Childhood ObesityPub Date : 2026-04-01Epub Date: 2026-01-20DOI: 10.1177/21532176261417772
Grace W Ryan, Chris Frisard, Sybil Crawford, Michelle Trivedi, Sue Druker, Barbara Olendzki, Jennifer Bram, Alan C Geller, Lori Pbert
{"title":"Differential Participation: Comparison of Latino and Non-Latino Families in Fitline, a Family-Centered Weight Management Intervention.","authors":"Grace W Ryan, Chris Frisard, Sybil Crawford, Michelle Trivedi, Sue Druker, Barbara Olendzki, Jennifer Bram, Alan C Geller, Lori Pbert","doi":"10.1177/21532176261417772","DOIUrl":"10.1177/21532176261417772","url":null,"abstract":"<p><p>Fitline is a pediatric practice-based, family-centered weight management intervention in which families with children aged 8-12 with overweight/obesity receive a brief pediatrician-delivered intervention and 4 hours of telephonic nutrition and lifestyle coaching accompanied by a workbook. We analyzed study tracking records and satisfaction survey data from 243 families, of which 31% (<i>n</i> = 75) identified as Latino. Latino families completed fewer coaching sessions. Only 70% of Latino families completed all 8 coaching sessions, compared to 89% of non-Latino families (<i>p</i> < 0.001). Significantly fewer Latino families completed study tracking assessments of dietary recalls (<i>p</i> < 0.01) and actigraph measurements at 12 months (<i>p</i> < 0.01). More Latino families reported that the coaching sessions (<i>p</i> = 0.04) and workbook (<i>p</i> = 0.01) were very helpful, compared to non-Latino families. Given higher rates of overweight/obesity among Latino children, it is imperative to understand how best to ensure Latino families can participate in and experience the full effect of weight management interventions.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"22 3","pages":"182-186"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475970","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}
Childhood ObesityPub Date : 2026-04-01Epub Date: 2026-02-27DOI: 10.1177/21532176261423260
Colin J Orr, Eliana M Perrin, William J Heerman, Yumei Yang, Feng-Chang Lin, Russell L Rothman, Lee M Sanders, H Shonna Yin, Charles T Wood, Alan M Delamater, Kori B Flower
{"title":"Timing of Food Insecurity and Associations with Parent Feeding Behaviors and Toddler Weight Status.","authors":"Colin J Orr, Eliana M Perrin, William J Heerman, Yumei Yang, Feng-Chang Lin, Russell L Rothman, Lee M Sanders, H Shonna Yin, Charles T Wood, Alan M Delamater, Kori B Flower","doi":"10.1177/21532176261423260","DOIUrl":"10.1177/21532176261423260","url":null,"abstract":"<p><strong>Background: </strong>A gap in the literature is the associations between longitudinal changes in food insecurity (FI) with parental feeding behaviors (PFB) and child weight status.</p><p><strong>Methods: </strong>Secondary analysis of data from the Greenlight trial. Exposure was FI at 2 and 24 months, categorized as: no FI, food insecure to food secure (resolved FI), food secure to food insecure (new FI), or persistent FI. Outcomes included PFB, measured by the Child Feeding Questionnaire, and child weight outcomes. Adjusted linear models were used to estimate predicted means; pairwise comparisons were conducted with the no FI group as the referent group.</p><p><strong>Results: </strong>Analysis included 496 parent-child dyads: 45% no FI, 11% new FI, 19% resolved FI, and 25% persistent FI. New and resolved FI had lower mean monitoring scores (<i>p</i> < 0.001 and <i>p</i> = 0.02, respectively). New FI and persistent FI had higher mean pressuring scores (<i>p</i> = 0.03 and <i>p</i> = 0.03, respectively). No difference in restrictive scores was observed. The persistent FI group was more concerned about their child becoming overweight, <i>p</i> = 0.03. Persistent FI had the highest body mass index <i>z</i>-score point estimate (<i>p</i> = 0.07).</p><p><strong>Conclusions: </strong>Persistent food insecurity during the first 24 months of life were associated with differences in PFB that may contribute to obesity.</p><p><strong>Clinical trials registration: </strong>NCT01040897.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"173-181"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318659","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}
