The integration of a family systems approach for understanding youth obesity, physical activity, and dietary programs.
The integration of a family systems approach for understanding youth obesity, physical activity, and dietary programs.
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DOI：
10.1007/s10567-010-0073-0
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发表时间：
2010-09
影响因子：
6.9
通讯作者：
Fairchild, Amanda
中科院分区：
文献类型：
--
作者：
Kitzman-Ulrich, Heather;Wilson, Dawn K.;St. George, Sara M.;Lawman, Hannah;Segal, Michelle;Fairchild, Amanda
青年超重率已达到流行水平，并与不利的健康后果有关。以家庭为基础的计划已被广泛用于治疗青少年超重。然而，很少有方案包含一个理论框架，用于研究与青年健康行为变化有关的家庭系统方法。因此，本综述为评估青少年减肥、体力活动和饮食方法的家庭水平变量提供了一个家庭系统理论框架。对操纵家庭系统的干预措施的研究进行了审查，并计算了效果大小，包括针对育儿方式、育儿技能或家庭功能的组成部分，或具有纳入家庭的新方法的干预措施。确定了21项减肥干预措施，并确定了25项与体力活动和/或饮食有关的干预措施。总体而言，包括权威育儿方式、育儿技能或儿童管理培训在内的以家庭为基础的治疗计划以及家庭功能对青少年减肥有积极影响。针对家庭系统的改善身体活动和饮食行为的方案也显示出对青少年健康行为的改善；然而，以父母为目标的规划的直接效果尚不清楚。治疗和预防项目都将受益于评估家庭功能和父母教养方式作为干预结果的可能中介因素。提出建议，以指导未来以家庭为基础的青少年肥胖预防和治疗计划的发展。
Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to youth health behavior change. Therefore, this review provides a family systems theory framework for evaluating family-level variables in weight loss, physical activity, and dietary approaches in youth. Studies were reviewed and effect sizes were calculated for interventions that manipulated the family system, including components that targeted parenting styles, parenting skills, or family functioning, or which had novel approaches for including the family. Twenty-one weight loss interventions were identified, and 25 interventions related to physical activity and/or diet were identified. Overall, family-based treatment programs that incorporated training for authoritative parenting styles, parenting skills, or child management, and family functioning had positive effects on youth weight loss. Programs to improve physical activity and dietary behaviors that targeted the family system also demonstrated improvements in youth health behaviors; however, direct effects of parent-targeted programming is not clear. Both treatment and prevention programs would benefit from evaluating family functioning and parenting styles as possible mediators of intervention outcomes. Recommendations are provided to guide the development of future family-based obesity prevention and treatment programs for youth.
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影响因子：
5.9
作者：
Epstein, LH;Paluch, RA;Ernst, MM
通讯作者：
Ernst, MM
影响因子：
120.7
作者：
EPSTEIN, LH;VALOSKI, A;MCCURLEY, J
通讯作者：
MCCURLEY, J
影响因子：
5.1
作者：
Davis, SM;Clay, T;Stone, EJ
通讯作者：
Stone, EJ
影响因子：
5.9
作者：
EPSTEIN, LH;WING, RR;VALOSKI, A
通讯作者：
VALOSKI, A
影响因子：
5.9
作者：
EPSTEIN, LH;WING, RR;OSSIP, DJ
通讯作者：
OSSIP, DJ