Quality of Early Maternal–Child Relationship and Risk of Adolescent Obesity

Anderson, Sarah; Gooze, Rachel A.; Lemeshow, Stanley; Whitaker, Robert C.

doi:10.1542/peds.2011-0972

Cited by 158 publications

(164 citation statements)

References 52 publications

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“…[18][19][20][21][22][23][24][25] Preschool-aged children of parents who exhibited low responsiveness and high control were 5 times more likely to be overweight than children of parents with appropriate levels of responsiveness and control. 23 Furthermore, children with behavior problems,suchasimpulsivity, ora family history of behavior problems are at increased risk for poor health, including obesity.…”

Section: What's Known On This Subjectmentioning

confidence: 99%

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Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT:The evidence base for obesity prevention is extremely limited. Although minority youth are at higher risk of obesity, and early childhood is a critical period for prevention, only 1 program has demonstrated sustained effects on obesity in young minority children.WHAT THIS STUDY ADDS: Among youth at high risk for obesity based on income, minority status, and child behavior problems, early intervention that promotes effective parenting led to meaningful differences in obesity in preadolescence. Early family intervention is an innovative and promising approach.abstract OBJECTIVES: To test the hypothesis that family intervention to promote effective parenting in early childhood affects obesity in preadolescence.METHODS: Participants were 186 minority youth at risk for behavior problems who enrolled in long-term follow-up studies after random assignment to family intervention or control condition at age 4. Follow-up Study 1 included 40 girls at familial risk for behavior problems; Follow-up Study 2 included 146 boys and girls at risk for behavior problems based on teacher ratings. Family intervention aimed to promote effective parenting and prevent behavior problems during early childhood; it did not focus on physical health. BMI and health behaviors were measured an average of 5 years after intervention in Study 1 and 3 years after intervention in Study 2.RESULTS: Youth randomized to intervention had significantly lower BMI at follow-up relative to controls (Study 1 P = .05; Study 2 P = .006). Clinical impact is evidenced by lower rates of obesity (BMI $95th percentile) among intervention girls and boys relative to controls (Study 2: 24% vs 54%, P = .002). There were significant intervention-control group differences on physical and sedentary activity, blood pressure, and diet.CONCLUSIONS: Two long-term follow-up studies of randomized trials show that relative to controls, youth at risk for behavior problems who received family intervention at age 4 had lower BMI and improved health behaviors as they approached adolescence. Efforts to promote effective parenting and prevent behavior problems early in life may contribute to the reduction of obesity and health disparities.

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Section: What's Known On This Subjectmentioning

confidence: 99%

“…The current study takes advantage of 2 RCTs with prospective follow-up studies of behavioral outcomes to examine intervention effects on obesity and related health behaviors as high-risk youth approach adolescence. 19 …”

Section: What's Known On This Subjectmentioning

confidence: 99%

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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“…Con el rápido incremento en el [14][15][16][17][18][19] . La obesidad debe tratarse como un problema crónico de salud, para conseguir un cambio estable que afecte a estilos de vida, pero a la vez a estados emocionales de vida, pues lo difícil en el manejo de la obesidad no es perder peso sino mantener esta reducción conseguida.…”

Section: Introductionunclassified

“…Familias en Movimiento [14][15][16][17]21 es un programa multidisciplinario (Pediatras, enfermeros/as, nutricionistas y psicólogos/as) dirigido a niños de 6-12 años de edad con sobrepeso y/u obesidad y a su entorno familiar, estructurado en 11 sesiones grupales (una por semana) de 90 minutos de duración, que promueve una alimentación normocalórica y equilibrada. Centra su atención en la salud general del niño, no sólo en el peso y la alimentación.…”

Section: Introductionunclassified

Resultados de una intervención motivacional con niños obesos o con sobrepeso y sus familias: Estudio Piloto