Childhood ObesityPub Date : 2026-03-23DOI: 10.1177/21532176261436181
Oresta S Rule, Kristin S Kotleski, Gracey D Niedzielak, Kristen A Marten, Bradley R Kerr
{"title":"Parental Priorities for Childhood Obesity Management in Primary Care.","authors":"Oresta S Rule, Kristin S Kotleski, Gracey D Niedzielak, Kristen A Marten, Bradley R Kerr","doi":"10.1177/21532176261436181","DOIUrl":"https://doi.org/10.1177/21532176261436181","url":null,"abstract":"<p><strong>Background: </strong>Parents have an important influence on the management of childhood obesity, yet parental priorities for obesity management have not been deeply explored. The purpose of this study was to explore parent-generated preferences for primary care management of childhood obesity across a broad range of child ages.</p><p><strong>Methods: </strong>In this qualitative study, parents of 4- to 17-year-old children with obesity participated in semi-structured virtual interviews about their experiences with and priorities for primary care management of obesity. Inductive thematic analysis was performed using the constant comparative method.</p><p><strong>Results: </strong>Among 20 participants interviewed, 19 self-identified as female and 17 as White, with average child age of 10.9 years old (SD = 3.6, range 4-17). We identified three themes. Participants preferred that providers (1) reinforce family-based <i>Care Across Contexts</i>, recognizing that several competing factors influence health as children grow in autonomy, (2) prioritize a <i>Need for Sensitivity</i>, focusing on holistic health and avoiding stigmatizing language, and (3) embrace <i>Collaborative Action-Based Approaches</i>, leveraging parental insight and encouraging allied health visits to support parents in managing childhood obesity.</p><p><strong>Conclusions: </strong>As parents help children navigate increasing autonomy and competing influences on health, obesity management may require providers to take a parent-centered approach to childhood obesity care, specifically reinforcing parent-led healthy habits and equipping parents with skills to mediate obesity management for their children in partnership with allied health providers.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261436181"},"PeriodicalIF":1.4,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505406","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-22DOI: 10.1177/21532176251410314
Matthew A Haemer, Suhong Tong, Emily J Steen, Brandon Osborn, Megan Bradley, Richard E Boles
{"title":"Pragmatic Pilot Study of the Healthy Living Program: An Obesity Prevention and Treatment Program for Low-Income Hispanic Families Delivered Through Clinic-Community Partnership.","authors":"Matthew A Haemer, Suhong Tong, Emily J Steen, Brandon Osborn, Megan Bradley, Richard E Boles","doi":"10.1177/21532176251410314","DOIUrl":"10.1177/21532176251410314","url":null,"abstract":"<p><strong>Background: </strong>Few childhood obesity interventions have been designed for Hispanic families including Spanish speakers. This pragmatic pilot study assessed the effectiveness of a whole-family obesity prevention and treatment program-the Healthy Living Program (HeLP).</p><p><strong>Methods: </strong>HeLP is delivered at recreation centers by teams of health educators and fitness professionals. HeLP involves 12 group sessions, including parenting, child feeding, nutrition, cooking, meal planning/shopping, and fitness. Primary care providers referred families of children 2 years and older with obesity. This pragmatic longitudinal study collected data at the intervention and from electronic health records to compare child BMI trajectories from 12 months pre- to 12 months postintervention, in terms of the percentage of the 95th percentile BMI (BMI%95) using hierarchical mixed-effects models to account for clustering and to adjust for age, sex, weight status, and language.