Childhood Obesity最新文献

{"title":"Restriction and Pressure to Eat Are Associated Cross-Sectionally, But Not Longitudinally, With BMI z-Score in a Longitudinal Cohort Study of Adolescents.","authors":"Katherine N Balantekin, Ana Letícia Pereira Andrade, Amanda M Ziegler, Jennifer L Temple","doi":"10.1089/chi.2023.0108","DOIUrl":"10.1089/chi.2023.0108","url":null,"abstract":"<p><p><b><i>Background:</i></b> Parents can influence child weight through their use of food parenting practices, although data are limited in adolescents. The purpose of this study was to examine the cross-sectional and longitudinal relationships between BMI z-Score (zBMI) and restriction and pressure to eat in adolescents. <b><i>Methods:</i></b> Adolescents (12-14 years of age at baseline; <i>N</i> = 236) had their height/weight measured at baseline and 24 months and their parent completed the Child Feeding Questionnaire. Linear regressions examined relationships between food parenting practices and zBMI. <b><i>Results:</i></b> Cross-sectionally, restriction was positively associated with zBMI at both baseline (<i>β</i> = 0.28, <i>p</i> < 0.001) and 24 months (<i>β</i> = 0.141, <i>p</i> = 0.039). In contrast, pressure to eat was negatively associated with zBMI at both baseline (<i>β</i> = -0.30, <i>p</i> < 0.001) and 24 months (<i>β</i> = -0.31, <i>p</i> < 0.001). Neither restriction (<i>β</i> = -0.028, <i>p</i> = 0.446) nor pressure to eat (<i>β</i> = -0.027, <i>p</i> = 0.493) at baseline predicted 2-year changes in zBMI. zBMI at baseline did not predict 2-year changes in either restriction (<i>β</i> = -0.003, <i>p</i> = 0.965) or pressure to eat (<i>β</i> = -0.056, <i>p</i> = 0.611). <b><i>Conclusion:</i></b> Findings highlight that adolescents perceive moderate levels of restriction and pressure to eat, with levels differing by weight status. These findings suggest that the bidirectional relationships between child weight status and food parenting practices are likely established before adolescence, but persist throughout adolescence. Further longitudinal studies should examine the impact of restriction and pressure to eat early in childhood on weight trajectories into adolescence and adulthood. Clinicaltrials.gov: NCT04027608.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"386-393"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for Childhood Obesity.","authors":"Michelle W Katzow","doi":"10.1089/chi.2024.83345.rfs2023","DOIUrl":"https://doi.org/10.1089/chi.2024.83345.rfs2023","url":null,"abstract":"","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"44 1","pages":"375"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142195970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Adverse Childhood Experiences and Social Determinants of Health: A Survey of Practices in Pediatric Weight Management Programs.","authors":"E Thomaseo Burton, Jaime M Moore, Alaina P Vidmar, Eileen Chaves, Rochelle Cason-Wilkerson, Marsha B Novick, Cristina Fernandez, Jared M Tucker","doi":"10.1089/chi.2023.0152","DOIUrl":"10.1089/chi.2023.0152","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Adverse childhood experiences (ACEs) and social determinants of health (SDoH) are associated with increased incidence of pediatric obesity. Recent literature highlights an imperative need to assess ACEs and SDoH among youth and families with obesity to identify those individuals requiring targeted interventions. The primary objective of the present study was to examine the frequency, methodology, and barriers in evaluation of ACEs and SDoH within pediatric weight management programs (PWMPs). <b><i>Methods:</i></b> Invitations were e-mailed to a comprehensive directory of 92 PWMPs in the United States with a link to complete an electronic survey. <b><i>Results:</i></b> Forty-one PWMPs from 26 states completed the survey. Assessment of one or more ACEs and SDoH was common and typically took place during the initial patient visit by the psychologist or medical practitioner through unstructured conversations. Reported barriers to assessment included lack of time to assess and to follow-up, lack of clinic protocols, and inadequate referral resources. Programs offering bariatric surgery and those with embedded mental health clinicians reported fewer barriers to ACEs/SDoH referral resources, while family-based and healthy lifestyle-focused programs perceived more barriers related to insufficient support staff and time to follow-up with families. <b><i>Conclusions:</i></b> Most PWMPs assess a subset of ACEs and SDoH; however, approaches to assessment vary, are often unstructured, and several barriers remain to optimizing assessment and follow-up. Future research should evaluate standardized ACEs/SDoH assessment protocols, ideal workflow, and their impact on obesity treatment and related health outcomes.