Evaluating Parental Perception and Confidence Managing Obesity-Related Behaviors Among Children with Severe Early-Onset Obesity in a Tertiary Care Clinic.

IF 1.5 4区 医学 Q2 PEDIATRICS
Julia M Morales, Mayver Gonzalez, Citrine Elatrash, Daphne Medina, Farah Ladha, Claudia Soler Alfonso, Stephanie Sisley
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Abstract

Background: Children with severe early-onset obesity (defined as a body mass index >120% of the 95th percentile before age 5) are a high-risk population often displaying disruptive food-related behaviors. This study assessed: (i) caregivers' confidence addressing obesity-related behaviors in children with severe early-onset obesity and (ii) differences in behavior perceptions between children with and without impaired satiety. Methods: Caregivers from a specialized pediatric obesity clinic completed the Lifestyle Behavior Checklist (LBC), a 25-question tool, evaluating their perceptions and confidence managing obesity-related behaviors. Impaired satiety diagnoses were based on clinical ascertainment of at least three abnormal eating behaviors across multiple settings. Data were analyzed using appropriate statistical tests. Results: A total of 89 caregivers completed the LBC. Parents felt least confident managing four of the top five perceived most problematic behaviors: excessive eating, requesting extra portions, unhealthy snacking, and eating too quickly. Parents of children with impaired satiety rated 16 behaviors as significantly more problematic (Q-value <0.05) and reported lower overall confidence in managing these behaviors compared with parents of children without impaired satiety (Q-value = 0.04). Despite these differences, both groups identified excessive eating as the most problematic behavior and the one they were least confident in managing. Conclusion: Parents of children with severe, early-onset obesity, reported difficulty managing food-related behaviors. Children with severe, early-onset obesity and impaired satiety displayed similar, but more pronounced, problematic lifestyle-related behaviors compared with those without satiety impairments. Future research should determine if behavior-specific counseling would be helpful to parents of children with severe, early-onset obesity.

评估父母的感知和信心管理肥胖相关行为的儿童严重早发性肥胖在三级保健诊所。
背景:患有严重早发性肥胖的儿童(定义为5岁前体重指数达到第95百分位数的120%)是一个高风险人群,经常表现出破坏性的食物相关行为。本研究评估:(i)照顾者对严重早发性肥胖儿童的肥胖相关行为的信心;(ii)饱腹感受损儿童和未受损儿童的行为感知差异。方法:来自一家专门的儿童肥胖诊所的护理人员完成了生活方式行为检查表(LBC),这是一个包含25个问题的工具,评估他们对肥胖相关行为的感知和信心。饱腹感受损的诊断是基于临床确定的至少三种不同环境下的异常饮食行为。使用适当的统计检验对数据进行分析。结果:共有89名护理人员完成了LBC。父母在处理前五种最容易出现问题的行为中,有四种缺乏信心:暴饮暴食、要求多吃、吃不健康的零食和吃得太快。饱腹感受损儿童的家长认为16种行为明显更有问题(q值q值= 0.04)。尽管存在这些差异,但两组人都认为过度饮食是最有问题的行为,也是他们最没有信心控制的行为。结论:患有严重早发性肥胖儿童的父母报告难以控制与食物相关的行为。与没有饱腹感障碍的儿童相比,患有严重早发性肥胖和饱腹感受损的儿童表现出相似但更明显的问题生活方式相关行为。未来的研究应该确定行为特异性咨询是否对患有严重早发性肥胖儿童的父母有帮助。
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来源期刊
Childhood Obesity
Childhood Obesity PEDIATRICS-
CiteScore
4.70
自引率
8.00%
发文量
95
期刊介绍: Childhood Obesity is the only peer-reviewed journal that delivers actionable, real-world obesity prevention and weight management strategies for children and adolescents. Health disparities and cultural sensitivities are addressed, and plans and protocols are recommended to effect change at the family, school, and community level. The Journal also reports on the problem of access to effective healthcare and delivers evidence-based solutions to overcome these barriers.
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