Pediatric Obesity最新文献

{"title":"Parental Communication in the Prevention and Treatment of Child and Adolescent Obesity: A Position Statement of the European Childhood Obesity Group.","authors":"Rebecca Puhl, Sandra Hassink, Julia Lischka, Gabriel Torbahn, Susanne Ring-Dimitriou, Caroline Braet, Elpis Vlachopapadopoulou, Teodora Handjieva-Darlenska, Andrea Vania, Edyta Łuszczki, Dénes Attila Molnár, David Thivel, Daniel Weghuber, Paulina Nowicka","doi":"10.1111/ijpo.70052","DOIUrl":"https://doi.org/10.1111/ijpo.70052","url":null,"abstract":"<p><p>Parental communication plays a critical role in weight-related health of children and adolescents and requires a balanced, thoughtful and supportive approach. The European Childhood Obesity Group (ECOG) convened a panel of experts to discuss the topic of parental communication in the prevention and treatment of child and adolescent obesity, as summarised in this statement. Parental concern about weight is evident, but the lack of parental knowledge about obesity, the impact of weight bias and stigma on their children and adolescents' health behaviours, and the influences of culture, media, and advertising all make communication challenging and problematic for many families. Parents need support and skill building in order to provide a communication environment that is healthy and accepting. Healthcare professionals can model healthy communication styles by focusing on health, building family strengths and supports, asking youth about what words they prefer using to discuss their weight, and acknowledging the multifactorial causes of obesity that reside in the socioecological environment. While parental communication offers a powerful platform for promoting healthy behaviours in youth, it must be handled with care to avoid the harms of stigmatisation and oversimplification of obesity as a reflection of individual lifestyle choices. With appropriate tools, knowledge, skills, and support, parents can be better equipped to engage in supportive dialogue that empowers their children and promotes their health and wellbeing.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70052"},"PeriodicalIF":2.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Home-Based Obesity Prevention Intervention on Children's and Parents' BMI: Findings From the Guelph Family Health Study Randomised Controlled Trial.","authors":"Raphaëlle Jacob, Andrea C Buchholz, Gerarda Darlington, Alison M Duncan, Lori Ann Vallis, Jean-Philippe Chaput, Angela Annis, Madeline Nixon, Jennifer D Irwin, Don Morrow, David W L Ma, Jess Haines","doi":"10.1111/ijpo.70062","DOIUrl":"https://doi.org/10.1111/ijpo.70062","url":null,"abstract":"<p><strong>Background: </strong>To prevent the development of obesity and related comorbidities, interventions must begin early in life. This study aimed to assess the impact of a home-based obesity prevention intervention on children's and parents' body mass index (BMI).</p><p><strong>Methods: </strong>The Guelph Family Health Study is a randomised controlled trial of a 6-month obesity prevention intervention aimed at establishing healthful household routines regarding family meals, children's screen time, physical activity and sleep among 285 families with preschool-aged children. The control group received 6 emails on child health behaviours. The analytic sample included 376 children (3.6 ± 1.3 years old, 20.2% at risk for overweight, 8.2% with overweight/obesity) and 481 parents (58.2% with overweight/obesity).</p><p><strong>Results: </strong>Compared to controls, the intervention had no significant impact on children's or parents' BMI at post-intervention and 1 year after the intervention. Children in both the intervention and control groups had a non-significant decrease in BMI from baseline to post-intervention [intervention; -0.23 kg/m² (95% CI, -0.46, 0.002); control; -0.17 kg/m² (95% CI, -0.40, 0.06)] and from baseline to 1-year follow-up [intervention, -0.29 kg/m² (95% CI, -0.67, 0.08); control, -0.06 kg/m² (95% CI, -0.42, 0.30)].</p><p><strong>Conclusions: </strong>Compared to controls, this home-based obesity prevention intervention had no significant impact on children's or parents' BMI immediately after the intervention or after 1 year of follow-up, indicating that the intervention had no additional effect compared to the control group on children's or parents' BMI over time. Future data collection phases will allow for the examination of the intervention effect on BMI as children age.