- Dietary fiber is classified as soluble or insoluble and comes from plant foods. Bananas are a good source of soluble fiber that can promote fullness. - Childhood obesity has increased globally and contributes to health issues. The study aimed to evaluate if banana fiber intake affected weight loss in overweight Indian children aged 4-13 years. - Over 3 months, anthropometric measures declined more for children supplemented with bananas compared to controls, indicating banana fiber aided weight loss. Banana fiber intake was associated with reduced food cravings and feeling full.

1. By Dr.Neha Chavan
Guided by Mrs. Anuradha Shekar

2. Global consumption of Dietary
fibre

3. Dietary fibre
Edmund,G. defines it as edible polysaccharide
related polymer lignin which are resistant to
hydrolysis by digestive enzymes of man, crude
fiber represents 1/7 th of total dietary fibre in
given food. It is of 2 types:
Soluble fibre dissolves in water. It changes
as it goes through the digestive tract, where
it is fermented by bacteria. As it absorbs
water it becomes gelatinous.
Insoluble fibre does not dissolve in water. As
it goes through the digestive tract it does not
change its form.

4. Banana as a source of Dietary fibre
•Natural soluble source of dietary
fibre.
•1medium sized banana contains
aprrox 3 gms of dietary fibre.
•It is cheap.
•Easily available in all seasons.
•Promotes feeling of fullness and
satiety.
•Good source of energy, vitamins like
vitamin B6, vitamin C and minerals
like potassium and magnesium which
prevents heart disease and obesity.

5. Childhood Obesity Rates
obesity has become a colossal epidemic causing serious public health concern and
contributes to 2.6 million deaths worldwide every year. The last two decades of the
previous century have witnessed dramatic increase in health care costs due to obesity and
related issues among children and adolescents. (William, D.et al 1994)

7. Management of Childhood overweight and obesity

8.  Aim of the study:
 The aim of the present study was to evaluate the effect
of Dietary fibre in the form of Banana on Weight loss
in Indian overweight children of age group 4-13 years.

9. Objectives of the study
 To determine eating habits of children of age group 4-
13 yrs.
 To assess Nutritional status of children through 24
hour Dietary Recall method.
 To assess Nutritional status of children through
Anthropometry.
 To correlate dietary fibre intake with obesity in
children of age group 4-13 yrs.
 To compare the effect of Dietary fibre on
Anthropometry and eating habbits of children.

10. Methodology
3 month intervention study on 60 Indian
overweight children to study the effect on
dietary fibre in form of banana.
Anthropometric measurements were taken
at baseline, after 1 month, 2 months and 3
months.
-weight, BMI, waist circumference, MUAC
Dietary intake-Energy, protein dietary fibre
was collected by 24 hour dietary recall
method.
Physical activity was calculated in minutes.
Statistical analysis for interpretation of
data was done by a statistician.
Followed by results and discussion

11. Results
 Background information :
 60 Hindu Overweight children of age group 4-13 years were
selected randomly of middle class background out of
which 37 were boys and 23 were girls
30 cases 30 controls
Given supplementation Not given any supplementation
in form of Banana
 At the end of each month Anthropometric measurements
– weight, BMI, waist circumference, MUAC were calculated

12. Weight at baseline, 1 month, 2 months and 3 months of
cases and controls when classified according to gender
Controls Cases Controls Cases
Boys Girls
Baseline 43.4 41.6 40.5 38.4
1st Month 42.9 41.1 40.1 37.9
2nd Month 42.4 40.7 39.6 38.3
3rd Month 42.3 40.0 39.5 37.7
10.0
20.0
30.0
40.0
50.0
60.0
Weight(kg)
*
* * *
!
! !
#
# # #
At most time points, cases or supplementation
group lost more weight as compared to controls,
similar results were observed in all other
anthropometric measurements.

13. Monthly Percentage weight change of cases and
controls when classified according to gender
Boy (n=37) Girl (n=23)
Controls
(n=19)
Cases
(n=18)
P value Controls
(n=11)
Cases
(n=12)
P value
1st month 1.2±0.8 1.3±0.8 0.830 1.0±1.1 1.4±1.5 0.475
2nd month 1.2±1.2 1.0±0.7 0.504 1.3±0.6 1.5±10.4 0.354
3rd month 0.3±0.6 1.7±0.7 0.000 0.4±0.6 1.6±0.7 0.000
As seen in the above table the percentage weight loss after 3 months of supplementation was
much higher in the cases than in the controls for both boys as well as girl participants. The
effect if assessed gender wise was similar as there was no significant difference between
weight loss in girls than in the boys and vice versa.
When the fibre was supplemented in cases, significant results ie. Weight reduction was
observed in 3rd month with the p value of 0.000.

