Attachment Security and Obesity in US Preschool-Aged Children

Anderson, Sarah; Whitaker, Robert C.

doi:10.1001/archpediatrics.2010.292

Cited by 101 publications

(120 citation statements)

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“…[18][19][20][21][22][23][24][25] Preschool-aged children of parents who exhibited low responsiveness and high control were 5 times more likely to be overweight than children of parents with appropriate levels of responsiveness and control. 23 Furthermore, children with behavior problems,suchasimpulsivity, ora family history of behavior problems are at increased risk for poor health, including obesity.…”

Section: What's Known On This Subjectmentioning

confidence: 99%

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT:The evidence base for obesity prevention is extremely limited. Although minority youth are at higher risk of obesity, and early childhood is a critical period for prevention, only 1 program has demonstrated sustained effects on obesity in young minority children.WHAT THIS STUDY ADDS: Among youth at high risk for obesity based on income, minority status, and child behavior problems, early intervention that promotes effective parenting led to meaningful differences in obesity in preadolescence. Early family intervention is an innovative and promising approach.abstract OBJECTIVES: To test the hypothesis that family intervention to promote effective parenting in early childhood affects obesity in preadolescence.METHODS: Participants were 186 minority youth at risk for behavior problems who enrolled in long-term follow-up studies after random assignment to family intervention or control condition at age 4. Follow-up Study 1 included 40 girls at familial risk for behavior problems; Follow-up Study 2 included 146 boys and girls at risk for behavior problems based on teacher ratings. Family intervention aimed to promote effective parenting and prevent behavior problems during early childhood; it did not focus on physical health. BMI and health behaviors were measured an average of 5 years after intervention in Study 1 and 3 years after intervention in Study 2.RESULTS: Youth randomized to intervention had significantly lower BMI at follow-up relative to controls (Study 1 P = .05; Study 2 P = .006). Clinical impact is evidenced by lower rates of obesity (BMI $95th percentile) among intervention girls and boys relative to controls (Study 2: 24% vs 54%, P = .002). There were significant intervention-control group differences on physical and sedentary activity, blood pressure, and diet.CONCLUSIONS: Two long-term follow-up studies of randomized trials show that relative to controls, youth at risk for behavior problems who received family intervention at age 4 had lower BMI and improved health behaviors as they approached adolescence. Efforts to promote effective parenting and prevent behavior problems early in life may contribute to the reduction of obesity and health disparities.

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Section: What's Known On This Subjectmentioning

confidence: 99%

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

et al. 2012

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“…A high quantity of meat eaten by children is also believed to be associated with childhood obesity and children are increasingly exposed to such foods in urban Pakistan [10]. Other factors that have been implicated are parental obesity and diabetes [14], lack of attachment with parents [15] and genetic and environmental factors [16].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and factors associated with obesity among Pakistani schoolchildren: a school-based, cross-sectional study

Ahmed

Laghari²,

Naseer³

et al. 2013

East Mediterr Health J

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Childhood obesity is nowadays a concern in the developing world. This cross-sectional study was conducted on 501 randomly selected students from 10 high schools in an urban setting in Hyderabad, Pakistan. Children who were underweight were excluded. Interviews were conducted to determine demographic data, dietary intake, physical activity and other variables that may be associated with obesity. Overall 58 students (12%) had body mass index (BMI) ≥ 95th percentile, 40 (8%) BMI ≥ 85th percentile and 403 (80%) had BMI < 85th percentile (WHO age-and sex-specific cut-offs). The prevalence of obesity was higher in boys than girls (15% than 8% respectively). In multivariate regression analysis significant risk factors for obesity/overweight were male sex, middle socioeconomic status, poor self-rated athletic ability, trying to lose weight and eating fruit < 4 times per week. Childhood obesity is determined by factors in the home, school and society and a multidisciplinary approach is needed to prevention. 1Department of Research and Development, Health Services Academy, Islamabad, Pakistan (Correspondence to J. Ahmed: jamil.ahmed.dr@gmail.com RÉSUMÉ Aujourd'hui, l'obésité de l'enfant est devenue une préoccupation dans le monde en développement. La présente étude transversale a été menée auprès de 501 élèves sélectionnés aléatoirement dans dix établissements d'éducation secondaire en milieu urbain à Hyderabad (Pakistan). Les enfants souffrant d'une insuffisance pondérale ont été exclus. Des entretiens ont été effectués afin de déterminer les données démographiques, l'apport alimentaire, l'activité physique ainsi que les autres variables potentiellement associées à l'obésité. Au total, 58 élèves (12 %) avaient un indice de masse corporelle supérieur ou égal au 95e centile, 40 (8 %) avaient un indice de masse corporelle supérieur ou égal au 85e centile et 403 (80 %) avaient un indice de masse corporelle inférieur au 85e centile (d'après les seuils par âge et par sexe définis par l'Organisation mondiale de la Santé). La prévalence de l'obésité était plus forte chez les garçons que chez les filles (15 % et 8 % respectivement). À l'analyse de régression multivariée, les facteurs de risque importants pour l'obésité ou le surpoids étaient le sexe masculin, un statut socioéconomique intermédiaire, une aptitude au sport autodéclarée comme médiocre, l'intention de perdre du poids et une consommation de fruits inférieure à quatre fois par semaine. L'obésité de l'enfant est déterminée par des facteurs liés à l'environnement domestique, scolaire et social. Une approche pluridisciplinaire de la prévention est donc requise. ‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫التاسع‬ ‫املجلد‬ ‫الثالث‬ ‫العدد‬ 243