</p><p><strong>Trial registration: </strong>This study is registered at clinicaltrial.gov identifier: NCT02939261.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70062"},"PeriodicalIF":2.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Sleep Duration and Timing on Paediatric BMI Across Childhood and Adolescence: Do Both Matter?","authors":"Yundan Zhang, Joyce M Lee, Karen E Peterson, Jonathan A Mitchell, Erica C Jansen","doi":"10.1111/ijpo.70064","DOIUrl":"https://doi.org/10.1111/ijpo.70064","url":null,"abstract":"<p><strong>Background: </strong>Adequate sleep duration is a prevention factor for paediatric obesity, but the role of timing is still unclear.</p><p><strong>Objectives: </strong>To investigate associations of sleep duration and timing with BMI in a large paediatric database.</p><p><strong>Methods: </strong>Medical chart and survey data were collected from 29 409 children aged 2-18 years who attended well-child visits between Jan 2019 and Dec 2023 (repeated-measures cross-sectional design). Logistic and linear mixed effects regression models accounting for repeated measures estimated odds of overweight/obesity and continuous BMI-for-age CDC-based percentiles for each additional/later hour of sleep duration, midpoint (median of bedtime and wake time), and bedtime, adjusted for potential confounders and stratified by age groups.</p><p><strong>Results: </strong>Among young children (2-5 years), shorter sleep duration but not sleep timing was related to higher odds of overweight/obesity (21% higher odds with 95% CI: 3% to 36%). In mid-childhood (6-12 years), shorter sleep duration and later midpoint were associated with higher odds of overweight/obesity (18%, 95% CI = 9%, 26%; 32%, 95% CI = 17%, 49%). Among adolescents (13-18 years), each hour of later sleep midpoint equated to 12% higher odds of living with overweight/obesity (95% CI: 1% to 23%). Linear models were similar.</p><p><strong>Conclusions: </strong>Shorter sleep duration at younger ages and later sleep timing in adolescence were associated with higher BMI.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70064"},"PeriodicalIF":2.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First 1000 Days Strategies to Prevent Childhood Obesity: A Narrative Review and Recommendations From the EndObesity Consortium.","authors":"Mireille C Schipper, Anna Manshanden, Kaat Philippe, Natàlia Ferré, Veronica Luque, Marion Lecorguillé, Adrien M Aubert, Kathrin Guerlich, Camille Le Gal, Shweta Feher, Ester Parada-Ricart, Joaquin Escribano, Veit Grote, Berthold Koletzko, Teresa Primavesi-Poggio, Katharina Reiss, Jaap C Seidell, Sandrine Lioret, Catherine M Phillips, Barbara Heude, Romy Gaillard","doi":"10.1111/ijpo.70060","DOIUrl":"https://doi.org/10.1111/ijpo.70060","url":null,"abstract":"<p><p>Childhood obesity remains a major global public health challenge, leading to significant short- and long-term adverse health outcomes and imposing substantial societal costs. Recognising the critical importance of early intervention, the Horizon2020 EU-funded JPI Consortium EndObesity has prioritised the first 1000 days of life, from preconception to 2 years of age, as a key window for obesity prevention strategies. This narrative review synthesises findings from the EndObesity Consortium, summarising evidence from large multi-cohort studies on the influence of family-based health behaviours in the first 1000 days on offspring obesity risk, the potential of childhood obesity prediction models in the first 1000 days, and strategies to enhance prenatal and postnatal interventions to prevent childhood obesity development. Finally, we present recommendations for research, practice, and policy to address the complex, multifaceted challenges of childhood obesity prevention in the first 1000 days.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70060"},"PeriodicalIF":2.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145306578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relative Fat Mass as an Estimator of Abdominal Adiposity in Youth Across the BMI Spectrum from Normal Weight to Obesity.","authors":"Wonhee Cho, Joon Young Kim, Silva Arslanian","doi":"10.1111/ijpo.70059","DOIUrl":"https://doi.org/10.1111/ijpo.70059","url":null,"abstract":"<p><strong>Background: </strong>Relative fat mass (RFM) has been used to estimate whole-body fat percentage (%BF). However, whether RFM can mirror abdominal adiposity is unknown.