</p><p><strong>Results: </strong>Median attendance was 8 of 12 sessions. Of 317 children who had BMI measured clinically 1 year prior to HeLP, 265 (84%) had BMI measured 1 year post-HeLP, including 210 with overweight or obesity and 55 healthy weight siblings. About 71% of parents spoke Spanish only. Changes in modeled BMI%95 trajectory for children with overweight or obesity were: -6.7% [95% CI -13.0%, -0.4%] (<i>p</i> = 0.04) for 2-6 years, -5.8% [-8.6%, -3.0%] (<i>p</i> < 0.0001) for 7-11 years, and -4.1% [-6.8%, -1.4%] (<i>p</i> = 0.003) for 12-18 years. Children with overweight decreased -4.6% [-8.4%, -0.9%] (<i>p</i> = 0.001).</p><p><strong>Conclusions: </strong>These data suggest that HeLP, a whole-family intervention delivered by clinic-community partnership, may be effective at preventing and treating obesity in children from Hispanic families with low income and support an ongoing randomized controlled trial.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"69-79"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031313","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-27DOI: 10.1177/21532176251408689
Sabrina Sacco, Linda Booij, Cathy Kwok, Kimberly Carrière, Katharine Hall, Trisha C Baluyot, Vida Forouhar, Marilou Côté, Martha Pietrasik, Hiba Jebeile, Geoff D C Ball, Bradley C Johnston, Angela S Alberga
{"title":"Psychosocial Outcomes Reported in Randomized Behavioral Intervention Trials for Children and Adolescents with Overweight and Obesity: A Scoping Review.","authors":"Sabrina Sacco, Linda Booij, Cathy Kwok, Kimberly Carrière, Katharine Hall, Trisha C Baluyot, Vida Forouhar, Marilou Côté, Martha Pietrasik, Hiba Jebeile, Geoff D C Ball, Bradley C Johnston, Angela S Alberga","doi":"10.1177/21532176251408689","DOIUrl":"10.1177/21532176251408689","url":null,"abstract":"<p><strong>Background: </strong>Many children and adolescents with overweight or obesity experience negative psychosocial health consequences. Systematic reviews show that behavioral interventions can help improve specific psychosocial outcomes. This scoping review aims to identify and map the different types of psychosocial outcomes measured and reported in randomized behavioral intervention trials for managing pediatric overweight and obesity.</p><p><strong>Methods: </strong>A total of 11 databases were searched until February 2024. We included randomized behavioral intervention trials for children and adolescents (≤18 years) with overweight or obesity that report at least one psychosocial outcome.</p><p><strong>Results: </strong>Overall, 197 articles reflecting 169 behavioral intervention trials were included. To assess the psychosocial outcomes captured, among 169 trials, 174 different measures were identified (e.g., self- and proxy-reported questionnaires). The psychosocial outcomes were organized into nine categories. The most frequently reported outcome categories were (1) emotional and behavioral functioning (<i>n</i> = 79 outcomes); (2) eating attitudes, behaviors, and body image (<i>n</i> = 72 outcomes); and (3) quality of life (<i>n</i> = 68 outcomes). Among all psychosocial outcomes captured, most outcomes were reported among older children and adolescents (78.4%) and for interventions with a duration of up to 26 weeks (75.1%).</p><p><strong>Conclusions: </strong>This scoping review identified a variety of psychosocial outcomes across different behavioral intervention trials and a variety of measures used to assess them. Evidence among younger samples and regarding the long-term effects of behavioral intervention trials on psychosocial health is limited. Identifying the core outcomes as well as a psychometric evaluation of the measures identified is needed.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"110-136"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067907","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2025-12-30DOI: 10.1177/21532176251408890
Marsha Dowda, Ruth P Saunders, Russell R Pate