López¹,

Marcos²,

Royo³

et al. 2017

Rev Esp Nutr Hum Diet

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[ahead of print]Freely available online -OPEN ACCESS La Revista Española de Nutrición Humana y Dietética se esfuerza por mantener a un sistema de publicación continua, de modo que los artículos se publican antes de su formato final (antes de que el número al que pertenecen se haya cerrado y/o publicado). De este modo, intentamos poner los artículos a disposición de los lectores/usuarios lo antes posible.The Spanish Journal of Human Nutrition and Dietetics strives to maintain a continuous publication system, so that the articles are published before its final format (before the number to which they belong is closed and/or published). In this way, we try to put the articles available to readers/users as soon as possible. Revista Española de Nutrición RESUMENIntroducción: el objetivo fue analizar los resultados de una intervención motivacional con modificación de los hábitos alimentarios, los estilos de vida y los trastornos emocionales en niños obesos de 6 a 12 años y sus familias. Material y métodos: estudio de intervención con evaluación pre-y posintervención del programa Familias en Movimiento. Se incluyeron 11 niños (10 niñas y 1 niño) de 6 a 12 años tratados con otros programas para la pérdida de peso sin éxito. Se evaluaron al inicio y al final los parámetros: índice de masa corporal (IMC), los resultados de los cuestionarios: de dieta Mediterránea y ansiedad en niños y el peso y la ansiedad de los adultos tras la intervención. Resultados: el IMC disminuyó de una mediana de 25,2 (Rango intercuartílico de 23,3-28,0) a 23,9 y (22,9-27,6) tras la intervención, cambio no estadísticamente significativo (p < 0,086). La mediana de adherencia a la dieta Mediterránea aumentó significativamente en 2,2 puntos (7,1 a 9,3), debida principalmente a que un mayor número de niños tomaban desayuno (44%) y hubo una disminución del consumo de golosinas y bollería industrial en el desayuno (22,2%). La intervención redujo significativamente en 8,7 puntos la ansiedad en los niños. De los adultos, 9 de ellos participaron en la evaluación inicial, la media de disminución de peso fue de 3,6 kg y la disminución de la ansiedad paso de 45,6 a 27,3 (p=0,02). Conclusiones: la aplicación del programa Familias en Movimiento disminuyó el IMC, aumentó la puntuación en la adherencia a dieta Mediterránea y disminuyó la ansiedad en los niños, además se redujo el peso y la ansiedad en los adultos que acompañaron en el programa a los niños.

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“…[1][2][3] Anxiety, depression and obesity are recognized burdens in both human and economic terms, therefore, it is important to investigate the aetiological mechanisms involved. 4 Mental disorders, such as anxiety and depression, produce decrements in public health that are equivalent to those of other chronic physical diseases (e.g., angina, arthritis, asthma, and diabetes).…”

Section: Introductionmentioning

confidence: 99%

Anxiety, Family Functioning and Neuroendocrine Biomarkers in Obese Children

Pinto¹,

Wilkinson

Virella

et al. 2017

Acta Med Port

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Material and Methods:A non-random sample of 104 obese children (55 boys), mean age 10.9 years (standard deviation 1.76), was recruited from a childhood obesity clinic. Obesity was defined as body mass index above the 95 th age-and gender-specific percentiles. Neuroendocrine biomarkers were measured. Symptoms of anxiety and depression were assessed with self and parent-reported questionnaires (Anxiety, Depression and Stress Scales; Child Behaviour Checklist). Family functioning was assessed with parent-reported questionnaires (Family Adaptation and Cohesion Scales-III). Results: A significant, negative correlation (r s = -0.779; p = 0.003) between girls' cortisol and their parents' anxiety symptoms was found, limited to high functioning families. Boys scored significantly higher than girls on parent-reported internalizing symptoms but not on self-report. No association was found between cortisol in children and parental depressive symptoms. Discussion: Whether the association between cortisol levels in obese children and parental mental health is effectively restricted to girls from high functioning families or is due to study limitations, requires further research. The lack of associations between cortisol in children and parental depressive symptoms, suggests a specific association between cortisol and parental anxiety symptoms. Conclusion: These results highlight the importance of taking into account family functioning, parental mental state and gender, when investigating neuroendocrine biomarkers in obese children associated with symptoms of anxiety and depression.

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Quality of Early Maternal–Child Relationship and Risk of Adolescent Obesity

Cited by 158 publications

References 52 publications

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

Resultados de una intervención motivacional con niños obesos o con sobrepeso y sus familias: Estudio Piloto

Anxiety, Family Functioning and Neuroendocrine Biomarkers in Obese Children

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