction with Lifestyle Intervention in Overweight Adolescents
Apovian C, Bigornia S, Cullum-Dugan D, et al. ICAN: Infant, Child & Adolescent Nutrition. 2009;1:37-44.
Objective
To determine BMI change in overweight and obese adolescents from underserved communities using a lifestyle intervention with milk-based supplements and to assess the safety and acceptability of these supplements.
Methods
12-week open-labeled pilot lifestyle intervention using milk-based supplements targeting 40 adolescents 12-17.9 years of age and BMI between 85th-97th percentile. Participants met with a registered dietitian to assess caloric needs and were provided a structured meal plan including 3 meals and 2 snacks per day, including 2 milk based supplements (Slim-Fast®). At baseline and the 12-week visit, data including a physical examination with blood pressure, anthropometric measures, and a 12-hour fasting laboratory test was taken.
Results
Median sugary beverage consumption decreased from 8.0 to 3.8 servings per week. With this increase in servings of milk, an increase in serum 25-OH vitamin D levels were observed. Participants lost 2.3% of baseline body fat.
Conclusion
Milk-based nutritional supplement therapy is a convenient, safe and efficacious method for weight management among minority adolescents. The use of a milk-based nutritional supplement in this population may cause a decrease in the consumption of sugary beverages, which have been associated with weight gain in adolescents.
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