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“…Dado que el niño crece dentro de la estructura familiar en donde muchos de sus adultos están afectos de la misma patología, se planteó ofrecer el programa a la integridad del grupo familiar, con el propósito de que lo siga el mayor número posible de adultos que conviven en el mismo domicilio [14][15][16]21 .…”

Section: Discussionunclassified

“…Familias en Movimiento [14][15][16][17]21 es un programa multidisciplinario (Pediatras, enfermeros/as, nutricionistas y psicólogos/as) dirigido a niños de 6-12 años de edad con sobrepeso y/u obesidad y a su entorno familiar, estructurado en 11 sesiones grupales (una por semana) de 90 minutos de duración, que promueve una alimentación normocalórica y equilibrada. Centra su atención en la salud general del niño, no sólo en el peso y la alimentación.…”

Section: Introductionunclassified

Resultados de una intervención motivacional con niños obesos o con sobrepeso y sus familias: Estudio Piloto

López¹,

Marcos²,

Royo³

et al. 2017

Rev Esp Nutr Hum Diet

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[ahead of print]Freely available online -OPEN ACCESS La Revista Española de Nutrición Humana y Dietética se esfuerza por mantener a un sistema de publicación continua, de modo que los artículos se publican antes de su formato final (antes de que el número al que pertenecen se haya cerrado y/o publicado). De este modo, intentamos poner los artículos a disposición de los lectores/usuarios lo antes posible.The Spanish Journal of Human Nutrition and Dietetics strives to maintain a continuous publication system, so that the articles are published before its final format (before the number to which they belong is closed and/or published). In this way, we try to put the articles available to readers/users as soon as possible. Revista Española de Nutrición RESUMENIntroducción: el objetivo fue analizar los resultados de una intervención motivacional con modificación de los hábitos alimentarios, los estilos de vida y los trastornos emocionales en niños obesos de 6 a 12 años y sus familias. Material y métodos: estudio de intervención con evaluación pre-y posintervención del programa Familias en Movimiento. Se incluyeron 11 niños (10 niñas y 1 niño) de 6 a 12 años tratados con otros programas para la pérdida de peso sin éxito. Se evaluaron al inicio y al final los parámetros: índice de masa corporal (IMC), los resultados de los cuestionarios: de dieta Mediterránea y ansiedad en niños y el peso y la ansiedad de los adultos tras la intervención. Resultados: el IMC disminuyó de una mediana de 25,2 (Rango intercuartílico de 23,3-28,0) a 23,9 y (22,9-27,6) tras la intervención, cambio no estadísticamente significativo (p < 0,086). La mediana de adherencia a la dieta Mediterránea aumentó significativamente en 2,2 puntos (7,1 a 9,3), debida principalmente a que un mayor número de niños tomaban desayuno (44%) y hubo una disminución del consumo de golosinas y bollería industrial en el desayuno (22,2%). La intervención redujo significativamente en 8,7 puntos la ansiedad en los niños. De los adultos, 9 de ellos participaron en la evaluación inicial, la media de disminución de peso fue de 3,6 kg y la disminución de la ansiedad paso de 45,6 a 27,3 (p=0,02). Conclusiones: la aplicación del programa Familias en Movimiento disminuyó el IMC, aumentó la puntuación en la adherencia a dieta Mediterránea y disminuyó la ansiedad en los niños, además se redujo el peso y la ansiedad en los adultos que acompañaron en el programa a los niños.

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Attachment Security and Obesity in US Preschool-Aged Children

Cited by 101 publications

References 55 publications

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

Early Childhood Family Intervention and Long-term Obesity Prevention Among High-risk Minority Youth

Prevalence of and factors associated with obesity among Pakistani schoolchildren: a school-based, cross-sectional study

Resultados de una intervención motivacional con niños obesos o con sobrepeso y sus familias: Estudio Piloto

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