Family-based treatment program contributors to child weight loss
Background Multicomponent family-based behavioral treatment (FBT) program for pediatric obesity includes nutrition and physical activity education, as well as behavior therapy techniques. Studies suggest that parent weight loss is the best predictor of child weight loss in FBT. However, given the im...
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| Veröffentlicht in: | International Journal of Obesity 2021-01, Vol.45 (1), p.77-83 |
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| creator | Boutelle, Kerri N. Kang Sim, D. Eastern Rhee, Kyung E. Manzano, Michael Strong, David R. |
| description | Background
Multicomponent family-based behavioral treatment (FBT) program for pediatric obesity includes nutrition and physical activity education, as well as behavior therapy techniques. Studies suggest that parent weight loss is the best predictor of child weight loss in FBT. However, given the important role that parents play in the implementation of FBT for their child, isolating the effects of specific FBT treatment component requires consideration of parent influences over time.
Methods
The following treatment components were assessed: stimulus control (high/low-fat food items in home), nutrition knowledge, energy intake, physical activity, and parental monitoring, as well as weekly anthropometric measures. Adjusted models of interest using inverse probability weights were used to evaluate the effect of specific FBT components on time-varying child weight loss rate, adjusting for time-varying influence of parent weight loss.
Results
One hundred thirty-seven parent–child dyads (CHILD: mean BMI = 26.4 (3.7) and BMIz = 2.0 (0.3); mean age = 10.4 (1.3); 64.1% female; ADULT: mean BMI = 31.9 (6.3); mean age = 42.9 (6.5); 30.1% Hispanic parents; 87.1% female) participated in an FBT program. In traditional model, adult BMI change (
b
= 0.08;
p
0.1). In models that accounted for potential influences from parental weight loss and differential attendance during treatment period, lower availability of high-fat items (
b
= 1.10,
p
|
| doi_str_mv | 10.1038/s41366-020-0604-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7738379</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A649644619</galeid><sourcerecordid>A649644619</sourcerecordid><originalsourceid>FETCH-LOGICAL-c568t-9f65df37cdb215d279ccbe0e19329b460b8ad8ed4cdba13cd55b3e0e0044fabb3</originalsourceid><addsrcrecordid>eNp1kl1rFDEUhoModrv6A7yRAUF6MzXfmbkRS7EqFLzR65CvmU3JTNYko_Tfm2Fr2xUlgUDOc96Tc_IC8ArBcwRJ9y5TRDhvIYYt5JC2_ROwQVTwltFePAUbSKBoIePsBJzmfAMhZAzi5-CEYEZ5x-EGfLhSkw-3rVbZ2aYkp8rk5tLsUxyTmhoT55K8XkpMuSmxMTsfbPPL-XFXmhBzfgGeDSpk9_Lu3ILvVx-_XX5ur79--nJ5cd0axrvS9gNndiDCWI0Rs1j0xmgHHeoJ7jXlUHfKds7SCihEjGVMkxqHkNJBaU224P1Bd7_oyVlTH5lUkPvkJ5VuZVReHkdmv5Nj_CmFIB0RfRU4uxNI8cficpGTz8aFoGYXlywxRZQiTOregjd_oTdxSXNtr1KCYIwZFA_UqIKTfh5irWtWUXnBac8p5Wgte_4Pqi7rJl-n6wZf748S3j5K2DkVyi7HsBQf53wMogNoUv2H5Ib7YSAoV3_Igz9k9Ydc_SHXnNePp3if8ccQFcAHINfQPLr00Pr_VX8DEtbE0A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2473222507</pqid></control><display><type>article</type><title>Family-based treatment program contributors to child weight loss</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Nature Journals Online</source><creator>Boutelle, Kerri N. ; Kang Sim, D. Eastern ; Rhee, Kyung E. ; Manzano, Michael ; Strong, David R.</creator><creatorcontrib>Boutelle, Kerri N. ; Kang Sim, D. Eastern ; Rhee, Kyung E. ; Manzano, Michael ; Strong, David R.</creatorcontrib><description>Background
Multicomponent family-based behavioral treatment (FBT) program for pediatric obesity includes nutrition and physical activity education, as well as behavior therapy techniques. Studies suggest that parent weight loss is the best predictor of child weight loss in FBT. However, given the important role that parents play in the implementation of FBT for their child, isolating the effects of specific FBT treatment component requires consideration of parent influences over time.
Methods
The following treatment components were assessed: stimulus control (high/low-fat food items in home), nutrition knowledge, energy intake, physical activity, and parental monitoring, as well as weekly anthropometric measures. Adjusted models of interest using inverse probability weights were used to evaluate the effect of specific FBT components on time-varying child weight loss rate, adjusting for time-varying influence of parent weight loss.