</p><p><strong>Objective: </strong>In youth, we examined if RFM reflects abdominal adiposity, if there are age/race/sex differences in the relationships between RFM and abdominal adiposity, and if our present-youth-cohort-derived RFM (RFM-Y) improves the prediction of %BF and abdominal adiposity.</p><p><strong>Methods: </strong>In 358 youth (aged 10-19 years; 168 black/198 white) with normal weight and overweight/obesity (without secondary or syndromic obesity), visceral (VAT), subcutaneous (SAT) and total abdominal adipose tissue (TAT) were assessed by MRI/CT and %BF with DXA. RFM was calculated for ages 10-14 years as [74 - (22 × height/waist circumference [WC]) + (5 × sex)] and 15-19 years as [64 - (20 × height/WC) + (12 × sex)]; sex = 0 for boys, 1 for girls. To develop and validate RFM-Y, linear regression, concordance correlation coefficient, Bland-Altman plots and intraclass correlation coefficient were conducted.</p><p><strong>Results: </strong>RFM associated with VAT, SAT and TAT (r = 0.66, 0.79, 0.79, respectively; all p < 0.001). The slope was significantly greater in (a) younger versus older youth for VAT, SAT and TAT; (b) whites versus blacks for VAT; and (c) girls versus boys for SAT and TAT. RFM-Y versus traditional RFM showed improved predictive ability for %BF (R² = 0.83 vs. 0.77) and abdominal adiposity (R² ranging from 0.51 to 0.80 vs. 0.37 to 0.63).</p><p><strong>Conclusions: </strong>RFM reflects abdominal adiposity besides %BF and could be used in longitudinal/interventional youth trials, obviating the need for expensive imaging to assess changes in total and abdominal adiposity.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70059"},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priority Populations in Early Childhood Obesity Prevention Interventions: A Scoping Review.","authors":"Talia Palacios, Kylie E Hunter, Brittany J Johnson, Sol Libesman, Nipun Shrestha, H Shonna Yin, Jonathan G Williams, Anna Lene Seidler","doi":"10.1111/ijpo.70058","DOIUrl":"https://doi.org/10.1111/ijpo.70058","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity disproportionately affects priority populations, including racial and ethnic minority groups and those with lower socio-economic backgrounds. These groups often encounter barriers to accessing public health services and may benefit from targeted interventions.</p><p><strong>Objective: </strong>This scoping review aimed to identify the characteristics of populations involved in interventions to prevent early childhood obesity and to understand whether and how existing interventions targeted and reached priority populations.</p><p><strong>Methods: </strong>Databases and trial registries were systematically searched until 4 October 2024, for planned, ongoing, and completed randomised controlled trials evaluating parent-focussed, behavioural interventions for childhood obesity prevention, starting within the first year of life. Two reviewers independently extracted data using a customised tool.</p><p><strong>Results: </strong>Of the 11 960 articles identified, 82 trials were eligible. Most trials (87%) were conducted (or planned) in high-income countries, 11% in upper middle-income countries, and 2% in lower middle-income countries. Priority populations included parent-child dyads from specific ethnic or racial groups facing psychological, social, and/or economic disadvantages. Among the completed trials, 54% targeted priority populations, yet only 33% exclusively enrolled participants from these groups. Additionally, less than a quarter of the trials involved priority populations in the design of interventions (17%) and developed tailored interventions for these groups (21%).</p><p><strong>Conclusions: </strong>Current interventions do not sufficiently target, reach and engage priority populations. To achieve health equity in early childhood obesity prevention, it is essential to include underserved and at-risk populations in research and intervention design.