Lifestyle Behaviors of Parents of Children in Pediatric Weight Management

Avis, Jillian L. S.; Jackman, Alexandra; Jetha, Mary; Ambler, Kathryn A.; Krug, Cheryl; Sivakumar, Mithra; Ball, Geoff D.C.

doi:10.1177/0009922814566930

Cited by 9 publications

(9 citation statements)

References 26 publications

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“…This prevalence is in concordance with the few studies that have previously investigated this [5,6] and indicates a strong familial influence on childhood obesity, where obesity tracks through generations influenced by both genetic and environmental factors [7,10]. …”

Section: Discussionsupporting

confidence: 89%

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Effects of a Family-Based Childhood Obesity Treatment Program on Parental Weight Status

et al. 2016

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ObjectiveThe aim of this study was to investigate the prevalence of overweight/obesity among parents of children entering childhood obesity treatment and to evaluate changes in the parents’ weight statuses during their child’s treatment.MethodsThe study included parents of 1,125 children and adolescents aged 3–22 years, who were enrolled in a multidisciplinary childhood obesity treatment program. At baseline, weight and height of the parents were obtained by self-reported information and parental body mass index (BMI) was calculated. Weight and height of the children were measured in the clinic and BMI standard deviation scores were calculated. Furthermore, anthropometric data from parents of 664 children were obtained by telephone interview after a mean of 2.5 years of treatment (ranging 16 days to 7 years), and changes in parental BMI were analyzed.ResultsData on changes in BMI were available in 606 mothers and 479 fathers. At baseline, the median BMI of the mothers was 28.1 kg/m2 (range: 16.9–66.6), and the median BMI of the fathers was 28.9 kg/m2 (range: 17.2–48.1). Seventy percent of the mothers and 80% of the fathers were overweight or obese at the time of their child’s treatment initiation. Both the mothers and fathers lost weight during their child’s treatment with a mean decrease in BMI in the mothers of 0.5 (95% CI: 0.2–0.8, p = 0.0006) and in the fathers of 0.4 (95% CI: 0.2–0.6, p = 0.0007). Of the overweight/obese parents, 60% of the mothers and 58% of the fathers lost weight during their child’s treatment.ConclusionThere is a high prevalence of overweight/obesity among parents of children entering childhood obesity treatment. Family-based childhood obesity treatment with a focus on the child has a positive effect on parental BMI with both mothers and fathers losing weight.Trial RegistrationClinicalTrials.gov NCT00928473

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Section: Discussionsupporting

confidence: 89%

“…Some studies have investigated the prevalence rates of overweight/obesity in parents of obese children undergoing treatment reporting rates as high as 80% [5,6]. …”

Section: Introductionmentioning

confidence: 99%

Effects of a Family-Based Childhood Obesity Treatment Program on Parental Weight Status

et al. 2016

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“…Considering that the habits acquired during childhood often persist over the course of one's life and that approximately 40% of obese children become obese adults, effective strategies to promote pediatric health must be a global priority and should be implemented early in life [10][11][12] . It is clear that improving health habits and lifestyles of children and their families play key roles in preventing obesity 4,13 . However, in order to successfully promote health in childhood, efforts should not only come from families, but also from society in general [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Pereira

Rauber

Ramos

et al. 2016

Motriz: rev. educ. fis.

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Abstract--This study investigated the efficacy of using a diary to record daily routines, combined with guidance on healthy lifestyle (GHL) by a physical educator, on promoting changes in health parameters in children. Sixty-three children (10 ± 0.8 years) were allocated to one of the three following groups: a control group (CON, n = 18); a group that did not use the diary, but received GHL (G, n = 23); or a group that both used the diary and received GHL (DG, n = 22). Blood pressure, body composition, physical fitness tests (PF), physical activity levels (PAL), and dietary intake profiles were assessed in children and their parents before and after 2 months of intervention. The DG group improved their performance in PF, increased PAL, and reduced body fat (p < 0.05). Additionally, 56% of families from both DG and G reduced their consumption of unhealthy foods and 70,6% increased their consumption of healthy foods. Overall, it was concluded that 2 months of using a diary to record daily routines combined with GHL by a physical educator improved PAL, PF, body composition, and dietary intake profiles of children and their families.

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“…For instance, the minority (i) consumed the recommended servings/day of vegetables and fruit (14.1%), (ii) participated in the recommended amount of physical activity time (7.4%) or accumulated adequate steps/day (4.1%), (iii) adhered to daily screen time guidelines (22.7%), and (iv) met nightly sleep time goals (47.4%). We recently published the anthropometric and lifestyle characteristics of parents of children with obesity before families initiated weight management care [31]. Most parents satisfied criteria for overweight (BMI ≥ 25 kg/m 2 ; n = 61; ~25%) or obesity (BMI ≥ 30 kg/m 2 ; n = 139; ~57%), few (<20%) consumed the recommended servings/day of vegetables and fruit, many (>60%) consumed excessive sugar-sweetened beverages, and the minority (~20%) achieved the recommended physical activity recommendations.…”

Section: Methods and Resultsmentioning

confidence: 99%

“…Given the fundamental roles of diet and physical activity in determining energy balance and weight management success, we established six lifestyle-related change objectives (three diet- and three physical activity-related; see Table 2). We chose these goals because: (i) of their impact on obesity and weight management, (ii) they offered families tangible targets they could work on together, and (iii) families were unlikely to be achieving all of these targets at presentation, so all families would be able to identify at least one lifestyle behavior that they could address [30, 31]. …”

Section: Methods and Resultsmentioning

confidence: 99%

Ball

Mushquash

Keaschuk³

et al. 2017

BMC Res Notes

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BackgroundPediatric obesity has become increasingly prevalent over recent decades. In view of the psychosocial and physical health risks, and the high likelihood that children with obesity will grow to become adults with obesity, there is a clear need to develop evidence-based interventions that can be delivered in the health care system to optimize the health and well-being of children with obesity and their families. The aim of this paper is to describe the development, implementation, and planned evaluation of a parent-based weight management intervention designed for parents of 8–12 year olds with obesity.Methods/resultsThe principles of Intervention Mapping (IM) were used to develop an intervention called Parents as Agents of Change (PAC©). From 2006 to 2009, an environmental scan plus qualitative (individual interviews with parents and children), quantitative (medical record reviews), and literature review data were collected to gain broad insight into family factors related to pediatric obesity and its management. Theoretical frameworks and empirical evidence guided curriculum development, which was founded primarily on the tenets of family systems theory and cognitive behavioral theory. PAC was developed as a manualized, 16-session, group-based, health care professional-led intervention for parents to address individual, family, and environmental factors related to the management of pediatric obesity. The intervention was refined based on feedback from local and international experts, and has been implemented successfully in a multi-disciplinary weight management centre in a children’s hospital.ConclusionIM provided a practical framework to guide the systematic development of a pediatric weight management intervention for parents of children with obesity. This logical, step-by-step process blends theory and practice and is broadly applicable in the context of obesity management intervention development and evaluation. Following intervention development, the PAC intervention was evaluated within a randomized clinical trial. Trial registration NCT01267097; clinicaltrials.gov

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Lifestyle Behaviors of Parents of Children in Pediatric Weight Management

Abstract: The high prevalence of overweight and obesity combined with suboptimal dietary behaviors highlight the need to address both children's and parents' lifestyle habits in pediatric weight management.

Cited by 9 publications

References 26 publications

Effects of a Family-Based Childhood Obesity Treatment Program on Parental Weight Status

Effects of a Family-Based Childhood Obesity Treatment Program on Parental Weight Status

Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Using Intervention Mapping to develop the Parents as Agents of Change (PAC©) intervention for managing pediatric obesity

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