Childhood Obesity最新文献

{"title":"Additional Support Needs of Adolescents with Obesity During an Obesity Treatment Trial: Fast Track to Health.","authors":"Cathy Kwok, Natalie B Lister, Eve T House, Louise A Baur, Sarah P Garnett, Hiba Jebeile","doi":"10.1089/chi.2025.0023","DOIUrl":"10.1089/chi.2025.0023","url":null,"abstract":"<p><p><b><i>Background:</i></b> Treatment-seeking adolescents with obesity may have diverse dietetic, psychological, or medical needs that require support during obesity treatment. <b><i>Objectives:</i></b> To characterize initial referral reasons, content, and outcome of support visits provided in addition to protocolized visits during an obesity treatment trial. <b><i>Methods:</i></b> The Fast Track to Health trial was a 52-week multi-site randomized trial conducted between 2018 and 2023 in Australia, comparing intermittent and continuous energy restricted dietary interventions delivered as part of an intensive behavioral intervention in adolescents with obesity and ≥1 obesity-related complications. Alongside protocolized mental health screening and medical and dietetic reviews, additional support was provided by the study dietitian, pediatrician or psychologist if needed or requested by families. Two reviewers independently coded deidentified clinical notes for each additional support visit to identify referral reasons, content and outcome of each visit. <b><i>Results:</i></b> Of 141 adolescents enrolled, 51 (36.2%) attended at least one additional support session, with most (<i>n</i> = 31) having one visit. Most referrals were initiated by a clinician (<i>n</i> = 34) and included requests for dietetic review (<i>n</i> = 16), motivation and/or support during COVID-19 lockdowns (<i>n</i> = 15), general psychological review (<i>n</i> = 14) and anxiety (<i>n</i> = 11). <b><i>Conclusions:</i></b> Understanding the diverse needs of adolescents with obesity is essential to inform obesity treatment interventions.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"608-617"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250454","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":"Weight Loss Effect of Lisdexamfetamine in Children with Severe Obesity: A Case Series.","authors":"Mostafa Salama, Doha Hassan, Siobhan Pittock, Seema Kumar","doi":"10.1177/21532176251385703","DOIUrl":"https://doi.org/10.1177/21532176251385703","url":null,"abstract":"<p><p><b><i>Background:</i></b> Pharmacological options for severe obesity in early childhood are limited. While lisdexamfetamine is approved for attention-deficit/hyperactivity disorder (ADHD) and binge eating disorder, its role in managing obesity in children without these conditions has not been well studied. This case series assessed the effect of lisdexamfetamine on weight in young children with severe obesity but without ADHD or binge eating disorder. <b><i>Methods:</i></b> We conducted a retrospective chart review of six children with severe obesity treated with lisdexamfetamine for weight management. Demographic, anthropometric, and metabolic data were collected. One patient had Prader-Willi syndrome (PWS); the others had no known syndromic obesity. <b><i>Results:</i></b> Median age at treatment initiation was 6.5 years (range: 4.5-14), with equal male and female distribution. Median treatment duration was 12 months (range: 12-24), and mean maximum tolerated lisdexamfetamine dose was 35 mg (range: 10-60). In patients without syndromic obesity (n = 5) including one child with hypothalamic obesity, lisdexamfetamine significantly reduced body mass index (BMI) percent of the 95th percentile at 12 months (median change -24%, range: -18 to -28, <i>p</i> = 0.031), equating to a 13.8% reduction in BMI. Height percentile remained unchanged (<i>p</i> = 0.59). The patient with PWS did not achieve lasting weight loss. Three children reported decreased appetite. <b><i>Conclusions:</i></b> Lisdexamfetamine was associated with weight loss in young children with severe obesity without genetic syndromes. Further studies are warranted to assess the long-term efficacy and safety of lisdexamfetamine in the management of pediatric obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193660","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":"Parent-Reported Measures of Weight-Related Health Behaviors in Early Childhood: A Scoping Review.","authors":"Carlin