Family Management of Severe Obesity in Adolescents.
Family Management of Severe Obesity in Adolescents.
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DOI：
10.1016/j.pedn.2021.06.016
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Koenig MD
中科院分区：
文献类型：
--
作者：
Roberts KJ;Gallo AM;Patil CL;Vincent C;Binns HJ;Koenig MD
重度肥胖，定义为体重指数（BMI）≥年龄和性别对应的第95百分位BMI的120%，是青少年中增长最快的肥胖亚类，但对于这一群体如何理解并采用体重管理策略，我们知之甚少。本研究的目的是探究父母和青少年如何理解重度肥胖，并将管理融入日常生活，以及评估家庭管理方式框架（FMSF）的适用性，以便更好地理解重度肥胖对青少年的影响。
以修改后的FMSF为基础的定向内容分析被用于分析对12 - 17岁接受儿科体重管理治疗的青少年（N = 14）及其父母（N = 17）进行的一次性家庭面对面访谈。
青少年和父母都认为日常管理具有挑战性，并且对亲子关系和兄弟姐妹关系有影响。他们提到在满足日常体育活动要求方面需要持续的支持和指导，还讲述了所经历的体重耻辱相关的故事。此外，除了在对日常生活习惯的有效性以及家庭态度和行为是否支持青少年的看法上有所不同外，父母和青少年的观点大多是一致的。
FMSF被成功应用于理解重度肥胖青少年的家庭管理。这些青少年有复杂的生理和心理需求，影响着有效的体重管理和家庭生活。
应考虑采用技术干预措施来改善重度肥胖青少年的生理和心理状况。
Severe obesity, defined as a body mass index (BMI) ≥120th percent of the 95th BMI percentile for age and sex, is the fastest growing subcategory of obesity among youth, yet little is known about how this group understands and incorporates weight management strategies. The aims of this study were to explore how parents and adolescents understand severe obesity and incorporate management into their daily lives and evaluate the applicability of the Family Management Styles Framework (FMSF) to better understand the impact of severe obesity for adolescents. Directed content analysis grounded in a modified version of the FMSF was used to analyze one-time in-home face-to-face interviews with adolescents aged 12–17 years (N=14) who received pediatric weight management care and a parent (N=17). Both adolescents and parents described the day-to-day management as challenging and impactful to parent-child and sibling relationships. They described the need for sustained support and coaching in meeting daily physical activity requirements and related stories of weight stigma experienced. Further, parents’ and adolescents’ views were mostly congruent, except in their view of effectiveness of daily routines and how family attitudes and actions did or did not support the adolescent. The FMSF was successfully applied to understand family management of adolescents with severe obesity. These adolescents have complex physical and psychological needs impacting effective weight management and family life. Technology interventions should be considered to improve physiological and psychological outcomes for youth with severe obesity.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1002/oby.21782
发表时间：
2017-04
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
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通讯作者：
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影响因子：
8
作者：
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通讯作者：
Drotar, Dennis
DOI：
10.1016/j.pedn.2014.10.011
发表时间：
2015-01-01
影响因子：
2.4
作者：
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通讯作者：
Deatrick, Janet A.
影响因子：
3.1
作者：
Knafl, Kathleen A.;Deatrick, Janet A.;Havill, Nancy L.
通讯作者：
Havill, Nancy L.