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70058"},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the Association Between Emotional Eating and Psychosocial Health in Spanish Adolescents: The EHDLA Study.","authors":"Lina América Sánchez-Charcopa, Caroline Brand, Camila Felin Fochesatto, Rodrigo Yáñez-Sepúlveda, Hector Gutiérrez-Espinoza, Jorge Olivares-Arancibia, Josefa María Panisello Royo, Brendon Stubbs, Lee Smith, José Francisco López-Gil","doi":"10.1111/ijpo.70056","DOIUrl":"https://doi.org/10.1111/ijpo.70056","url":null,"abstract":"<p><p>Emotional eating has been associated with several adverse health outcomes, yet research examining its relationship with psychosocial health among adolescents remains limited. The objective of the study was to investigate the association between emotional eating and psychosocial health in Spanish adolescents. Cross-sectional data were collected from 633 participants (56.9% female) aged 12-17 years from all three secondary schools in the Valle de Ricote (Spain), as part of the Eating Healthy and Daily Life Activities (EHDLA) study. Emotional eating was assessed using the Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C), while psychosocial health was measured using the Strengths and Difficulties Questionnaire (SDQ). To explore the relationship between emotional eating and psychosocial health, generalised linear models (GLMs) were applied. Results revealed significant associations between higher levels of overall emotional eating (unstandardized beta coefficient [B] = 0.04, 95% confidence interval [CI] 0.02-0.07, p = 0.001) and elevated SDQ scores. Specifically, these associations were evident in response to anger (B = 0.16, 95% CI 0.07-0.25, p = 0.001), anxiety (B = 0.13, 95% CI 0.05-0.21, p = 0.001), restlessness (B = 0.17, 95% CI 0.06-0.29, p = 0.004), and helplessness (B = 0.25, 95% CI 0.06-0.45, p = 0.011). These findings suggest that adolescents who engage in emotional eating may experience greater psychosocial challenges. This study underscores the importance of considering adolescent dietary habits as a crucial aspect in psychosocial health.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70056"},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Overweight/Obesity Among Under-Five Children in Lower Middle-Income Countries and Assessment of the Reported Associated Factors: A Systematic Review and Meta-Analysis.","authors":"Rounik Talukdar, Sombuddha Biswas, Anusha Seelamantula, Shubhajit Pahari, Debanjan Ghosh, Hari Krishna Raju Sagiraju","doi":"10.1111/ijpo.70055","DOIUrl":"https://doi.org/10.1111/ijpo.70055","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Overweight/obesity among children under five is a growing global concern, especially in low- and middle-income countries (LMICs), yet consolidated evidence of this burden remains limited, which is crucial to target interventions. This review synthesises data from community-based studies to estimate the overall and individual pooled prevalences of overweight/obesity in this population and explores the factors associated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;PubMed, Scopus and EMBASE were searched and screened for eligible studies published between April 2014 and 2024 individually by two researchers. Quality assessment of the eligible studies was conducted using the Joanna Briggs Institute (JBI) tool. Data regarding the prevalence of overweight, obesity and their associated factors, including maternal education, area of residence, maternal body weight, household incomes and breastfeeding practices, as reported in these included studies, were extracted. A random-effect model was used for the meta-analysis, and heterogeneity was evaluated using I&lt;sup&gt;2&lt;/sup&gt; statistics. Sources of heterogeneity were explored through subgroup analyses comparing effect sizes across categories of geographic regions, overweight/obesity measurement guidelines, sample sizes and publication years. Meta-regression assessed the relationship between these variables and the pooled estimates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 13 734 studies screened, 21 were eligible for inclusion. The pooled prevalence of overweight/obesity among the under-five children in LMICs was 8.57% (95% confidence interval (CI) 5.24-12.63, I&lt;sup&gt;2&lt;/sup&gt; 100% at p value &lt; 0.01) with significant heterogeneity. Overnutrition prevalence increased from 7.43% during the 5 years of 2014-2018 to 9.12% during 2019-2023. The pooled prevalence of overweight/obesity varied significantly across geography, with the highest prevalence in the African region (17%) and the lowest in the Southeast Asian region (3.41%). Across the four studies that reported maternal education, children of mothers with secondary school education or higher had increased odds of having overweight/obesity [Odds Ratio (OR) (95% CI): 1.51 (1.21-1.88)]. Prevalence estimates also differed significantly by gender, with 6.89% for under-five boys and 4.75% for girls [OR (95% CI): 1.48 (1.08-2.04)]. Although individual studies reported significant associations with other factors such as area of residence, maternal body weight, income status and breastfeeding practices, a meta-analysis could not be performed due to heterogeneity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Trends in childhood overnutrition in LMICs are concerning, with overall prevalence approaching estimates of those reported in a few high-income nations. Geographic variability, gender disparity and association with maternal education emphasise the need for region-specific policies, focusing on community engagement and awareness towards rising overnutrition.