Family involvement in the treatment of childhood obesity: the Copenhagen approach

Grønbæk, Helle Nergaard; Madsen, Svend Aage; Michaelsen, Kim F.

doi:10.1007/s00431-009-0944-x

Cited by 10 publications

(5 citation statements)

References 34 publications

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“…Considering ownership of residence, children whose parents were renting residences were less likely to be overweight compared to those whose parents owned residences. In line with a study conducted in Denmark, weight loss tended to be lower if the family owned a residence rather than renting [55]. Children whose mothers had acquired education beyond primary school level were more likely to be overweight compared to their counterparts.…”

Section: Discussionsupporting

confidence: 84%

Prevalence and Associated Factors of Overweight and Obesity among Primary School Children Aged 7–17 Years in Urban Mbarara, Uganda

Twinomugisha,

Birungi

2024

Advances in Public Health

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Globally, overweight and obesity among children have been acknowledged as a growing public health concern. In sub-Saharan Africa, the prevalence of overweight and obesity is high. In Uganda, there is a significant burden of overweight and obesity. This study was conducted to determine the prevalence and associated factors that influence overweight and obesity among primary school children in Southwestern Uganda. A cross-sectional study utilized a self-administered questionnaire and anthropometric tools to collect data. A three-stage sampling procedure was used to select four schools that participated in this study. A total of 422 children participated in our study. Participant’s weight and height were measured using SECA Scale, Model 885, and a wall-mounted stadiometer, respectively. Data were analyzed using STATA v11.0. The prevalence of overweight/obesity was descriptively analyzed. Associated factors were determined using bivariate and multivariate analysis. Findings revealed that 54.3% of participants were walking to school compared to 45.7% that were cycling/bicycling and 76.3% playing and doing household chores as opposed to 23.7% that spent their leisure time through reading and watching TV, 74.2% took more than two meals per day, and 79.4% often took vegetables and fruits compared to 20.6% that took them most of the time. The study found an overall prevalence of 20% for overweight/obesity. There was a statistical association between overweight/obesity and ownership of residence (O.R.: 0.4, 95% C.I.: 0.2–0.8), modes of transport (O.R.: 8.2, 95% C.I.: 3.4–20.0), leisure time activities (O.R.: 0.4, 95% C.I.: 0.2–0.7), frequency of consuming vegetables and fruits (O.R.: 2.8, 95% C.I.: 1.4–5.5), and the type of school attended (O.R.: 0.2, 95% C.I.: 0.1–0.4). However, only the mode of transport (A.O.R.: 5.0, 95% C.I.: 1.9–13.0) was independently associated with overweight/obesity on multivariate logistic regression analysis. Girls who participated in our study were more overweight than boys. Overweight/obesity existed more in private schools than public schools. Modes of transport were only found to be strongly associated with overweight/obesity. There is a need to establish evidence-based strategies to inform policy on prevention of childhood overweight/obesity.

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Section: Discussionsupporting

confidence: 84%

Prevalence and Associated Factors of Overweight and Obesity among Primary School Children Aged 7–17 Years in Urban Mbarara, Uganda

Twinomugisha,

Birungi

2024

Advances in Public Health

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“…They were, however, committed to making sure their child completed the program. Literature indicates that childhood obesity treatment should involve the family and utilize tactics to motivate families to complete the treatment program (Grønbaek et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Programs of this nature that are designed to reduce childhood obesity through targeting modifiable risk factors, such as lack of physical activity and poor eating habits, are indicated in the literature as vital to improving the quality of life of children by reversing unfavorable health effects of obesity (Huffman, Kanikireddy, & Patel, 2010). Literature indicates that childhood obesity treatment should involve the family and utilize tactics to motivate families to complete the treatment program (Grønbaek, Madsen, & Michaelsen, 2009). Interventions tailored for the family have been structured as either focused solely on the obese child, concentrated exclusively on the parent, or involving participation of the entire family in the treatment process.…”

Section: Intervention Programsmentioning

confidence: 99%

Parental Perspectives of a Childhood Obesity Intervention in Mississippi: A Phenomenological Study

