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Rethinking family-based obesity treatment
Joseph A Skelton1,2,3, Mara Vitolins2,3, Keeley J Pratt4,5
1Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Clinical Obesity
|August 2, 2023
Summary
Involving the entire family in pediatric obesity treatment, guided by Family Systems Theory (FST), may improve child weight outcomes. This approach considers diverse family structures for better health.
Area of Science:
- Pediatric obesity research
- Family Systems Theory (FST) application in clinical care
Background:
- Parental involvement is crucial for pediatric weight management success.
- Current guidelines emphasize parent and family participation in treatment.
- The impact of involving the entire family versus a single parent is not well-understood.
Purpose of the Study:
- To redefine pediatric family-based management using Family Systems Theory (FST).
- To promote inclusivity of diverse family and household structures in research.
- To inform clinical care requiring family support and behavior change.
Main Methods:
- Narrative review of existing literature on pediatric family-based weight management.
- Application of Family Systems Theory (FST) to analyze family dynamics in obesity.
- Reconsideration of definitions for family-based interventions.
Main Results:
- Family Systems Theory (FST) links family dynamics to pediatric obesity severity.
- Dysfunctional family dynamics are associated with more severe pediatric obesity.
- Family-based weight management is the established standard of care.
Conclusions:
- Expanding family-based interventions to include the entire family unit is recommended.
- Further research is needed to assess the broader impact on overall family health and well-being.
- A family-inclusive approach may enhance pediatric obesity treatment outcomes.
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