F Aloe, Esther I Tsai, Sydney V Lagalante, Courtney C Choy, Melissa C Funaro, Jeanne Lindros, Kimberley A Bako, Gabriela Buccini, Rachel S Gross, Charles T Wood, Amanda E Staiano, Mona Sharifi","doi":"10.1177/21532176251369634","DOIUrl":"10.1177/21532176251369634","url":null,"abstract":"<p><p><b><i>Background:</i></b> Pediatricians support families in establishing healthy behaviors, yet there is limited information on valid and pragmatic questionnaires for assessing weight-related health behaviors in early childhood (≤24 months). The objective of this review is to summarize the evidence on parent-reported measures of weight-related health behaviors and/or parenting practices (e.g., feeding practices, dietary intake, sleep duration/routine, physical activity/sedentary behavior, and screen time) in early childhood. <b><i>Methods:</i></b> We conducted a scoping review by searching MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Cochrane from inception to May 2025 (Open Science Framework Protocol https://doi.org/10.17605/OSF.IO/ME5KW). Articles included were peer reviewed, original research, published in English, and parent-reported measures of weight-related health behaviors in early childhood that reported psychometric results and/or were used in primary care. Trained reviewers systematically extracted details on the setting, questionnaire, and psychometrics. Findings were summarized using descriptive analysis. <b><i>Results:</i></b> Our search yielded 26,642 articles with a final data set of 223 articles. Of the 100 unique questionnaires identified, most (90%) assessed parents' feeding practices and/or children's dietary intake; few assessed sleep duration/routine (13%), screen time (13%), and/or physical activity/sedentary behavior (12%). Of the 52 articles describing questionnaires used in primary care, 35% reported psychometric analyses. <b><i>Conclusions:</i></b> Most questionnaires measuring weight-related health behaviors in early childhood assessed parent feeding practices and/or children's dietary intake. Few questionnaires used in primary care reported psychometric results. Comprehensive, valid, reliable, and pragmatic questionnaires of health behaviors in early childhood are needed in the primary care settings to standardize screening for obesity risk in early childhood.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042071","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":"Difficulties in Emotional Regulation May Mediate the Relationship Between Low Mindfulness and High Emotional Eating in Adolescents with Obesity.","authors":"Muge Karagoz Cetiner, Hatice Aksu, Doga Sevincok, Borte Gurbuz Ozgur, Tolga Unuvar","doi":"10.1177/21532176251370448","DOIUrl":"https://doi.org/10.1177/21532176251370448","url":null,"abstract":"<p><p><b><i>Background:</i></b> Although the effect of mindfulness on emotion regulation is known, the relationship between mindfulness and emotional eating has not been well-studied in adolescents to date. In this study, we investigated whether mindfulness has a direct effect on the level of emotional eating or whether this association is mediated by emotional dysregulation in a sample of adolescents with obesity. <b><i>Methods:</i></b> Our sample consisted of 80 adolescents with obesity. All participants were administered the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), the Difficulties in Emotion Regulation Scale (DERS), the Dutch Eating Behavior Questionnaire (DEBQ-EE), and the Mindful Attention Awareness Scale (MAAS). <b><i>Results:</i></b> The mean age of the sample was 15.32 ± 1.07, the mean body weight was 93.33 ± 20.84 kg, and the BMI percentile was 98.33 ± 1.65. In total, 22.5% of mothers and 7.5% of fathers were obese. There were significant associations between high emotional eating and emotion dysregulation and low mindfulness. In two mediation models, the indirect effects obtained by using DERS-total and DERS-impulsivity as the mediators were statistically significant on the path between MAAS and DEBQ-emotion [<i>b</i> = -0.148, confidence interval (CI) = -0.318/-0.031; <i>b</i> = -0.114, CI = -0.233/-0.015, respectively], indicating a significant mediating effects of DERS-total and DERS-impulsivity. <b><i>Conclusions:</i></b> We suggest that emotional eating increases as mindfulness decreases, through emotional dysregulation, particularly