Girls and Boys Have a Different Cardiometabolic Response to Obesity Treatment

Valle, Marketta Dalla; Laatikainen, Tiina; Potinkara, Hanna; Nykänen, Päivi; Jääskeläinen, Jarmo

doi:10.3389/fendo.2018.00579

Cited by 2 publications

(2 citation statements)

References 43 publications

(80 reference statements)

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“…An increasing number of studies show that treatment of ChO is complicated, providing mixed results ( 10 , 11 ) and mostly small, short-term reductions in weight and body mass index (BMI) in children and adolescents ( 11 – 14 ). Weight reduction in ChO may also have only minor positive effects on cardiometabolic risk profiles, particularly in boys ( 15 ). Hence, more effective preventative measures are needed to prevent ChO.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Unhealthy Weight, Disordered Eating, and Poor Body Image in Children. Perspectives From Norwegian Parents and Healthcare Professionals

Fiskum

Riiber²,

Eik‐Nes

2022

Front. Psychiatry

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BackgroundChildhood obesity (ChO) and eating disorders are on the rise, with concerning effects on health. Early prevention is essential as interventions after problems arise are costly and with a low success rate. In Norway, prevention of ChO has been largely weight-centered, without desired effects. Confident Body, Confident Child (CBCC) is a universal program aimed at preventing ChO, disturbed eating, and body image problems through a health-centered intervention for parents of children between 2 and 6 years. The current study is part of a cultural adaptation and translation of CBCC into Norwegian.MethodsFocus groups with parents (n = 16) and professionals (n = 11) were held around healthy eating, activity, and body image, with an emphasis on possible barriers for prevention as well as approaches considered helpful. The interviews were analyzed using interpretative phenomenological analysis.ResultsParents and professionals described parental stress connected to high standards, conflicting information, and parental comparison. A narrowing sense of normality around healthy living was described with little flexibility resulting in “all-or-nothing” thinking. Parents were anxious to say or do the wrong thing when regulating children's food intake and when faced with comments about appearance. Parents and professionals described parental concern around children not eating enough, and professionals described an increase in parents using food as regulation. Both parents and professionals expressed that having a child with overweight was tied to a sense of failure and shame. Interventions related to overweight seemed to increase stress and shame, further complicating follow-up. As an alternative, parents and professionals expressed a desire for interventions with normalizing information around “good-enough” parenting related to food and weight.DiscussionThe described fear of doing something wrong and lack of flexibility is interpreted within a stress-sensitive understanding, where stress and shame can influence parents toward mobilizing action or disengagement, presenting as dichotomous behaviors of “all-or-nothing”.ConclusionInterventions that can normalize parental concerns in a non-moralizing way may reduce stress and shame. CBCC addresses all the major concerns raised in this study, providing parents with evidence-based information they can implement into everyday life. The Norwegian cultural adaptation added extra emphasis on normalization and shame-reduction.

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Section: Introductionmentioning

confidence: 99%

Prevention of Unhealthy Weight, Disordered Eating, and Poor Body Image in Children. Perspectives From Norwegian Parents and Healthcare Professionals

Fiskum

Riiber²,

Eik‐Nes

2022

Front. Psychiatry

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“…Obesity treatment and research could do with a clearer focus on gender differences. Gender affects the causes and consequences of obesity through related biological and social factors and timing and secular trend of pubertal development differ between sexes …”

Section: Introductionmentioning

confidence: 99%

Distinct age‐related patterns of overweight development to guide school healthcare interventions

Häkkänen¹,

But

Ketola

et al. 2019

Acta Paediatrica

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Aim We aimed to identify groups of primary school children with similar overweight development, reveal age‐related patterns of overweight development in the resulting groups and analyse overweight‐related school healthcare interventions. Methods This retrospective longitudinal register study utilised electronic health records from six primary school years. From a random sample of 2000 sixth graders, we derived a study cohort of 508 children meeting criteria for overweight at least once during primary school. We investigated how many different groups (latent classes) of children with similar weight development would emerge by applying flexible latent class mixed models on body mass index standard deviation score. We also explored the resulting groups with respect to offered overweight‐related interventions. Results Per child, the data consisted in median 7 growth measurements over 5.4 years. We identified five overweight development groups for girls and four for boys. The groups converged temporarily around age 10 after which only some continued into obesity. School nurses and physicians offered overweight‐related interventions to children with obesity, less to children gaining weight or with overweight. Conclusion Obesity prevention might benefit from awareness of typical overweight development patterns when designing intervention studies or planning and timing multidisciplinary school health check programmes.

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Girls and Boys Have a Different Cardiometabolic Response to Obesity Treatment

Cited by 2 publications

References 43 publications

Prevention of Unhealthy Weight, Disordered Eating, and Poor Body Image in Children. Perspectives From Norwegian Parents and Healthcare Professionals

Prevention of Unhealthy Weight, Disordered Eating, and Poor Body Image in Children. Perspectives From Norwegian Parents and Healthcare Professionals

Distinct age‐related patterns of overweight development to guide school healthcare interventions

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