329. Parental Influences On Child Weight Loss

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329. Parental Influences On Child Weight Loss

CATEGORY: Fitness, Workout & Exercise 500 Courses

COURSE NUMBER: 01

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Syllabus

1.0 INTRODUCTION…………………………………………………………………………………………………. 1
1.1 HEALTH CONSEQUENCES OF OBESITY…………………………………………………. 1
1.2 WEIGHT LOSS INTERVENTIONS……………………………………………………………… 2
1.3 PARENT INVOLVEMENT IN YOUTH WEIGHT MANAGEMENT……………. 3
1.3.1 Parent Perception of Child Weight ………………………………………………………. 6
1.3.2 Parents Perceived Barriers to Child Behavior Change………………………….. 7
1.4 CLINICAL JUSTIFICATION ………………………………………………………………………. 8
1.5 SPECIFIC AIMS ………………………………………………………………………………………….. 9
2.0 REVIEW OF THE LITERATURE ……………………………………………………………………… 12
2.1 CHILDHOOD OBESITY PREVALENCE…………………………………………………… 13
2.2 CONSEQUENCES OF OBESITY……………………………………………………………….. 14
2.2.1 Psychological Consequences of Childhood Obesity ……………………………… 14
2.2.2 Physiological Consequences of Childhood Obesity………………………………. 15
2.2.3 Obesity and Cognitive Function …………………………………………………………. 16
2.3 CHILDHOOD OBESITY INTERVENTION STRATEGIES………………………… 17
2.3.1 Child and Parent Interventions………………………………………………………….. 17
2.3.2 Parent Only Interventions………………………………………………………………….. 20
2.4 INFLUENCE OF PARENTS AND FAMILY……………………………………………….. 24

2.4.1 Family Related Obesity Models………………………………………………………….. 24
2.4.2 Justification for Parents as the Primary Focus……………………………………. 25
2.5 PARENTAL PERCEPTION OF CHILD WEIGHT……………………………………… 28
2.5.1 Parental Perception, Concern, and Cultural Considerations of Childhood
Obesity…………………………………………………………………………………………………………. 31
2.5.2 Understanding the Childhood Obesity Perception Disconnect……………… 32
2.6 PARENTAL READINESS TO CHANGE ……………………………………………………. 33
2.6.1 The Transtheoretical Model of Behavior Change………………………………… 35
2.7 PARENTAL BARRIERS FOR CHANGING CHILD WEIGHT…………………… 38
2.8 INFLUENCE OF PARENTING STYLE ON CHILD WEIGHT…………………… 41
2.9 CONCLUSION …………………………………………………………………………………………… 44
3.0 METHODS…………………………………………………………………………………………………………. 45
3.1 CHANGES TO METHODS SINCE INITIAL APPROVAL …………………………. 45
3.2 SUBJECTS …………………………………………………………………………………………………. 47
3.3 RECRUITMENT AND SCREENING PROCEDURES………………………………… 48
3.4 STUDY VISIT…………………………………………………………………………………………….. 49
3.4.1 Child Protocol……………………………………………………………………………………. 49
3.4.2 Parent Protocol………………………………………………………………………………….. 50
3.5 STATISTICS………………………………………………………………………………………………. 57
3.6 POWER ANALYSIS …………………………………………………………………………………… 60
4.0 RESULTS …………………………………………………………………………………………………………… 61
4.1 SUBJECTS …………………………………………………………………………………………………. 61
4.2 ANALYSIS OF DATA BY SPECIFIC AIM…………………………………………………. 66

vii
4.2.1 Specific Aim 1 ……………………………………………………………………………………. 66
4.2.2 Specific Aim 2 ……………………………………………………………………………………. 68
4.2.3 Specific Aim 3 ……………………………………………………………………………………. 68
4.2.4 Specific Aim 4 ……………………………………………………………………………………. 68
4.2.5 Specific Aim 5 ……………………………………………………………………………………. 70
4.2.6 Specific Aim 6 ……………………………………………………………………………………. 70
4.2.7 Specific Aim 7 ……………………………………………………………………………………. 73
4.3 EXPLORATORY ANALYSIS …………………………………………………………………….. 73
4.4 SUMMARY ………………………………………………………………………………………………… 76
5.0 DISCUSSION……………………………………………………………………………………………………… 78
5.1 INTRODUCTION……………………………………………………………………………………….. 78
5.2 PARENTAL PERCEPTION OF CHILD WEIGHT……………………………………… 79
5.3 ASSOCIATIONS BETWEEN PARENTAL PERCEPTION, STAGE OF
CHANGE AND BARRIERS………………………………………………………………………………… 82
5.3.1 Parental Perception of Child Weight and Parental Stage of Readiness to
Change…………………………………………………………………………………………………………. 82
5.3.2 Parent Perception of Child Weight and Parental Barriers…………………… 83
5.3.3 Parental Stage of Readiness to Change and Parental Barriers …………….. 84
5.4 CHARACTERISTICS OF PARENTS …………………………………………………………. 85
5.4.1 Parent Characteristics and Parental Perception………………………………….. 85
5.4.2 Parent Characteristics and Parent Readiness to Change……………………… 87
5.4.3 Parent Characteristics and Parenal Barriers………………………………………. 88
5.5 PERCEPTION AND CONCERN FOR CHILD WEIGHT……………………………. 91

5.6 LIMITATIONS AND FUTURE DIRECTIONS …………………………………………… 93
5.6.1 Study Limitations………………………………………………………………………………. 93
5.7 CONCLUSION …………………………………………………………………………………………… 97
APPENDIX A……………………………………………………………………………………………………………… 99
APPENDIX B ……………………………………………………………………………………………………………. 100
APPENDIX C……………………………………………………………………………………………………………. 105
APPENDIX D……………………………………………………………………………………………………………. 107
BIBLIOGRAPHY……………………………………………………………………………………………………… 124

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