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The influence of parenting change on pediatric weight control
Richard I Stein1, Leonard H Epstein, Hollie A Raynor
1Department of Pediatrics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY 14214-3000, USA. LHENET@acsu.buffalo.edu
Insights
Increased father acceptance during pediatric obesity treatment predicts better weight loss maintenance. This finding highlights the crucial role of parental support in children
Area of Science:
- Pediatric obesity research
- Behavioral psychology
- Family studies
Background:
- Childhood obesity is a significant public health concern.
- Behavioral family-based treatments are a common approach for pediatric obesity.
- The role of parenting styles in treatment outcomes requires further investigation.
Purpose of the Study:
- To examine parenting style as a predictor of weight loss maintenance in pediatric obesity treatment.
- To assess the impact of baseline and in-treatment parenting on children's weight change.
- To determine the unique contribution of parenting dimensions beyond adherence and demographics.
Main Methods:
- Fifty obese children in a behavioral family-based treatment program were studied.
- Hierarchical regression analysis was used to assess predictors of weight change.
- Percentage overweight change was measured at 6 and 12 months.
Main Results:
- Children showed significant decreases in percentage overweight at 6 and 12 months.
- Adherence to program goals accounted for 10.8% of the variance in weight control.
- Father's acceptance (baseline and change) explained an additional 20.5% of the variance.
- Youth with increased father acceptance showed greater weight reduction.
Conclusions:
- Increased father acceptance during treatment is associated with better weight loss outcomes in children.
- Parental acceptance may be a key factor in the success of pediatric obesity interventions.
- Further research should explore other parenting dimensions and methods to enhance parental acceptance.
Objective:
Parenting style was examined as a predictor of weight loss maintenance in behavioral family-based pediatric obesity treatment.
Research Methods And Procedures:
Fifty obese children who participated in a behavioral family-based pediatric obesity treatment were studied. Hierarchical regression tested the incremental effect of baseline parenting and parenting during treatment on children's percentage overweight change over 12 months, beyond demographics and adherence to targeted behaviors.
Results:
Children's percentage overweight significantly decreased at 6 (-16.3) and 12 (-11.1) months. Adherence to program goals significantly increased variance accounted for in the regression model by 10.8%, whereas adding baseline father acceptance and change in father acceptance accounted for another 20.5%. The overall model accounted for 40.6% of the variance in pediatric weight control. ANOVA showed significantly greater percentage overweight decrease from baseline for youth with fathers who increased their acceptance vs. those who decreased acceptance at 6 (-19.8 vs. -14.6) and 12 (-17.4 vs. -8.1) months.
Discussion:
Youth who perceive an increase in father acceptance after treatment had better changes in percentage overweight over 12 months than youth with lower ratings of father acceptance. Future directions include examining how other parenting dimensions impact pediatric obesity treatment outcome and how parental acceptance can be enhanced to improve child weight control.
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