&lt;","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70055"},"PeriodicalIF":2.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to Metal Mixtures and Childhood Adiposity: An Examination of Periods of Heightened Susceptibility Between Gestation and Late Childhood.","authors":"Janice M Y Hu, Michael M Borghese, Mandy Fisher, Joseph M Braun, Katherine M Morrison, Mark R Palmert, Linda Booij, Constadina Panagiotopoulos, Jillian Ashley-Martin","doi":"10.1111/ijpo.70057","DOIUrl":"https://doi.org/10.1111/ijpo.70057","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood obesity is a public health concern. Studies have investigated the effects of metal mixtures on childhood obesity but none have identified periods of heightened susceptibility of exposure. We identified the periods by investigating the association of metal mixture, measured at four time points, with adiposity.</p><p><strong>Materials and methods: </strong>Using data from the Maternal-Infant Research on Environmental Chemicals Research Platform, we included 234 child-parent pairs. We measured whole blood metal concentrations during the first and third trimesters, early and late childhood. Outcomes were late childhood body mass index z-score (zBMI), body fat percentage (%BF) and waist circumference z-score (zWC). We used treed distributed lag mixture models (TDLMM) to investigate associations between metal mixture and adiposity. We also investigated associations using linear regression and conducted sex-specific analysis.</p><p><strong>Results: </strong>Among females, arsenic was positively associated with zBMI and zWC. Regression results show that each doubling in third trimester arsenic concentrations was associated with 0.16 (95% CI: 0.02, 0.31) and 0.13 (95% CI: 0.01, 0.25) increase in zBMI and zWC, respectively. TDLMM results were similar but attenuated. We also observed negative associations between third trimester cadmium and zWC, null associations between other metals and adiposity and among males and no metal interactions.</p><p><strong>Conclusion: </strong>Third trimester is a period of heightened susceptibility to obesogenic effects of arsenic exposure in females.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70057"},"PeriodicalIF":2.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Risk of Intra-Familial Stigmatisation in Family-Based Treatment of Childhood Obesity. A Position Statement of the European Childhood Obesity Group.","authors":"D Hoeeg, D Grabowski, G Torbahn, T Handjieva-Darlenska, E Luszczki, E Vlachopapadopoulou, A Vania, D Thivel, D Weghuber, C Braet","doi":"10.1111/ijpo.70054","DOIUrl":"https://doi.org/10.1111/ijpo.70054","url":null,"abstract":"<p><p>Intra-familial weight stigma is a subtle yet impactful dynamic that may influence the outcomes of family-based interventions aimed at treating childhood obesity. While much attention has been paid to societal and peer-related weight stigma, less focus has been placed on how stigma manifests within families. This position statement highlights the importance of recognising that such stigma can unintentionally arise in the home. Drawing on recent qualitative research, we outline the social mechanisms that contribute to intra-familial weight stigma and provide key recommendations for addressing it. We emphasise the need to attend to family dynamics, support parents in changing their own habits, and involve siblings and extended family members to ensure a truly family-focused and person-centred intervention. Ultimately, preventing intra-familial weight stigma and fostering a supportive family environment are essential steps toward improving both psychological and physical health outcomes in the treatment of childhood obesity.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70054"},"PeriodicalIF":2.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}