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"425-433"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Weight-Loss Attempts, Weight-Related Stress, and Body Image During Childhood and Adolescence in Children With Parental Obesity.","authors":"Soren Harnois-Leblanc, Andraea Van Hulst, Kristen M Lucibello, Marie-Josée Harbec, Catherine M Sabiston, Katerina Maximova, Marie-Pierre Sylvestre, Mélanie Henderson","doi":"10.1089/chi.2023.0082","DOIUrl":"10.1089/chi.2023.0082","url":null,"abstract":"<p><p><b><i>Background:</i></b> Few longitudinal studies have investigated the role of weight-loss attempts or weight-related stress on body image during childhood. We examined whether weight-loss attempts and weight-related stress are associated with weight misperception and body dissatisfaction across childhood and adolescence. <b><i>Methods:</i></b> Data were drawn from the Quebec Adipose and Lifestyle InvesTigation in Youth (QUALITY) cohort of Canadian children with parental obesity (8-10 years: <i>n</i> = 630; 10-12 years: <i>n</i> = 564; 15-17 years: <i>n</i> = 377). We assessed weight-loss attempts and weight-related stress at baseline and first follow-up, and perceived and desired silhouettes at first and second follow-up with questionnaires. Weight misperception consisted of the difference in BMI z-score (zBMI) from the perceived silhouette and the measured zBMI. Body dissatisfaction consisted of the discordance between perceived and desired silhouettes. We estimated multivariable mixed-effects regression models adjusting for age, sex, pubertal stage, parental BMI and education, and sport-based teasing. <b><i>Results:</i></b> Weight loss attempts were associated with a higher weight misperception score (ever tried, beta [95% confidence intervals; CI]: 0.13 [0.01-0.24]) and with 2.13 times higher desire to be thinner (95% CI: 1.39-3.26) at the subsequent follow-up. Similarly, children stressed by their weight had a higher misperception score (beta [95% CI]: 0.15 [0.02-0.27]) and greater desire to be thinner at the next follow-up (odds ratio [95% CI]: 1.73 [0.999-3.00]). <b><i>Conclusions:</i></b> Weight-loss attempts and weight-related stress in children and adolescents are associated with weight misperception and body dissatisfaction, supporting empowerment and counseling focusing on healthy eating behaviors and a positive body image. Clinical Trial Registration Number: NCT03356262.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"434-441"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Mediating Roles of Children's Health-Related Quality of Life and Weight-Related Behaviors in the Relationship Between Socio-Educational Advantage and Weight Status.","authors":"Colin Bell, Denise Becker, Cadeyrn J Gaskin, Claudia Strugnell, Kristy A Bolton, Penny Fraser, Ha Le, Steven Allender, Liliana Orellana","doi":"10.1089/chi.2023.0054","DOIUrl":"10.1089/chi.2023.0054","url":null,"abstract":"<p><p><b><i>Background:</i></b> Socioeconomic status is inversely associated with weight status in developed countries. Underlying mechanisms are still to be clarified. Our aim was to determine if weight-related behaviors and health-related quality of life (HRQoL) mediate the relationship between socio-educational advantage and weight status in Australian children 9 to 13 years of age. <b><i>Methods:</i></b> Secondary analysis of data collected by two cluster randomized trials (2019 wave). We measured children's (<i>n</i> = 3978) height, weight, diet, physical activity, sedentary behavior, and HRQoL. Socio-.educational advantage was assessed at school level using the Index of Community Socio-Educational Advantage (ICSEA). A counterfactual framework was used to explore potential mediators in the relationship between socio-educational disadvantage and (1) overweight/obesity and (2) BMI z-score (BMIz). <b><i>Results:</i></b> Low socio-educational advantage was associated with increased overweight/obesity and BMIz. The overweight/obesity association was mediated by sedentary behavior (natural indirect effect as a proportion of total, 7.5%) sugar-sweetened beverage (SSB) consumption (12.7%), physical functioning (11.9%), psychosocial health (10.9%), school (6.8%) and social functioning (15.6%), and total HRQoL score (13.8%). The ICSEA-BMIz relationship was mediated by sedentary behavior (5.7%), sleep duration (4.1%), SSB (10.6%), physical functioning (9.9%), psychosocial health (9.1%), school (5.5%) and social (13.7%) functioning, and total HRQoL score (11.7%). <b><i>Conclusion:</i></b> Victorian Children with low socio-educational advantage were more likely to be living with overweight or obesity. This relationship was mediated by children's sedentary behavior, SSB consumption, and HRQoL. