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Engaging Children to Support Parental Weight Loss: A Randomized Trial
Ginger Winston1, Munjireen Sifat2, Erica Phillips3
1George Washington University Medical Faculty Associates, Washington, DC, USA.
Summary
Engaging children as support partners did not improve adult weight loss in a 6-month study. However, active child support for eating and exercise goals boosted parent adherence, while lack of engagement had negative consequences.
Area of Science:
- Obesity research
- Behavioral science
- Family health
Background:
- Social networks influence adult eating behaviors.
- Few studies have explored children as support partners in parental weight loss interventions.
- Parental obesity is a significant public health concern.
Purpose of the Study:
- To assess the impact of child support on parental adherence to eating/exercise goals.
- To evaluate the effect of child support on weight loss outcomes in adults with obesity.
- To examine the role of children as active participants in a weight management program.
Main Methods:
- 102 adults with obesity and a child aged 12+ were randomized into child support or control groups.
- The child support group involved children in supportive behaviors twice weekly.
- Parents set healthy eating strategies and daily step goals.
Main Results:
- No significant difference in weight loss between the child support and control groups.
- Parental adherence to eating/exercise goals increased with child support engagement.
- Low home environment chaos and high follow-up adherence predicted weight loss.
Conclusions:
- Child support did not significantly impact weight loss in this study.
- Active child involvement facilitated adherence, but unfulfilled support may have been detrimental.
- Family-centered approaches warrant further investigation for weight management.
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