Results
One hundred thirty-seven parent–child dyads (CHILD: mean BMI = 26.4 (3.7) and BMIz = 2.0 (0.3); mean age = 10.4 (1.3); 64.1% female; ADULT: mean BMI = 31.9 (6.3); mean age = 42.9 (6.5); 30.1% Hispanic parents; 87.1% female) participated in an FBT program. In traditional model, adult BMI change (
b
= 0.08;
p
< 0.01) was the most significant predictor of child weight loss rates and no other treatment components were significant (
p
’s > 0.1). In models that accounted for potential influences from parental weight loss and differential attendance during treatment period, lower availability of high-fat items (
b
= 1.10,
p
< 0.02), higher availability of low-fat items (
b
= 3.73;
p
< 0.01), and higher scores on parental monitoring practices (
b
= 1.10,
p
< 0.01) were associated with greater rates of weight loss, respectively.
Conclusion
Results suggest that outside of parent weight change, changes in stimulus control strategies at home and improved parental-monitoring practices are important FBT components for child weight loss.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/s41366-020-0604-9</identifier><identifier>PMID: 32546860</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700/1720 ; 692/700/2817 ; Adult ; Availability ; Behavior modification ; Behavior Therapy ; Body Weight ; Body weight loss ; Care and treatment ; Child ; Energy intake ; Epidemiology ; Family psychotherapy ; Family Therapy ; Female ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Methods ; Middle Aged ; Monitoring ; Nutrition ; Obesity in children ; Parents ; Pediatric Obesity - therapy ; Pediatric research ; Physical activity ; Public Health ; Stimulus control ; Weight loss ; Weight Loss - physiology</subject><ispartof>International Journal of Obesity, 2021-01, Vol.45 (1), p.77-83</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c568t-9f65df37cdb215d279ccbe0e19329b460b8ad8ed4cdba13cd55b3e0e0044fabb3</citedby><cites>FETCH-LOGICAL-c568t-9f65df37cdb215d279ccbe0e19329b460b8ad8ed4cdba13cd55b3e0e0044fabb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41366-020-0604-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41366-020-0604-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32546860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boutelle, Kerri N.</creatorcontrib><creatorcontrib>Kang Sim, D. Eastern</creatorcontrib><creatorcontrib>Rhee, Kyung E.</creatorcontrib><creatorcontrib>Manzano, Michael</creatorcontrib><creatorcontrib>Strong, David R.</creatorcontrib><title>Family-based treatment program contributors to child weight loss</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Background
Multicomponent family-based behavioral treatment (FBT) program for pediatric obesity includes nutrition and physical activity education, as well as behavior therapy techniques. Studies suggest that parent weight loss is the best predictor of child weight loss in FBT. However, given the important role that parents play in the implementation of FBT for their child, isolating the effects of specific FBT treatment component requires consideration of parent influences over time.
Methods
The following treatment components were assessed: stimulus control (high/low-fat food items in home), nutrition knowledge, energy intake, physical activity, and parental monitoring, as well as weekly anthropometric measures. Adjusted models of interest using inverse probability weights were used to evaluate the effect of specific FBT components on time-varying child weight loss rate, adjusting for time-varying influence of parent weight loss.
Results
One hundred thirty-seven parent–child dyads (CHILD: mean BMI = 26.4 (3.7) and BMIz = 2.0 (0.3); mean age = 10.4 (1.3); 64.1% female; ADULT: mean BMI = 31.9 (6.3); mean age = 42.9 (6.5); 30.1% Hispanic parents; 87.1% female) participated in an FBT program. In traditional model, adult BMI change (
b
= 0.08;
p
< 0.01) was the most significant predictor of child weight loss rates and no other treatment components were significant (
p
’s > 0.1). In models that accounted for potential influences from parental weight loss and differential attendance during treatment period, lower availability of high-fat items (
b
= 1.10,
p
< 0.02), higher availability of low-fat items (
b
= 3.73;
p
< 0.01), and higher scores on parental monitoring practices (
b
= 1.10,
p
< 0.01) were associated with greater rates of weight loss, respectively.
