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Examining the interdependence of parent-child dyads: Effects on weight loss and maintenance.
Fowler, Lauren A; Grammer, Anne Claire; Ray, Mary Katherine; Balantekin, Katherine N; Stein, Richard I; Kolko Conlon, Rachel P; Welch, R Robinson; Perri, Michael G; Epstein, Leonard H; Wilfley, Denise E.
Afiliación
  • Fowler LA; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
  • Grammer AC; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
  • Ray MK; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
  • Balantekin KN; Department of Exercise and Nutrition Sciences, University of Buffalo, Buffalo, New York, USA.
  • Stein RI; Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
  • Kolko Conlon RP; Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  • Welch RR; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
  • Perri MG; Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida, USA.
  • Epstein LH; Department of Pediatrics, University at Buffalo, Buffalo, New York, USA.
  • Wilfley DE; Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Pediatr Obes ; 16(1): e12697, 2021 01.
Article en En | MEDLINE | ID: mdl-32720457
BACKGROUND: This study aimed to further elucidate correlated weight changes in parent-child dyads enrolled in family-based treatment (FBT) by modeling the interdependence of weight changes during treatment. METHODS: Parent-child dyads (n = 172) with overweight/obesity (child mean zBMI = 2.16 ± 0.39; parent mean BMI = 37.9 ± 9.4 kg/m2 ) completed 4 months of FBT and were randomized to one of three 8-month maintenance interventions (Social Facilitation Maintenance [SFM]-high dose, SFM-low dose or control). Weight/height was measured at 0, 4 and 12 months. Structural equation models simultaneously estimated the effect that an individual had on their own (actor effect) and on one another's (partner effect) weight-status across time using the actor-partner interdependence model. RESULTS: Actor paths were significant over time for parent and child. Partner paths were significant for child zBMI predicting parent BMI at 4 and 12 months. Maintenance condition moderated actor/partner paths in the model. CONCLUSIONS: Child weight change may motivate parents to make environmental and behavioural changes that impact their own weight. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00759746.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Padres-Hijo / Pérdida de Peso / Programas de Reducción de Peso / Motivación / Obesidad Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Padres-Hijo / Pérdida de Peso / Programas de Reducción de Peso / Motivación / Obesidad Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido