Parental Defensiveness about Multifactorial Genomic and Environmental Causes of Children's Obesity Risk

Parental Defensiveness about Multifactorial Genomic and Environmental Causes of Children's Obesity Risk
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DOI:
10.1089/chi.2018.0315
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发表时间:
2019-04-04
期刊:
影响因子:
2.5
通讯作者:
Hollister, Brittany
Hollister, Brittany
中科院分区:
医学4区
文献类型:
--
作者:
Persky, Susan;Goldring, Megan R.;Hollister, Brittany

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背景:鉴于预防的前景,未来将基因组学整合到体重管理中可能会针对超重儿童。与此同时,父母主要通过媒体了解与体重相关的基因组学,对父母对儿童肥胖风险背后复杂的基因组和环境原因的反应知之甚少。研究方法:通过Amazon Mechanical Turk招募了324名超重的父母,他们有一个3-13岁的孩子。父母被随机阅读一篇文章,强调肥胖风险的三个原因之一:仅遗传学,仅家庭环境,基因-家庭环境相互作用(G x FE),或阅读对照文章。结果如下:总体而言,认为自己的孩子超重的父母对瘦弱孩子的父母表现出更高的风险认知和内疚感,但在回应G x FE信息时表现出更少的担忧。此外,超重的儿童的父母谁收到的G x FE消息没有表现出高度的风险认知或内疚,报告说,该消息是不太相关的,他们不太注意it. Conclusions:多因素的因果信息儿童的肥胖风险elhaned意外的后果在父母的孩子是最危险的肥胖在成年。由于这些信息是最准确的,因此研究有效的方法来向父母传达肥胖风险的整体性质至关重要。
Background: Future integration of genomics into weight management may target children with overweight given prospects for prevention. Meanwhile, parents learn about weight-related genomics primarily through the media, and little is known about parental reactions to complex genomic and environmental causes underlying children's obesity risk. Methods: Three hundred twenty-four parents with overweight who have a child 3-13 years of age were recruited through Amazon Mechanical Turk. Parents were randomized to read an article highlighting one of three causes of obesity risk: genetics only, family environment only, gene-family environment interactions (G x FE), or read a control article. Results: Parents who perceived their child to be overweight exhibited increased risk perception and guilt over parents of lean children overall, but exhibited decreased worry in response to the G x FE message. Furthermore, parents of children with overweight who received the G x FE message did not exhibit heightened risk perception or guilt, reported that the message was less relevant, and that they paid less attention to it. Conclusions: Multifactorial causal information about children's obesity risk elicits unintended consequences among parents whose children are most at-risk for obesity in adulthood. As these messages are most accurate, it is crucial to investigate effective ways to communicate the holistic nature of obesity risk to parents.