{"title":"Group-Based Fat Mass Index Trajectories in Boys and Girls from Elementary to High School.","authors":"Marsha Dowda, Ruth P Saunders, Russell R Pate","doi":"10.1177/21532176251408890","DOIUrl":"10.1177/21532176251408890","url":null,"abstract":"<p><strong>Background: </strong>There is a pressing need to understand developmental patterns of adiposity as well as factors that influence it. Group-based trajectories, usually based on body mass index (BMI), have been used in adults and children to investigate adiposity trajectories. The objectives of this study were to identify sex-specific groups with similar longitudinal trajectories for fat mass index (FMI) and to compare sex-specific longitudinal trajectory groups on demographic and behavioral characteristics.</p><p><strong>Methods: </strong>This study employed a longitudinal design to examine patterns of age-related change in FMI-assessed adiposity in children transitioning from elementary to high school. FMI, moderate-to-vigorous physical activity (MVPA), sedentary behavior, and diet quality were measured at 5<sup>th</sup>, 6<sup>th</sup>,7<sup>th</sup>, 9<sup>th</sup>, and 11<sup>th</sup> grades when the children were 10-16 years of age. Sex-specific group-based trajectory analyses were conducted for FMI, and repeated ANOVAs were used to compare behaviors between trajectories.</p><p><strong>Results: </strong>Both boys' (<i>n</i> = 320) and girls' (<i>n</i> = 389) group-based trajectory analysis resulted in three groups, each with a low FMI and stable trajectory. In girls, two trajectories increased from 10 to 16 years of age, while in boys, one trajectory increased, and one decreased over time. In girls only, the groups differed by race and parent education. There were also group differences in MVPA for boys and in diet quality for girls.</p><p><strong>Conclusions: </strong>An accurate assessment of adiposity, FMI, was used to establish the trajectories in this study. The characteristics of the groups provide valuable information about when and for whom to target obesity prevention efforts.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"59-68"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858665","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-15DOI: 10.1177/21532176251414241
Erin S LeBlanc, Ning Smith, Ian M Paul, Mi Lee, Jennifer Savage, Jennifer Bass, Russell Pate, Chris Catlin, Kimberly K Vesco
{"title":"No Effect of Prepregnancy Weight Loss Intervention on Child Weight up to Age 5.","authors":"Erin S LeBlanc, Ning Smith, Ian M Paul, Mi Lee, Jennifer Savage, Jennifer Bass, Russell Pate, Chris Catlin, Kimberly K Vesco","doi":"10.1177/21532176251414241","DOIUrl":"10.1177/21532176251414241","url":null,"abstract":"<p><strong>Background: </strong>Our aim was to examine if a prepregnancy lifestyle intervention impacted early childhood weight gain.</p><p><strong>Methods: </strong>A 5-year longitudinal observational follow-up of children born to women aged 18-40 years with body mass index (BMI) ≥27 kg/m<sup>2</sup> who participated in Prepare, a randomized clinical trial testing a prepregnancy lifestyle intervention vs. usual care control. Data were collected from birth through ages 36-60 months using electronic medical record (EMR) chart abstraction, a single in-person or virtual visit, and surveys.</p><p><strong>Results: </strong>Of the 165 children born to Prepare participants, 133 (70 in intervention and 63 in usual care) contributed BMI data to the PrepareD observational follow-up study. Longitudinal BMI trajectories from birth to age 5 demonstrated no significant differences between study arms (<i>p</i> = 0.06). There were no significant differences in mean BMI (17.0 ± 1.7 vs. 16.7 ± 1.7; <i>p</i> = 0.44), BMI z-score (0.30 ± 1.12 vs. 0.02 ± 1.19; <i>p</i> = 0.40), BMI percentile (56.2 ± 29.8 vs. 50.2 ± 31.4; <i>p</i> = 0.56), or conditional weight gain (0.10 ± 1.07 vs. -0.17 ± 0.95; <i>p</i> = 0.19) between intervention and control arms, respectively, at age 12 months. There were also no significant differences in mean BMI (16.4 ± 1.7 vs. 16.2 ± 1.6; <i>p</i> = 0.61), BMI z-score (0.43 ± 1.07 vs. 0.23 ± 1.17; <i>p</i> = 0.44), BMI percentile (56.2 ± 29.8 vs. 57.1 ± 32.5; <i>p</i> = 0.39), or conditional weight gain (0.01 ± 1.08 vs. -0.09 ± 0.95; <i>p</i> = 0.51) at 36-60 months.