家庭功能及其对成人体重管理的影响。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Katherine E McManus-Shipp, Talea Cornelius, Alexis C Wojtanowski, Tricia Leahey, Gary D Foster, Amy A Gorin
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引用次数: 0

摘要

导言:在儿童和青少年体重管理方面,以家庭为基础的干预措施得到了强有力的支持。然而,以家庭为基础的干预措施在成人群体中却没有得到很好的记录。鉴于许多成年人的家庭系统可能会影响他们的体重管理行为,因此需要进行研究,以确定可能的家庭层面变量,作为成人减肥计划的干预目标:本研究测试了参加行为减肥计划的超重或肥胖成年人的家庭功能(定义为支持和亲情)、混乱(定义为家庭失调)与体重减轻之间的关系。参与者(N = 118;基线平均体重指数为 33.8 ± 3.7;69.5% 为女性;97.5% 为白人;67.8% 的人年收入合计在 7.5 万美元或以上;90.7% 的人完成了一些大学或以上的学业)来自一项随机对照试验,该试验研究了被分配参加为期 6 个月的 WW(原 Weight Watchers)或自我指导方法的人的减肥连锁效应(Gorin 等人,2018 年):结果:基线时较高的家庭支持和亲情与6个月时较高的体重减轻百分比相关。基线时的家庭支持和亲情与 6 个月时家庭混乱程度较低有关。然而,这一点会受到条件的影响,因此这种关联在WW组中显著,而在自我指导组中不显著:讨论:研究结果提供了理论支持,即在成人行为减肥计划中,针对家庭动态的减肥方法可能会改善减肥效果。未来的研究应测试家庭支持、亲情、混乱或其他相关变量(如家庭凝聚力和以适应性为重点的干预措施)是否能改善成人的减肥效果。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family functioning and the implications for adult weight management.

Introduction: Strong support for family-based interventions in child and adolescent weight management exists. However, family-based interventions have not been as well documented in adult populations. Given that many adults operate within family systems that could influence their weight management behaviors, research is needed to establish possible family-level variables as intervention targets for adult weight loss programs.

Method: This study tested the relationship between family functioning (defined as support and bonding), chaos (defined as disorder in the home), and weight loss in adults with overweight or obesity participating in a behavioral weight-loss program. Participants (N = 118; baseline mean body mass index 33.8 ± 3.7; 69.5% female; 97.5% White; 67.8% with a combined annual income of $75k or above; 90.7% completed some college or above) were from a randomized controlled trial examining weight loss ripple effects (Gorin et al., 2018) in individuals assigned to either 6 months of WW (formerly Weight Watchers) or a self-guided approach.

Results: Higher family support and bonding at baseline were associated with greater percent weight loss at 6 months. Family support and bonding at baseline were associated with lower chaos in the home at 6 months. However, this was moderated by condition such that this association was significant in the WW but not the self-guided group.

Discussion: Results provide theoretical support that targeting family dynamics may improve weight loss outcomes in behavioral weight loss programs for adults. Future research should test whether family support, bonding, chaos, or other related variables such as family cohesion and adaptability-focused interventions improve weight loss outcomes for adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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