Conclusion
Results suggest that outside of parent weight change, changes in stimulus control strategies at home and improved parental-monitoring practices are important FBT components for child weight loss.</description><subject>692/700/1720</subject><subject>692/700/2817</subject><subject>Adult</subject><subject>Availability</subject><subject>Behavior modification</subject><subject>Behavior Therapy</subject><subject>Body Weight</subject><subject>Body weight loss</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Energy intake</subject><subject>Epidemiology</subject><subject>Family psychotherapy</subject><subject>Family Therapy</subject><subject>Female</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Monitoring</subject><subject>Nutrition</subject><subject>Obesity in children</subject><subject>Parents</subject><subject>Pediatric Obesity - therapy</subject><subject>Pediatric research</subject><subject>Physical activity</subject><subject>Public Health</subject><subject>Stimulus control</subject><subject>Weight loss</subject><subject>Weight Loss - physiology</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kl1rFDEUhoModrv6A7yRAUF6MzXfmbkRS7EqFLzR65CvmU3JTNYko_Tfm2Fr2xUlgUDOc96Tc_IC8ArBcwRJ9y5TRDhvIYYt5JC2_ROwQVTwltFePAUbSKBoIePsBJzmfAMhZAzi5-CEYEZ5x-EGfLhSkw-3rVbZ2aYkp8rk5tLsUxyTmhoT55K8XkpMuSmxMTsfbPPL-XFXmhBzfgGeDSpk9_Lu3ILvVx-_XX5ur79--nJ5cd0axrvS9gNndiDCWI0Rs1j0xmgHHeoJ7jXlUHfKds7SCihEjGVMkxqHkNJBaU224P1Bd7_oyVlTH5lUkPvkJ5VuZVReHkdmv5Nj_CmFIB0RfRU4uxNI8cficpGTz8aFoGYXlywxRZQiTOregjd_oTdxSXNtr1KCYIwZFA_UqIKTfh5irWtWUXnBac8p5Wgte_4Pqi7rJl-n6wZf748S3j5K2DkVyi7HsBQf53wMogNoUv2H5Ib7YSAoV3_Igz9k9Ydc_SHXnNePp3if8ccQFcAHINfQPLr00Pr_VX8DEtbE0A</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Boutelle, Kerri N.</creator><creator>Kang Sim, D. Eastern</creator><creator>Rhee, Kyung E.</creator><creator>Manzano, Michael</creator><creator>Strong, David R.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210101</creationdate><title>Family-based treatment program contributors to child weight loss</title><author>Boutelle, Kerri N. ; Kang Sim, D. Eastern ; Rhee, Kyung E. ; Manzano, Michael ; Strong, David R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c568t-9f65df37cdb215d279ccbe0e19329b460b8ad8ed4cdba13cd55b3e0e0044fabb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/700/1720</topic><topic>692/700/2817</topic><topic>Adult</topic><topic>Availability</topic><topic>Behavior modification</topic><topic>Behavior Therapy</topic><topic>Body Weight</topic><topic>Body weight loss</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Energy intake</topic><topic>Epidemiology</topic><topic>Family psychotherapy</topic><topic>Family Therapy</topic><topic>Female</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Monitoring</topic><topic>Nutrition</topic><topic>Obesity in children</topic><topic>Parents</topic><topic>Pediatric Obesity - therapy</topic><topic>Pediatric research</topic><topic>Physical activity</topic><topic>Public Health</topic><topic>Stimulus control</topic><topic>Weight loss</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boutelle, Kerri N.</creatorcontrib><creatorcontrib>Kang Sim, D. Eastern</creatorcontrib><creatorcontrib>Rhee, Kyung E.</creatorcontrib><creatorcontrib>Manzano, Michael</creatorcontrib><creatorcontrib>Strong, David R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boutelle, Kerri N.</au><au>Kang Sim, D. Eastern</au><au>Rhee, Kyung E.</au><au>Manzano, Michael</au><au>Strong, David R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family-based treatment program contributors to child weight loss</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>45</volume><issue>1</issue><spage>77</spage><epage>83</epage><pages>77-83</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><abstract>Background
Multicomponent family-based behavioral treatment (FBT) program for pediatric obesity includes nutrition and physical activity education, as well as behavior therapy techniques. Studies suggest that parent weight loss is the best predictor of child weight loss in FBT. However, given the important role that parents play in the implementation of FBT for their child, isolating the effects of specific FBT treatment component requires consideration of parent influences over time.
Methods
The following treatment components were assessed: stimulus control (high/low-fat food items in home), nutrition knowledge, energy intake, physical activity, and parental monitoring, as well as weekly anthropometric measures. Adjusted models of interest using inverse probability weights were used to evaluate the effect of specific FBT components on time-varying child weight loss rate, adjusting for time-varying influence of parent weight loss.
Results
One hundred thirty-seven parent–child dyads (CHILD: mean BMI = 26.4 (3.7) and BMIz = 2.0 (0.3); mean age = 10.4 (1.3); 64.1% female; ADULT: mean BMI = 31.9 (6.3); mean age = 42.9 (6.5); 30.1% Hispanic parents; 87.1% female) participated in an FBT program. In traditional model, adult BMI change (
b
= 0.08;
p
< 0.01) was the most significant predictor of child weight loss rates and no other treatment components were significant (
p
’s > 0.1). In models that accounted for potential influences from parental weight loss and differential attendance during treatment period, lower availability of high-fat items (
b
= 1.10,
p
< 0.02), higher availability of low-fat items (
b
= 3.73;
p
< 0.01), and higher scores on parental monitoring practices (
b
= 1.10,
p
< 0.01) were associated with greater rates of weight loss, respectively.
Conclusion
Results suggest that outside of parent weight change, changes in stimulus control strategies at home and improved parental-monitoring practices are important FBT components for child weight loss.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32546860</pmid><doi>10.1038/s41366-020-0604-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2021-01, Vol.45 (1), p.77-83 |
| issn | 0307-0565 1476-5497 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Nature Journals Online |
| subjects | 692/700/1720 692/700/2817 Adult Availability Behavior modification Behavior Therapy Body Weight Body weight loss Care and treatment Child Energy intake Epidemiology Family psychotherapy Family Therapy Female Health Promotion and Disease Prevention Humans Internal Medicine Male Medicine Medicine & Public Health Metabolic Diseases Methods Middle Aged Monitoring Nutrition Obesity in children Parents Pediatric Obesity - therapy Pediatric research Physical activity Public Health Stimulus control Weight loss Weight Loss - physiology |
| title | Family-based treatment program contributors to child weight loss |
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