</p><p><strong>Conclusions: </strong>A prepregnancy lifestyle intervention did not influence childhood weight trajectory. Focusing lifestyle interventions solely on prepregnancy maternal obesity may not be sufficient to influence childhood growth. Trials that examine lifestyle interventions that offer support before, during, and after pregnancy are needed to determine if intervening before conception can interrupt the intergenerational cycle of obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"22 2","pages":"91-99"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13055206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229297","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-09DOI: 10.1177/21532176251413898
Lauren A Hertzer, Robert M Siegel, Roohi Y Kharofa, Kristin M Stackpole, E Melinda Mahabee-Gittens
{"title":"The Effect of GLP-1 Receptor Agonists on Alanine Aminotransferase and Other Metabolic Parameters in Youths with Obesity: A Systematic Review and Meta-Analysis.","authors":"Lauren A Hertzer, Robert M Siegel, Roohi Y Kharofa, Kristin M Stackpole, E Melinda Mahabee-Gittens","doi":"10.1177/21532176251413898","DOIUrl":"10.1177/21532176251413898","url":null,"abstract":"<p><strong>Background: </strong>While glucagon-like peptide-1 receptor agonists (GLP-1 RAs) lower body mass index (BMI) in youths with obesity, less is known about their effect on metabolic parameters such as alanine aminotransferase (ALT), high-density lipoprotein, low-density lipoprotein, and hemoglobin A1c levels. We conducted a systematic review of the existing literature and a meta-analysis to determine the effect of GLP-1 RAs on metabolic parameters.</p><p><strong>Methods: </strong>A search of the PubMed, Scopus, and Embase databases was conducted with variations of the terms GLP-1, obesity, semaglutide, exenatide, liraglutide, randomized clinical trial, adolescent, youth, and children.</p><p><strong>Results: </strong>A total of 197 studies were identified, of which 6 satisfied the inclusion criteria. Four studies focused on exenatide, one on semaglutide, and one on liraglutide, with participant numbers ranging from 11 to 201 and study lengths of 12 to 68 weeks. Only BMI (-1.7, <i>p</i> = 0.02) and ALT (-3.0, <i>p</i> = 0.01) showed a significant treatment effect.</p><p><strong>Conclusions: </strong>Our meta-analysis suggests GLP-1 RAs improve BMI and show a modest decrease in ALT levels in youths with obesity. The clinical significance of the ALT decreases remains uncertain and warrants further examination in future trials.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"22 2","pages":"100-104"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229371","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-09DOI: 10.1177/21532176251413900
Lauren Howard, Kamran Samakar, My H Vu, Yareli Pineda-Silva, Armine Simonian, Alaina P Vidmar
{"title":"Family Perceptions of Pediatric Metabolic and Bariatric Surgery in a Safety-Net Obesity Clinic.","authors":"Lauren Howard, Kamran Samakar, My H Vu, Yareli Pineda-Silva, Armine Simonian, Alaina P Vidmar","doi":"10.1177/21532176251413900","DOIUrl":"https://doi.org/10.1177/21532176251413900","url":null,"abstract":"<p><strong>Introduction: </strong>Metabolic and bariatric surgery (MBS) is an evidence-based intervention for adolescents with severe obesity, yet uptake remains low, especially among historically underrepresented populations. This study examined perceptions of MBS among youth and their caregivers referred to a tertiary care obesity center within a large urban safety-net hospital.</p><p><strong>Methods: </strong>Youth aged 12-18 years and their primary caregivers at a comprehensive obesity clinic completed a 22-item survey via REDCap assessing awareness, safety, perceptions, and willingness to consider surgery. Demographic and clinical data were extracted from electronic health records. Descriptive statistics, group comparisons, and multivariable regression identified factors linked to favorable MBS attitudes. Open-ended responses were analyzed using content analysis.