difficulty in regulating impulsivity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975419","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":"Evaluation of a Fruit and Vegetable Voucher Program in a Prenatal and Pediatric Primary Care-Based Obesity Prevention Program.","authors":"Carol Duh-Leong, Mary Jo Messito, Michelle W Katzow, Leonardo Trasande, Elise R Warda, Christina N Kim, Janneth V Bancayan, Rachel S Gross","doi":"10.1089/chi.2024.0396","DOIUrl":"10.1089/chi.2024.0396","url":null,"abstract":"<p><p><b><i>Background:</i></b> Maternal consumption of fruits and vegetables can reduce future childhood obesity risk. <i>Health Bucks</i>, a fruit and vegetable voucher program redeemable at New York City (NYC) farmers' markets, supports access to fresh produce. <b><i>Methods:</i></b> In a cross-sectional analysis within a cohort study, we evaluated the integration of <i>Health Bucks</i> into the prenatal expansion of a primary care-based obesity prevention program. We analyzed data from 176 pregnant Latina participants at a NYC public hospital, with vouchers given to 114 (64.8%) participants. Later in infancy, we measured maternal outcomes (fruit and vegetable intake, stress) and food access (food environment, household food insecurity). We performed adjusted regression analyses to evaluate outcome differences between those who received vouchers and those who did not. Secondary analyses assessed whether voucher redemption or first-trimester timing of distribution were associated with outcomes. <b><i>Results:</i></b> Receipt of vouchers was associated with higher daily fruit and vegetable intake (incident rate ratio [IRR] = 1.3 [95% confidence interval [CI]: 1.1, 1.6]), and lower stress (<i>B</i> = -1.9 [95% CI: -3.7, -0.1]). Voucher redemption was associated with higher daily fruit and vegetable intake (IRR = 1.3 [95% CI: 1.04, 1.6]). First trimester receipt was associated with a favorable view of the neighborhood food environment (adjusted odds ratio = 5.5 [95% CI: 1.04, 28.6]) and lower stress (<i>B</i> = -3.8 [95% CI: -7.5, -0.1). We did not detect associations with food insecurity. <b><i>Conclusion:</i></b> Integrating <i>Health Bucks</i> into a prenatal obesity prevention program was associated with favorable outcomes. Subgroup analyses showed that voucher redemption and first-trimester receipt were associated with positive outcomes, guiding strategies for fruit and vegetable voucher distribution.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"555-563"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991642","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":"GLP-1 Receptor Agonist Prescribing Practices in a Pediatric Weight Management Program.","authors":"Robert Siegel, Thomas Borders, Kristin Stackpole, JangDong Seo, Deborah Wolff, Roohi Kharofa","doi":"10.1089/chi.2025.0004","DOIUrl":"10.1089/chi.2025.0004","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Prescribing glucagon-like peptide receptor agonists (GLP1-RA) for pediatric patients with obesity is increasing. There are concerns that cost, insurance coverage, and/or provider prescribing practices will lead to inequities with GLP-1-RA use. <b><i>Objective:</i></b> Describing the GPL1-RA prescribing practices in a pediatric weight management program. <b><i>Methods:</i></b> We retrospectively reviewed charts of patients treated from 7/1/2021 to 6/30/2023. The following was extracted from the medical record: demographic data, anthropometrics (percent of 95^th percentile body mass index [BMI] for age/sex [p95%BMI] and BMI class), laboratory measures (hemoglobin A1C [HbA1c] and alanine aminotransferase [ALT]), and whether patients were prescribed a GLP1-RA and/or metformin. <b><i>Results:</i></b> A total of 2,563 patients were seen in 2 years. Patients prescribed GLP1-RAs had higher HbA1c, 6.5% vs. 5.6% (<i>p</i> < 0.001); ALT, 79 IU vs. 37 IU (<i>p</i> < 0.001); and p95%BMI, 169 vs. 141 (<i>p</i> < 0.001), than others. There were no differences between the groups regarding race, sex, ethnicity, or insurance status. <b><i>Conclusions:</i></b> GLP1-RA prescribing was associated only with disease burden.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"564-567"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227304","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":"Elevated Alpha-Fetoprotein Levels in Children with Metabolic Dysfunction-Associated Liver Disease.","authors":"Jamie Klein, Ana Catalina Arce-Clachar, Kristin Bramlage, Stavra Xanthakos, Rachel Sheridan, Marialena Mouzaki","doi":"10.1089/chi.2025.0010","DOIUrl":"10.1089/chi.2025.0010","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Metabolic dysfunction-associated steatotic liver disease (MASLD) can progress to end-stage liver disease and hepatocellular carcinoma (HCC), albeit infrequently in childhood. Our objectives were to (1) investigate the prevalence of elevated alpha-fetoprotein (AFP) in children with advanced, MASLD-related, fibrosis (bridging fibrosis or cirrhosis) and (2) ascertain whether pediatric MASLD is associated with AFP elevations regardless of fibrosis severity. <b><i>Methods:</i></b> Retrospective cohort study of patients aged 6-18 years seen at a single center between 2000 and 2024. Demographics, anthropometrics, blood work, histological data, and relevant imaging studies were collected. Descriptive statistics were used. <b><i>Results:</i></b> Out of a cohort of 483 pediatric patients followed for MASLD with available AFP data, 161 had undergone liver biopsy, and of those, 22 had advanced fibrosis. Children with advanced fibrosis were predominantly male (82%) and non-Hispanic (55%), with a median age of 11 years (interquartile range [IQR] = 10-18) and severe obesity (median [IQR] body mass index <i>z</i>-score 2.56 [2.33-2.75]). No patients with advanced fibrosis had elevated AFP levels. Of the entire MASLD cohort, however, nine had elevated AFP levels. None were diagnosed with HCC or other tumors. <b><i>Conclusions:</i></b> In a pediatric cohort with MASLD, severe fibrosis was not associated with elevated AFP levels. AFP elevations were seen however in some patients with MASLD but were not associated with malignancies.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"544-548"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039863","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":"Resting Energy Expenditure Profiles in Pediatric Patients with Obesity Undergoing Sleeve Gastrectomy.","authors":"Linda Koh, Patil Kavarian, Yann Le Guen, Matias Bruzoni, Janey S A Pratt, Marwa Abu El Haija","doi":"10.1089/chi.2024.0419","DOIUrl":"10.1089/chi.2024.0419","url":null,"abstract":"<p><p><b><i>Background:</i></b> Obesity is a prevalent medical condition among the pediatric population. Metabolic and bariatric surgery is recommended to treat severe obesity. Resting energy expenditure (REE) plays a vital role in weight homeostasis. This study aims to assess the impact of sleeve gastrectomy (SG) on REE in pediatric patients with severe obesity while comparing REE values with body composition. <b><i>Methods:</i></b> Participants were recruited from the Pediatric Weight Management Clinic and Bariatric Surgery Clinic at Lucile Packard Children's Hospital. REE was measured using indirect calorimetry. Body composition was assessed using dual energy X-ray absorptiometry scans. Data were collected prospectively and analyzed using a generalized linear model and correlation analyses. <b><i>Results:</i></b> Thirty-six participants with severe obesity were included. Correlation analyses showed significant differences in baseline REE/kg between age groups, with higher REE/kg in participants <16 years. No significant correlations were observed between pre-SG REE/kg and degree of weight loss post-SG. Pre-SG %lean body mass positively correlated with REE/kg. There was no significant change in REE/kg following SG with weight loss. <b><i>Conclusions:</i></b> SG remains an effective intervention for managing severe obesity. This study found no significant changes in REE after SG. Future research should focus on larger longitudinal studies to enhance understanding of the metabolic effects of SG in pediatric patients while optimizing strategies for improved health outcomes.