Parent and Guardian Opinions on Obesity Medications Use in Adolescents with Obesity and Related Comorbidities.

IF 1.5 4区 医学 Q2 PEDIATRICS Childhood Obesity Pub Date : 2024-12-18 DOI:10.1089/chi.2024.0351
Sarah Raatz, Rebecca L Freese, Subin Jang, Alicia Kunin-Batson, Amy C Gross, Megan O Bensignor
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Abstract

Background: There are now four FDA-approved anti-obesity medications (AOMs) for youth ≥12 years, which can be effective therapies to treat obesity and obesity-related comorbidities. Objectives: This study describes parent/guardian (caregiver) openness to using AOMs for adolescents with obesity and evaluates factors that may contribute to openness. Methods: Caregivers of adolescents aged 12-17 years were surveyed. Self-reported height, weight, demographic information, family, and personal history of obesity or obesity-related comorbidities were collected. Participants rated their openness to starting an AOM for their child for obesity alone or obesity-related comorbidities on a 7-point Likert scale. A Likert rating of less than 4 was considered "less open" versus 4-7 was considered "more open." Results: A total of 344 participants completed the survey. Average openness toward AOM use for obesity as the only indication (as opposed to comorbid conditions) was 3.2 ± 1.74. Caregivers who were knowledgeable that the FDA-approved AOM use in adolescents had greater odds of being open to using these medications compared with caregivers who were not knowledgeable (odds ratio: 2.18; 95% confidence interval: 1.25-2.86). Conclusions: Caregivers reported openness to starting an AOM if they had prior knowledge of these medications, highlighting the need for family education on AOM use and indications.

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家长及监护人对肥胖及相关合并症青少年使用减肥药的意见
背景:目前有4种fda批准的针对≥12岁青少年的抗肥胖药物(AOMs),可作为治疗肥胖及肥胖相关合并症的有效疗法。目的:本研究描述了父母/监护人(照顾者)对肥胖青少年使用AOMs的开放程度,并评估了可能有助于开放的因素。方法:对12 ~ 17岁青少年的照顾者进行调查。收集自我报告的身高、体重、人口统计信息、家庭和个人肥胖史或与肥胖相关的合并症。参与者根据7分李克特量表对他们是否愿意为孩子开设AOM单独的肥胖或肥胖相关的合并症进行评分。李克特评分低于4分被认为是“不太开放”,而4-7分被认为是“更开放”。结果:共有344名参与者完成了调查。对肥胖患者使用AOM作为唯一适应症(与合并症相反)的平均开放度为3.2±1.74。与不了解AOM的护理人员相比,了解fda批准的AOM在青少年中的使用的护理人员对使用这些药物持开放态度的几率更大(优势比:2.18;95%置信区间:1.25-2.86)。结论:护理人员报告说,如果他们事先了解这些药物,他们愿意开始使用AOM,这突出了对AOM使用和适应症进行家庭教育的必要性。
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来源期刊
Childhood Obesity
Childhood Obesity PEDIATRICS-
CiteScore
4.70
自引率
8.00%
发文量
95
期刊介绍: Childhood Obesity is the only peer-reviewed journal that delivers actionable, real-world obesity prevention and weight management strategies for children and adolescents. Health disparities and cultural sensitivities are addressed, and plans and protocols are recommended to effect change at the family, school, and community level. The Journal also reports on the problem of access to effective healthcare and delivers evidence-based solutions to overcome these barriers.
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