Integration of a Family Systems Approach for Understanding Youth Obesity, Physical Activity, and Dietary Programs

Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to yo...

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Veröffentlicht in:Clinical child and family psychology review 2010-09, Vol.13 (3), p.231-253
Hauptverfasser: Kitzman-Ulrich, Heather, Wilson, Dawn K, St. George, Sara M, Lawman, Hannah, Segal, Michelle, Fairchild, Amanda
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creator Kitzman-Ulrich, Heather
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description Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to youth health behavior change. Therefore, this review provides a family systems theory framework for evaluating family-level variables in weight loss, physical activity, and dietary approaches in youth. Studies were reviewed and effect sizes were calculated for interventions that manipulated the family system, including components that targeted parenting styles, parenting skills, or family functioning, or which had novel approaches for including the family. Twenty-one weight loss interventions were identified, and 25 interventions related to physical activity and/or diet were identified. Overall, family-based treatment programs that incorporated training for authoritative parenting styles, parenting skills, or child management, and family functioning had positive effects on youth weight loss. Programs to improve physical activity and dietary behaviors that targeted the family system also demonstrated improvements in youth health behaviors; however, direct effects of parent-targeted programming is not clear. Both treatment and prevention programs would benefit from evaluating family functioning and parenting styles as possible mediators of intervention outcomes. Recommendations are provided to guide the development of future family-based obesity prevention and treatment programs for youth.
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subjects Adolescent
Basic instruction program
Behavior Modification
Behavioral Science and Psychology
Body Weight
Child
Child and School Psychology
Child Health
Child Rearing
Children & youth
Cognitive Behavioral Therapy - methods
Combined Modality Therapy
Diet
Diet, Reducing - psychology
Dietetics
Eating Habits
Education - methods
Exercise
Families & family life
Family
Family Conflict - psychology
Family Influence
Family Programs
Family Relationship
Family Therapy - methods
Female
Health Behavior
Humans
Intervention
Life Style
Literature Reviews
Male
Motor Activity
Obesity
Obesity - prevention & control
Obesity - psychology
Obesity - therapy
overweight
Parent Child Relationship
Parent Participation
Parenting
Parenting - psychology
Parenting Skills
Parenting Styles
Physical Activities
physical activity
Physical Activity Level
Prevention
Program Effectiveness
Programs
Psychology
Randomized Controlled Trials as Topic
Risk Factors
Social Sciences
Systems Approach
Systems Theory
Theories
Weight control
Weight Loss
Youth
title Integration of a Family Systems Approach for Understanding Youth Obesity, Physical Activity, and Dietary Programs
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