14. BMI at baseline, 1 month, 2 months and 3 months of
cases and controls when classified according to gender
Controls Cases Controls Cases
Boys Girls
Baseline 25.0 24.0 23.2 22.5
1st Month 24.6 23.6 23.0 22.2
2nd Month 24.3 23.4 22.7 22.5
3rd Month 24.3 23.0 22.6 22.2
14.0
16.0
18.0
20.0
22.0
24.0
26.0
28.0
BodyMassIndex(kg/m2)
*
*
*
*
!
!
!
#
# # #
In cases BMI reduction was significantly higher as compared to
controls during the 3rd month of supplementation in both boys and
girls (p<0.05) High fibre content of banana was found to reduce BMI
in supplementation group of subject with age of 10 years in a study
by Juan, Story and Kranz (2012).

15. Waist circumference at baseline, 1 month, 2 months
and 3 months of cases and controls when classified
according to gender
Controls Cases Controls Cases
Boys Girls
Baseline 67.5 66.1 65.0 63.9
1st Month 66.9 65.2 64.3 63.3
2nd Month 66.4 64.7 63.8 62.7
3rd Month 66.3 64.1 63.6 62.1
35.0
40.0
45.0
50.0
55.0
60.0
65.0
70.0
75.0
80.0
WaistCircumference
(cm)
* * * *
! !
!
!#
# #
In cases waist circumference reduction was significantly higher as
compared to controls during the 3rd month of supplementation in both boys
and girls. The supplementation of banana reduces the accumulation of
visceral fat and fat storage in the adipose tissues which leads to decreased
waist circumference in the people who consume high fibre foods like fruits
and vegetables on a regular basis. (Colbert, D., 2013).

16. months and 3 months of cases and controls when
classified according to gender
Controls Cases Controls Cases
Boys Girls
Baseline 19.2 18.4 18.9 17.8
1st Month 18.6 17.7 18.3 17.2
2nd Month 18.2 17.3 18.0 16.7
3rd Month 18.1 16.7 18.0 16.2
12.0
14.0
16.0
18.0
20.0
22.0
MidUpperArm
Circumference(cm)
*
*
*
*
!
!
!
!
#
#
The mid upper arm circumference was seen to be reduced considerably on
supplementation of banana to the cases. The consumption of banana was
associated with reduction in food craving at regular intervals and the
subjects were found to be feeling full due to the high pectin content for a
longer period of time and thus ate less after consumption of banana as a
snack (Tupper ,2013). s

17. Conclusion of the study
 Positive significant (p= 0.000) correlations were observed between
supplementation of dietary fibre and weight loss in Indian overweight
children of age group 4-13 years of age.
 When the fibre was supplemented in cases, significant results ie.
Weight reduction was observed in 3rd month with the p value of 0.000.
Thus, the present research would like to state that the supplementation
of banana in the participants showed significant loss in weight after a
period of 3 months.
 The weight, BMI, Waist circumference and mid upper arm
circumference was found to be reduced in cases considerably as
compared to controls on supplementation of banana to the cases.
 The consumption of banana was associated with reduction in food
craving at regular intervals and the subjects were found to be feeling
full due to the high pectin content for a longer period of time and thus
ate less after consumption of banana as a snack. (Tupper ,2013).

18. Limitations of the study
 The period of this research study is also limited ie.3 months,
therefore a longer period was needed to find the more accurate
effect of Banana as a natural source of dietary fibre for weight
loss in children.
 There may be a limitation of accurately measuring weights and
heights. Thus, the technical limitation in data collection appear
not to have adversely affected the quality of the data.
 The importance in long term regulation of body weight of
adding fibre to the diet can however not be predicted from the
present study. More research on the impact of fibre rich diet as
well as different types of dietary fibre on energy and
macronutrient metabolism, both acutely and in the long term is
therefore needed.

19. Thank you