Targeting Parents Exclusively in the Treatment of Childhood Obesity: Long‐Term Results

Golan, Moria; Crow, Scott J.

doi:10.1038/oby.2004.45

Cited by 458 publications

(382 citation statements)

References 29 publications

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“…This demonstrates that even without specific guidance, mothers are adept at identifying barriers to change in their children. Our results provide further support to existing observational (Sallis et al, 2000;Birch and Davison, 2001;Davison et al, 2003;Fisher et al, 2004) and trial (Golan and Crow, 2004;Winzenberg et al, 2006b) evidence suggesting that a parent-focused approach is worthy of further exploration.…”

Section: Discussionsupporting

confidence: 88%

“…Other research demonstrates the difficulty of changing physical activity in children. Lifestyle intervention trials for osteoporosis prevention that have successfully increased calcium intake have failed to increase physical activity (Ritenbaugh et al, 2003;French et al, 2005), and eating patterns but not physical activity were improved in a parent-focused childhood obesity intervention (Golan and Crow, 2004). Two recent reviews (Biddle et al, 2004;Timperio et al, 2004) report that even complex and intensive interventions may not increase physical activity in children.…”

Section: Discussionmentioning

confidence: 99%

“…Although changing lifestyle factors in children is more often addressed in the context of the prevention and management of obesity, the most effective types of behavioural interventions in relation to obesity are also poorly understood (Summerbell et al, 2003). One RCT trial suggests that using parents as exclusive agents of change is more effective at reducing weight in children than intervening directly with children (Golan and Crow, 2004).…”

Section: Introductionmentioning

confidence: 99%

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How do women change osteoporosis-preventive behaviours in their children?

2007

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Objective: We have reported that a lifestyle intervention with mothers improved calcium intake and physical activity in both mothers and their children. In this study, we aimed to describe the strategies and approaches used by these mothers to improve their children's calcium intake and physical activity. Design: A qualitative study using semistructured interviews. Setting: Population-based convenience sample. Subjects: A subsample of 39 mothers were taken from a population-based random sample of 354 mothers who had participated in the original osteoporosis-prevention trial. Results: Mothers described specific dietary changes they made to increase their children's calcium intake. They also described strategies for improving calcium intake and physical activity such as raising awareness of the importance of calcium; ensuring calcium-rich foods were accessible; assessing their children's likes and dislikes and working within these; role modelling; information provision; taking a balanced approach to attempting behaviour change; and encouraging activities that they could do with their children. Mothers emphasized the general importance of a balanced diet and lifestyle, rather than just focussing on lifestyle factors specific to osteoporosis prevention. Conclusion: Even without specific guidance, mothers are adept at developing strategies to apply to changing lifestyle behaviours in their children and identifying barriers to change. These results provide information, which could be incorporated into future interventions for lifestyle change in children and also provide further support for considering parent-focused approaches to this problem.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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How do women change osteoporosis-preventive behaviours in their children?

2007

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“…A child's body size is strongly correlated with his or her parents' body size, 11,12 and parental weight change predicts childhood weight change. 13,14 Very young children depend on an adult to take them out and bring them home. Thus, the local environment may influence childhood physical activity to the extent that it encourages or discourages parental walking or other activity with the child, or affects parental perceptions of the safety and attractiveness of outdoor play.…”

mentioning

confidence: 99%

Is the Environment Near Home and School Associated with Physical Activity and Adiposity of Urban Preschool Children?

et al. 2011

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Preventing sedentary behavior and adiposity in childhood has become a public health priority. We examined urban social and built environment characteristics as correlates of physical activity and anthropometry among 428 preschool children from low-income families in New York City. We measured the children's height, weight, skinfold thicknesses, physical activity by accelerometer, and covariates. We geocoded home and Head Start center addresses and estimated the following for an area within 0.5 km of those two locations using a detailed geographic database: neighborhood composition, walkability, crime and traffic safety, and aesthetic characteristics. Generalized estimating equations were used to examine the associations of area characteristics with physical activity or adiposity, adjusted for characteristics of the child, mother, and home. Participants were 2-5 years old, 53% female, 83% Hispanic, and 43% either overweight or obese. Of the walkability indicators, land use mix was associated with physical activity (26 more activity counts/minute per standard deviation increase in mixed land use, p=0.015) and subway stop density was associated with adiposity (1.2 mm smaller sums of skinfold thicknesses sum per standard deviation increase in subway stop density, p=0.001). The pedestrian-auto injury rate, an indicator of traffic safety problems, was associated with physical activity and adiposity (16 fewer activity counts/minute, p=0.033, and 1.0 mm greater skinfold thickness per standard deviation increase in pedestrian-auto injuries, p=0.018). Children living in areas with more street trees were more physically active and those living in areas with more park access had smaller skinfolds. However, many of the tested associations were not statistically significant and some trends were not in the hypothesized direction. Efforts to enhance walkability, safety, and green spaces in the local environment may be relevant to physical activity and adiposity, and therefore to the health of preschool-aged children from low-income families.

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“…This implies that effective treatment interventions should be approached from a health-centered rather than a weight-centered perspective (Golan & Crow, 2004). In spite of the several methodological challenges these predictor studies are faced with, future research should further focus on the question why weight control is so difficult to achieve.…”

mentioning

confidence: 99%

An 8-year follow-up of treated obese children: Children’s, process and parental predictors of successful outcome

Moens¹,

Braet²,

Winckel³

2010

Behaviour Research and Therapy

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Objective This study presents an 8-year outcome of overweight children who were treated in an outpatient program and aims to identify child and familial variables associated with longterm weight regulation. Methods A total of 90 children participated with a mean age of 10.1 years ± 2.6 at baseline and a mean adjusted BMI (actual BMI/50 th percentile of BMI for age and gender x 100) of 153.1 ± 20.7% at baseline participated in the 8-year follow-up (retrieval rate 71%; response rate 89%). Children's and parental factors, administered at baseline and at follow-up were related to the success of the treatment. Results The children obtained a mean reduction of 8% in adjusted BMI at the 8-year follow-up. A total of 59 children (66%) were successful in obtaining weight control (i.e. maintaining their original % adjusted BMI); 40% even decreased their adjusted BMI by 10% or more. Analyses revealed that the child's age, the degree of overweight at baseline and the child's global self-worth were positive predictors of long-term weight loss 8 years after treatment, whereas psychopathology in the mother was a negative predictor. The total explained variance was R² = 35%. Discussion Treatment of childhood obesity by means of a multidisciplinary cognitive behavioural program enables the majority of children to control their weight in the long term. In order to predict the success of the treatment, it is recommended to take into account the child's age, its degree of overweight, its global self-worth and the occurrence of maternal psychopathology.

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Targeting Parents Exclusively in the Treatment of Childhood Obesity: Long‐Term Results

Cited by 458 publications

References 29 publications

How do women change osteoporosis-preventive behaviours in their children?

How do women change osteoporosis-preventive behaviours in their children?

Is the Environment Near Home and School Associated with Physical Activity and Adiposity of Urban Preschool Children?

An 8-year follow-up of treated obese children: Children’s, process and parental predictors of successful outcome

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