Changes in Child Weight, Behaviors, and Family Dynamics during Parental Participation in a Medical Weight Management Program: A Longitudinal Uncontrolled Pilot Study

Background: There is limited evidence of the effects of parental participation in outpatient medical weight management (MWM) programs on children. The aims of the project were to (1) identify time effects from parental participation in the MWM program on changes in child weight trajectories, healthy...

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Bibliographic Details
Published in:Childhood obesity 2023-03, Vol.19 (2), p.12-111
Main Authors: Pratt, Keeley J, Kiser, Haley M, Feng, Xin, VanFossen, Catherine, Spees, Colleen, Taylor, Christopher, Noria, Sabrena, Eneli, Ihuoma, Skelton, Joseph A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Body Mass Index
Child
Children & youth
Communication
Demographics
Eating behavior
Exercise
Families & family life
Family Relations
Feeding Behavior
Female
Gastrointestinal surgery
Humans
Longitudinal studies
Male
Metabolism
Obesity
Original Articles
Overweight
Parenting
Parents
Parents & parenting
Patients
Pediatric Obesity
Pediatrics
Physical fitness
Pilot Projects
Weight control
Young Adult
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Summary:Background: There is limited evidence of the effects of parental participation in outpatient medical weight management (MWM) programs on children. The aims of the project were to (1) identify time effects from parental participation in the MWM program on changes in child weight trajectories, healthy and unhealthy weight control practices, physical and sedentary activity, parental restrictive feeding and pressure to eat, and family functioning and communication and (2) determine differences based on child factors. Methods: A longitudinal uncontrolled pilot study was conducted, in which parent-child (ages 7–19) dyads completed assessments at parents' MWM program initiation, 3 months (mid-program), 6 months (end of program), and 12 months to determine sustained effects. Repeated measures analysis of variance (ANOVA) was completed using a mixed multilevel modeling approach using Restricted Maximum Likelihood estimation method; each outcome was additionally analyzed with child baseline weight status, age group, and sex as between-subjects factors. Results: Fifty three dyads met inclusion criteria, 23 completed the initial assessment (enrollment: 43.3%), and 13 completed the 12-month assessment (retention: 56.5%). Significant effects over time were observed for decreased parental restrictive feeding ( p  
ISSN:2153-2168
2153-2176
DOI:10.1089/chi.2021.0206