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"549-554"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051403","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":"Children's Measured Sugar-Sweetened Beverages in Quick-Service Restaurants: Interactions with Neighborhood Food Swamp Exposure and Race/Ethnicity.","authors":"Summaya Abdul Razak, Qianxia Jiang, Juliana F W Cohen, Abiodun T Atoloye, Christie I Idiong, Curtis Antrum, Tania Huedo-Medina, Caitlin Caspi, Valerie B Duffy, Kristen Cooksey Stowers","doi":"10.1177/21532176251361414","DOIUrl":"https://doi.org/10.1177/21532176251361414","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study examined the association between neighborhood food swamp environments and sugar-sweetened beverage (SSB) consumption in quick-service restaurants (QSRs) and whether ethnicity and race moderated this association. <b><i>Methods:</i></b> Observational data were collected from parent-child dyads patronizing four QSRs in Massachusetts (<i>n</i> = 82 dyads) and New Hampshire (<i>n</i> = 67 dyads), including children's SSB consumption (measured by plate waste) categorized as high (>25 g) versus lower sugar. The neighborhood food environment of each QSR was categorized as food swamp versus nonfood swamp based on the ratio of unhealthy to total food outlets in the neighborhood. Logistic regression analysis was used to test the relationship between food swamps, ethnicity/race, and SSB consumption. <b><i>Results:</i></b> Of the 149 children (49% Latinx, 58% between the ages of 7 and 12), most visited QSRs located in food swamps (63%). All children consumed a beverage in QSRs, and 83% consumed high-sugar SSBs. Children patronizing QSRs in food swamps did not differ significantly in the likelihood of consuming high SSBs relative to children in QSRs in nonfood swamps [82% vs. 83%, adjusted odds ratio (aOR) = 0.8, 95% confidence interval (CI): 0.3-2.2]. However, Latinx children were more likely than non-Latinx children to consume high-sugar SSBs in QSRs (93% vs. 72%, aOR = 3.4, 95% CI: 1.1-10.5). SSB consumption did not differ significantly between racial minority and White children. SSB consumption in food swamps did not differ by ethnicity/race. <b><i>Conclusions:</i></b> Regardless of the neighborhood food environment, children consume high-sugar SSBs in QSRs. Latinx children had higher odds of consuming high-sugar SSBs in QSRs. These findings support incentives promoting healthier beverage options for children across all food outlets.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":"21 6","pages":"511-522"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975424","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":"A Longitudinal Examination of Body Esteem as a Predictor of Eating Behaviors, Physical Activity, and Quality of Life Among Youth with Obesity Attending Canadian Weight Management Programs.","authors":"Maegan Dymarski, Annick Buchholz, Anne Bowker, Cecilia Jorgenson, Megan Lamb, Geoff D C Ball, Jill Hamilton, Josephine Ho, Anne-Marie Laberge, Laurent Legault, Mark S Tremblay, Ian Zenlea, Katherine M Morrison","doi":"10.1089/chi.2024.0392","DOIUrl":"10.1089/chi.2024.0392","url":null,"abstract":"<p><p><b><i>Background:</i></b> This study explored whether baseline body esteem predicted changes in eating behaviors, physical activity (PA), and health-related quality of life (QoL) over a 24-month period among youth with obesity enrolled in weight management programs. <b><i>Methods:</i></b> Utilizing data from the CANadian Pediatric Weight Management Registry, the study included 415 participants (<i>n</i> = 221 girls, <i>n</i> = 194 boys) aged 10-17 years (mean = 13.2, standard deviation = 2.2). Baseline assessments included a measure of body esteem, while QoL, eating behaviors, and PA were reported at baseline, 12 months, and 24 months. Multilevel modeling was applied to examine the relationships between baseline body esteem and changes in outcomes over time. <b><i>Results:</i></b> Higher baseline body esteem was associated with higher initial QoL scores (β = 0.70, <i>p</i> < 0.001) and healthier eating behavior scores (β = -0.57, <i>p</i> < 0.001). Individuals with lower baseline body esteem exhibited greater improvements in QoL (β = -0.12, <i>p</i> = 0.010) and eating behaviors (β = 0.12, <i>p</i> = 0.004) over time. However, baseline body esteem did not significantly predict changes in PA. <b><i>Conclusions:</i></b> These findings highlight the prospective relationship of body esteem with future health behaviors and outcomes, providing evidence for weight management programs to consider addressing body esteem within pediatric obesity research and treatment.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"523-533"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035958","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}