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12616000980437 (registered July 26, 2016, retrospectively registered) and ACTRN12618001986268 (registered December 11, 2018, prospectively registered). https://www.anzctr.org.au/Trial/Registration.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"403-415"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Race/Ethnicity Modifies the Relationship Between Diet Quality at the Home- and Individual-Levels and Weight Status Among African American and Hispanic/Latinx Households With Preschool-Age Children.","authors":"Angela Kong, Jennifer Sanchez-Flack, Marian Fitzgibbon, Linda Schiffer, Colin Hubbard","doi":"10.1089/chi.2023.0100","DOIUrl":"10.1089/chi.2023.0100","url":null,"abstract":"<p><p><b><i>Background:</i></b> Higher obesity prevalence and poorer diet quality disproportionately impacting groups based on income and race/ethnicity may be partially attributed to the home food environment. This study examined home- and individual-level diet quality with weight status among racially/ethnically diverse households. <b><i>Methods:</i></b> This cross-sectional study included African American (AA) and Hispanic/Latinx (H/L) households with preschool-age children (<i>n</i> = 97). Home-level diet quality was based on comprehensive home food inventories and individual-level diet quality was based on 24-hour dietary recalls; scores were estimated with the Healthy Eating Index. Child and adult appropriate weight categories based on BMI were estimated with measured heights and weights. Multiple linear regression models (independent variable: weight status, outcome: diet quality scores) with an interaction term for weight status and race/ethnicity and adjusting for potential confounding factors were used to estimate adjusted mean diet quality scores. Postestimation pairwise comparisons of these scores were used to look for within and between group differences by weight status and race/ethnicity. <b><i>Results:</i></b> Home-level diet quality scores were significantly higher among H/L households compared to AA counterparts regardless of weight status. AA parents with BMI <30 and AA children with BMI <85th percentile had poorer individual-level diet quality scores compared to AA parents and children of lower weight status and all H/L parents and children. <b><i>Conclusions:</i></b> These findings offer evidence that race/ethnicity modifies the relationship between diet quality and weight among AA and H/L households. Future research needs to examine the distinctive ways race/ethnicity shapes the relationship between weight and diet quality in these households.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"378-385"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closing the Gap Between Evidence and Practice for Childhood Obesity Treatment.","authors":"Alyssa M Button, Amanda E Staiano, Hilary K Seligman","doi":"10.1089/chi.2023.0136","DOIUrl":"10.1089/chi.2023.0136","url":null,"abstract":"","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"376-377"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Independent and Interactive Associations of Subjective and Objective Socioeconomic Status With Body Composition and Parent-Reported Hyperphagia Among Children.","authors":"Meegan R Smith, Julia M P Bittner, Lucy K Loch, Hannah E Haynes, Bess F Bloomer, Jennifer Te-Vazquez, Andrea I Bowling, Sheila M Brady, Marian Tanofsky-Kraff, Kong Y Chen, Jack A Yanovski, Bobby K Cheon","doi":"10.1089/chi.2023.0086","DOIUrl":"10.1089/chi.2023.0086","url":null,"abstract":"<p><p><b><i>Background:</i></b> Subjective socioeconomic status (SSES) and objective socioeconomic status (OSES) have been independently associated with body composition and eating behavior in children. While low OSES may constrain access to healthier foods, low SSES has been associated with increased preference for and motivation to consume higher energy foods and portions independent of OSES. Despite these distinct ways that OSES and SSES may affect children's eating behavior and adiposity, their joint contributions remain unclear. We investigated the independent and interactive associations of SSES and OSES with children's BMI, fat mass index (FMI), and caregiver-reported hyperphagia. <b><i>Methods:</i></b> Data were derived from the Children's Growth and Behavior Study, an ongoing observational study. Multiple linear regressions used child's SSES and OSES of the family as independent factors and modeled the statistical interaction of SSES and OSES with BMI (<i>n</i> = 128), FMI (<i>n</i> = 122), and hyperphagia and its subscales (<i>n</i> = 76) as dependent variables. <b><i>Results:</i></b> SSES was independently and negatively associated with hyperphagia severity and OSES was independently and negatively associated with both FMI and hyperphagia severity. There was a statistical interaction effect of SSES and OSES on hyperphagia severity-lower SSES was associated with greater hyperphagia severity only at lower levels of OSES. <b><i>Conclusions:</i></b> These findings demonstrate a relationship between low OSES and child adiposity and that the relationship between child SSES and hyperphagia severity may be most relevant for children from households with lower family OSES. Future research on socioeconomic disparities in children's body composition and eating behaviors should examine the interaction of SSES and OSES. <b><i>Clinical Trial Registration:</i></b> NCT02390765.