Moore

Bailey

2015

TQR

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Family - based, community intervention s have been suggested as effective methods of modifying unhealthy behaviors of overweight children. To avoid unsuccessful completion rates, understanding motivating factors and potential barriers for participating families is important. The purpose of this study was to investigate influencing factors that either promote or deter successful completion of a childhood obesity intervention. In - depth interviews were conducted with 10 parents whose child participated in an intervention conducted in central Mississippi. Interviews were audio - taped, transcribed verbatim, and analyzed by a two - person coding team. The research question driving this study was: What do parents perceive as motivators or barriers for completion of an intervention for childhood obesity? Motivating factors of parents included desire to reverse the family’s obesity cycle and desire for their child to realize full potential. They perceived their children were motivated by social aspects of the group setting, improved self - confidence, and supportive staff. Scheduling conflicts and lack of complete family support were identified as main barriers. By understanding the experience of parents, programs can tailor instructive materials to meet family needs throughout the intervention. Emphasis should be placed on parental education for sustained promotion of a healthy lifestyle. Continued support and follow - up are also warranted to ensure long - term success.

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“…Compliance might also be ameliorated by special attention to patients with characteristics known for a treatment failure, such as irregular eating pattern, older age, and broken families [ 26 ]. Finally, many studies emphasize the importance of a family approach [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. The greater effect of treatment in children younger than 6 years illustrates the importance of participation of the parents in the process.…”

Section: Discussionmentioning

confidence: 99%

An Individual, Community-Based Treatment for Obese Children and Their Families: The Solution-Focused Approach

et al. 2013

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Background: This study evaluates an individual, community-based treatment for obese children and their families. In this program, a treatment team applied solution-focused techniques to develop a custom-made treatment plan in collaboration with the participants. The treatment plan consisted of community-based lifestyle activities. Methods: 559 obese children with an average BMI z-score of 2.76 ± 0.54 took part in the 12-month study, and 372 children with an average BMI z-score of 2.75 ± 0.52 took part in the 24-month study. At the start of the study, ethnicity and special school needs were recorded. Before, after 12 months, and after 24 months of the treatment, body weight and height were measured. The effect of the treatment on body weight was evaluated using BMI z-scores. Results: 291 children (52%) completed 12 months of treatment, whereas 22 children (4%) were dismissed earlier due to a good response. After 12 months, the children showed a significant decrease in BMI z-score by 0.16 (95% confidence interval (CI) 0.11-0.20; p < 0.005). After 24 months, 103 children (28%) were participating in the program, with a significant decrease in BMI z-score of 0.15 (95% CI 0.07-0.22; p < 0.005). 50 children (13%) were dismissed before the end of the second year due to significant weight loss (standard deviation z-score reduction -0.38; 95% CI 0.30-0.46; p < 0.005; with an average treatment duration of 12.9 ± 6.4 months). There was a negative correlation of age and reduction in BMI z-score: children younger than 6 years showed a decrease in BMI z-score of 0.45 (95% CI 0.26-0.65) and 0.31 (95% CI 0.11-0.53) after 12 and after 24 months, respectively. Conclusions: Children showed a significant decrease in BMI z-score after the treatment. We found a negative correlation of age and weight loss. Special attention to patients with a high risk of drop-out might further improve these results. We advise a referral to obesity treatment as early as possible since a ‘wait and see' policy might have adverse results in obese children.

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Family involvement in the treatment of childhood obesity: the Copenhagen approach

Abstract: This treatment with a psychological approach is feasible and results in significant weight loss during the programme. Future research should focus on how to improve the results of families with limited education and immigrants with non-European origin.

Cited by 10 publications

References 34 publications

Prevalence and Associated Factors of Overweight and Obesity among Primary School Children Aged 7–17 Years in Urban Mbarara, Uganda

Prevalence and Associated Factors of Overweight and Obesity among Primary School Children Aged 7–17 Years in Urban Mbarara, Uganda

Parental Perspectives of a Childhood Obesity Intervention in Mississippi: A Phenomenological Study

An Individual, Community-Based Treatment for Obese Children and Their Families: The Solution-Focused Approach

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