Parent Involvement Is Associated With Early Success in Obesity Treatment

Heinberg, Leslie J.; Kutchman, Eve; Berger, Nathan A.; Lawhun, Sarah A.; Cuttler, Leona; Seabrook, Rita C.; Horwitz, Sarah M.

doi:10.1177/0009922809337531

Cited by 46 publications

(52 citation statements)

References 40 publications

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“…In the study by Wadden et al 102 of adolescent obesity treatment, greater attendance at treatment sessions by mothers was associated with greater weight loss by adolescents across all treatment groups. Heinberg et al 116 recently reported that parental involvement in treatment, as assessed by the family's case manager on a 4-point Likert scale (from 0ϭnone to 4ϭex-tremely), predicted weight loss among 104 children enrolled in a 12-week intervention. Specifically, children with the lowest parental involvement were less likely to lose any weight or to have clinically significant weight loss (Ն2 kg).…”

Section: Is Greater Parental Adherence To Core Behavior Change Stratementioning

confidence: 99%

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

235

170

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Abstract-This scientific statement addresses parents and adult caregivers (PACs) as "agents of change" for obese children, evaluating the strength of evidence that particular parenting strategies can leverage behavior change and reduce positive energy balance in obese youth. The statement has 3 specific aims. The first is to review core behavior change strategies for PACs as used in family-based treatment programs and to provide a resource list. The second is to evaluate the strength of evidence that greater parental "involvement" in treatment is associated with better reductions in child overweight. The third is to identify research gaps and new opportunities for the field. This review yielded limited and inconsistent evidence from randomized controlled clinical trials that greater PAC involvement necessarily is associated with better child outcomes. For example, only 17% of the intervention studies reported differential improvements in child overweight as a function of parental involvement in treatment. On the other hand, greater parental adherence with core behavior change strategies predicted better child weight outcomes after 2 and 5 years in some studies. Thus, the literature lacks conclusive evidence that one particular parenting strategy or approach causally is superior to others in which children have a greater focus in treatment. A number of research gaps were identified, including the assessment of refined parenting phenotypes, cultural tailoring of interventions, examination of family relationships, and incorporation of new technologies. A conceptual model is proposed to stimulate research identifying the determinants of PAC feeding and physical activity parenting practices, the results of which may inform new treatments. The statement addresses the need for innovative research to advance the scope and potency of PAC treatments for childhood obesity. (Circulation. 2012;125:1186-1207.)Key Words: AHA Scientific Statements Ⅲ diet Ⅲ lifestyle Ⅲ nutrition Ⅲ obesity Ⅲ pediatrics Ⅲ preventionThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on October 10, 2011. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young A, Wansink B, Wylie-Rosett J; on ...

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Section: Is Greater Parental Adherence To Core Behavior Change Stratementioning

confidence: 99%

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

235

170

View full text Add to dashboard Cite

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“…Whilst these interventions are important and have the potential to play a part in an overarching anti-obesity strategy, children can develop a tendency towards overweight and obesity before they reach school age (Mech, Hooley, Skouteris, & Williams, 2016; Ventura & Birch, 2008), with parental practices in relation to food having an effect on this trajectory (Golan, Weizman, Apter, & Fainaru, 1998; Heinberg et al, 2010; Spruijt-Metz, Lindquist, Birch, Fisher, & Goran, 2002; Ventura & Birch, 2008). However, studies reporting on interventions for treating obesity in children may produce results which cannot be generalized to the general population.…”

Section: Introductionmentioning

confidence: 99%

Providing healthy diets for young children: the experience of parents in a UK inner city

Goldthorpe

Ali

Calam

2018

International Journal of Qualitative Studies on Health and Well

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Objectives: There is a consistent body of evidence to demonstrate that obesity in very early childhood tends to continue into adolescence and through to adulthood. Parental practices in relation to food can have an effect on this trajectory, however existing studies reporting on interventions for treating obesity suggest there is a need to involve populations from demographically diverse backgrounds childhood obesity research. Design/Methods: A qualitative study was carried out using semi-structured interviews with parents in a deprived inner city area. Results: Although parents had good intentions towards providing a health diet for their chidren, a number of barriers emerged. Findings were reported in relation to the following themes: information and education; barriers (having a child with special needs, children’s food preferences and using food to promote desirable behaviour) and techniques (household rules & routines, setting limits and parameters, modelling and food preparation). Conclusion: Parents and carers would benefit from targeted interventions based on improving techniques around food parenting practices, with a focus on equipping parents with the skills to overcome barriers encountered not only in early childhood, but as children progress to school age and through to adolescence.

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“…Our intervention took place in primary care (level 1) where it should be implemented first for the purposes of preventing the need to get to levels 2 and 3. Furthermore, many of the efforts to prevent overweight and obesity are done in school settings, where it is not possible to work with the families and get them involved in pursuing healthy dietary habits and regular physical exercise [31][32][33] . Thus, another strong point of the Obescat study is that it was done in PC settings.…”

Section: Discussionmentioning

confidence: 99%

Hábitos de estilo de vida en adolescentes con sobrepeso y obesidad: Estudio Obescat

Ives¹,

Peláez

Cuixart

et al. 2012

Rev Pediatr Aten Primaria

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Parent Involvement Is Associated With Early Success in Obesity Treatment

Abstract: Parental involvement may be helpful in identifying who is likely to do well in a weight loss program.

Cited by 46 publications

References 40 publications

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Providing healthy diets for young children: the experience of parents in a UK inner city

Hábitos de estilo de vida en adolescentes con sobrepeso y obesidad: Estudio Obescat

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