Kristina L Tatum, Katlyn Garr, Elizabeth L Adams, Laura J Caccavale, Edmond P Wickham, Jessica Gokee LaRose, Suzanne E Mazzeo, Hollie A Raynor, Melanie K Bean
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引用次数: 0
摘要
目的：探讨两种父母治疗青少年肥胖的方法中父母与青少年体重变化之间的关系。方法：青少年(年龄= 13.7±1.2岁；MBMI = 34.9±7.0 kg/m2)和父母（MBMI = 36.4±7.3 kg/m2）二组（N = 82）随机分为青少年+父母作为教练组（PAC）和青少年+父母减肥组（PWL）。在基线（0个月）、4个月（术后）和7个月（3个月维持期后）对人体测量进行评估。回归分析检验了父母与青少年ΔBMI0-4m和ΔBMI4-7m之间的关系，父母组是一个调节因素。结果：治疗后维持期间，父母与青少年的∆BMI0-4m呈正相关（β = 0.68, p = 0.48, p = 0.012），受父母组的调节（β = -0.49, p = 0.010）； PAC持续呈正相关（β = 0.39, p = 0.011）， PWL无显著正相关（β = -0.19, p = 0.211）。讨论：在治疗期间，父母和青少年体重变化呈正相关。在维持期间，体重变化关联仅在PAC中持续存在。这些模式促使进一步探索驱动体重变化关系的母体因素。
Associations between parent and adolescent weight outcomes within two parent approaches to family-based adolescent obesity treatment: Secondary analyses from the TEENS+ pilot trial.
Objective: To examine associations between parent and adolescent weight change within two parent approaches to adolescent obesity treatment.
Methods: Adolescent (Mage = 13.7 ± 1.2 years; MBMI = 34.9 ± 7.0 kg/m2) and parent (MBMI = 36.4 ± 7.3 kg/m2) dyads (N = 82) were randomized to TEENS+Parents as Coaches (PAC) or TEENS+parent weight loss (PWL). Anthropometrics were assessed at baseline (0-month), 4 months (post) and 7 months (after 3-month maintenance period). Regression analyses examined associations between parent and adolescent ΔBMI0-4m and ΔBMI4-7m, with parent group as a moderator.
Results: Post-treatment, parent and adolescent ∆BMI0-4m were positively related (β = 0.68, p < 0.001), with no group interaction. Parent and adolescent ΔBMI4-7m were related (β = 0.48, p = 0.012) during maintenance, moderated by parent group (β = -0.49, p = 0.010): positive relationships persisted in PAC (β = 0.39, p = 0.011), but not PWL (β = -0.19, p = 0.211).
Discussion: Parent and adolescent weight changes were positively related during treatment in both parent groups. During maintenance, weight change associations persisted only in PAC. These patterns prompt further exploration of parent factors driving weight change relationships.
期刊介绍：
Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large.
Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following:
Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes
Metabolic consequences of child and adolescent obesity
Epidemiological and population-based studies of child and adolescent overweight and obesity
Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition
Clinical management of children and adolescents with obesity including studies of treatment and prevention
Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment
Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity
Nutrition security and the "double burden" of obesity and malnutrition
Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents
Community and public health measures to prevent overweight and obesity in children and adolescents.
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