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"394-402"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating Children and Adolescents With Obesity: Characteristics of Success.","authors":"Amy Christison, Jared Tucker, Eileen King, Brooke Sweeney, Suzanne Cuda, Michelle Frank, Shelley Kirk","doi":"10.1089/chi.2023.0083","DOIUrl":"10.1089/chi.2023.0083","url":null,"abstract":"<p><p><b><i>Background:</i></b> Factors related to clinically meaningful outcomes for pediatric patients seeking care for severe obesity are not well known. Examining patient-level and program-level characteristics related to success may inform future care. <b><i>Objectives</i></b>: To determine factors associated with a clinically significant reduction in weight status measured by %BMIp95 after 6 months of treatment. <b><i>Study Design:</i></b> This is a retrospective study of youth 5-17 years of age seeking multicomponent weight management care to determine if patient characteristics, treatment recommendations, reported adherence, and additional program-affiliated class participation are associated with 6-month change in %BMIp95. <b><i>Results:</i></b> Among 170 children with obesity, higher reductions in %BMIp95 were seen in those with medium-high dietary adherence compared to low-none (-10.8 vs. -4.0, <i>p</i> = 0.002). <i>Post hoc</i> analysis showed higher dietary adherence among those with private insurance than public insurance (59% vs. 41%, respectively, <i>p</i> = 0.04). <b><i>Conclusion:</i></b> Children receiving multidisciplinary multicomponent weight management, who achieve clinically meaningful outcomes, are more likely to be adherent to dietary recommendations regardless of the type. Further study is needed of how best to address social determinants of health to improve dietary adherence. Clinical Trial Registration Number: NCT02121132.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"416-424"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Parent-Measured Weight and Height of Preschool Children at Home With Increasing Levels of Instruction.","authors":"Divya Patel, Sara K Vesely, Dipti A Dev, Emily H Guseman, Norman Hord, Kathrin Eliot, Susan B Sisson","doi":"10.1089/chi.2023.0088","DOIUrl":"10.1089/chi.2023.0088","url":null,"abstract":"<p><p><b><i>Background:</i></b> The purpose of this study was to determine how accurately parents measure their preschool child's weight and height with increasing levels of instruction. <b><i>Methods:</i></b> Parents measured their child's (<i>n</i> = 30 dyads) weight (own weight scale) and height (soft tape measure) using three levels of instruction: instructional guide (level 1); guide, demonstration video (level 2); and guide, video, and virtual monitoring (level 3), which were compared to researcher measurements (electronic weight scale, Stadiometer). Paired <i>t</i>-tests were used to determine differences between researcher and parent measurements and between the three parent levels. Inaccurate classifications were calculated using parent-measured values for the four categories (underweight, healthy, overweight, obese). <b><i>Results:</i></b> Raw mean parent-measured weights (17.4 ± 2.3 kg) differed from researcher by 0.2 kg (level 1), 0.3 kg (level 2), and 0.1 kg (level 3). Raw mean parent-measured heights (104.0 ± 5.9 cm) differed from researcher by 0.9 cm (level 1, <i>p</i> = 0.005), 0.4 cm (level 2, NS), and 0.3 cm (level 3, NS). Across all levels, 48.9% and 65.5% parents overmeasured their children's weights and heights, respectively. Using parent-measured values, 29.4% of children were classified high while 70.5% were classified low. Parents were more likely to make errors if their children were on the borderline between any of the two weight categories. <b><i>Conclusion:</i></b> Findings indicate that an instructional guide with demonstration video is helpful in improving the parents' accuracy of their children's weights and heights. More research is needed to determine accuracy in population other than White parents with high education levels and children under overweight and obese category.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"346-353"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}