</p><p><strong>Results: </strong>A total of 109 youth (median age 15.2 years [IQR: 14.3-17.2]; 62.4% female; 89.9% Hispanic; median body mass index [BMI] 37.5 kg/m<sup>2</sup> [IQR: 33.2-41.6]; median %BMI<sub>p95</sub> 127% [IQR:112-141%]) and 95 caregivers (median age 43.7 years [IQR: 41.2-55.3]; 93.7% female; 86.3% Hispanic; median BMI 32 kg/m<sup>2</sup> [IQR: 28.2-42.2]) participated; 91 dyads completed all data. While 71% of caregivers and 56% of youth had heard of MBS as a treatment for obesity in adults, only 24% of caregivers and 15% of youth were aware of MBS as a treatment option for pediatric patients. Perceptions of safety were limited, with more than half of both caregivers and youth reporting uncertainty about the safety of MBS in children. Despite this, support for its availability was high: 79% of caregivers and 90% of youth believed that MBS should be an option for children with severe obesity when lifestyle interventions are unsuccessful. In adjusted models, caregiver history of MBS was associated with more favorable impressions of pediatric MBS among caregivers (OR = 2.86, 95% CI: 1.02-7.91, <i>p</i> = 0.01) and youth (OR = 2.43, 95% CI: 1.00-5.94, <i>p</i> < 0.05); youth impressions were also predicted by caregiver impressions (OR = 1.26, 95% CI: 1.03-1.54, <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Among predominantly Hispanic, publicly insured families, awareness and safety perceptions of pediatric MBS were low despite high support. Caregiver MBS experience strongly influenced attitudes, highlighting the need for culturally informed, family-centered education to improve equitable access.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"22 2","pages":"80-90"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229275","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}
Childhood ObesityPub Date : 2026-03-01Epub Date: 2026-01-09DOI: 10.1177/21532176251414511
Faith Anne N Heeren, Dominick J Lemas, Alexander Ayzengart, Matthew S Loop, Sarada Menon, David Janicke, Michelle I Cardel
{"title":"Recruiting Adolescent Metabolic and Bariatric Surgery Patients for Research Studies: Assessing a Community-Partnered Approach.","authors":"Faith Anne N Heeren, Dominick J Lemas, Alexander Ayzengart, Matthew S Loop, Sarada Menon, David Janicke, Michelle I Cardel","doi":"10.1177/21532176251414511","DOIUrl":"https://doi.org/10.1177/21532176251414511","url":null,"abstract":"<p><p>Most research studies enrolling adolescent metabolic and bariatric surgery patients rely on in-clinic recruitment methods, subsequently limiting participant diversity. Emerging literature indicates that community-partnered recruitment strategies may increase representation. The current study evaluated recruitment efficiency by comparing a community-partnered approach to additional recruitment channels. Preoperative and postoperative adolescents, and parents/guardians, were invited to participate in qualitative interviews and recruited through either (1) OCEANS (a community program) or (2) additional recruitment channels. Group differences in recruitment outcomes (eligibility, consent, and study completion) were assessed using Fisher's exact test. During recruitment, it was suspected that mischievous responses may be present in the dataset. Mischievous responses were systematically removed using a rubric. Compared to the additional channels group (<i>n</i> = 52), the community-partnered approach (<i>n</i> = 19) resulted in a statistically significantly higher percentage of individuals who were eligible and completed study requirements (<i>p</i> < 0.001). Community-partnered recruitment demonstrates potential for effectively enrolling eligible adolescents and parents/guardians in research.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"22 2","pages":"105-109"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229320","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}