Relationships examined: Parent and child readiness to change and sociodemographic characteristics in family based weight loss treatment

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2023-06-06 DOI:10.1111/ijpo.13062

Melissa Ramel, Denise E. Wilfley, Rachel Tabak, Daphne Lew, Nasreen A. Moursi, Colleen Kilanowski, Steven R. Cook, Ihouma U. Eneli, Teresa Quattrin, Kenneth B. Schechtman, Leonard H. Epstein

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Abstract

Background

Family based treatment is an effective, multipronged approach to address obesity as it plagues families.

Objective

To investigate the relationships among sociodemographic characteristics (e.g., education and income), body mass index (BMI) and race/ethnicity with readiness to change for parents enrolled in the Primary care pediatrics, Learning, Activity and Nutrition (PLAN) study.

Methods

Multivariate linear regressions tested two hypotheses: (1) White parents will have higher levels of baseline readiness to change, when compared to Black parents; (2) parents with higher income and education will have higher levels of readiness to change at baseline.

Results

A positive relationship exists between baseline parent BMI and readiness to change (Pearson correlation, 0.09, p < 0.05); statistically significant relationships exist between parent education level (−0.14, p < 0.05), income (0.04, p < 0.05) and readiness to change. Additionally, a statistically significant relationship exists, with both White (β, −0.10, p < 0.05), and Other, non-Hispanic (−0.10, p < 0.05) parents exhibiting lower readiness to change than Black, non-Hispanic parents. Child data did not indicate significant relationships between race/ethnicity and readiness to change.

Conclusions

Results demonstrate that investigators should consider sociodemographic characteristic factors and different levels of readiness to change in participants enrolling in obesity interventions.

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关系检验:父母和孩子准备改变和社会人口特征的家庭为基础的减肥治疗

以家庭为基础的治疗是一种有效的、多管齐下的方法来解决困扰家庭的肥胖问题。目的调查参加初级保健儿科、学习、活动和营养(PLAN)研究的父母的社会人口学特征(如教育和收入)、体重指数(BMI)和种族/民族与改变意愿的关系。方法多元线性回归检验了两个假设:(1)白人父母比黑人父母有更高的基线改变准备水平;(2)收入和受教育程度越高的父母在基线时的改变准备程度越高。结果父母基线BMI与改变意愿呈正相关(Pearson相关系数为0.09,p < 0.05);父母受教育程度(- 0.14,p < 0.05)、收入(0.04,p < 0.05)与改变意愿之间存在统计学显著关系。此外，存在统计学上显著的关系，白人父母(β， - 0.10, p < 0.05)和其他非西班牙裔父母(- 0.10,p < 0.05)比非西班牙裔黑人父母表现出更低的改变意愿。儿童数据没有显示种族/民族和改变意愿之间的显著关系。研究结果表明，研究人员应考虑社会人口学特征因素和参与肥胖干预的参与者对改变的不同准备程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.