The influence of a behavioral weight management program on disordered eating attitudes and behaviors in children with overweight.
The influence of a behavioral weight management program on disordered eating attitudes and behaviors in children with overweight.
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DOI：
10.1016/j.jada.2010.08.005
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发表时间：
2010-11
影响因子：
--
通讯作者：
Sallinen BJ
中科院分区：
文献类型：
--
作者：
Follansbee-Junger K;Janicke DM;Sallinen BJ
针对超重儿童的行为干预在促进减肥方面取得了成功;然而，人们担心这些计划会在青少年中产生饮食失调的态度。目的是（1）确定接受两种行为干预措施之一的超重青少年与等待名单对照相比，是否更有可能报告饮食失调态度随时间的增加;（2）在6个月的随访中确定饮食失调态度的心理社会预测因素。参与者被随机分配到两种行为生活方式干预或候补对照组。在基线、治疗后和6个月随访时收集数据。参与者是68名超重的青少年，年龄在8-13岁之间，他们的父母住在佛罗里达中北部的农村。该项目从2006年1月持续到2008年1月。每种治疗条件包括16周内的12组治疗。父母填写了人口统计表和儿童喂养问卷。孩子们完成了儿童饮食态度测试，施瓦茨同伴受害量表，儿童的身体形象量表。混合2×2方差分析用于检查治疗对饮食态度的影响。分层线性回归被用来评估是否基线水平的心理社会变量预测饮食失调的态度在后续行动中，控制基线饮食态度和治疗条件。与等待名单对照组相比，参与行为干预的青少年并没有报告随着时间的推移饮食失调的态度显着增加。在所有条件下，较高水平的身体不满，同伴受害，父母限制性喂养的做法和关注儿童体重在基线预测较高水平的饮食失调的态度在后续。这些发现并没有提供证据表明行为干预会导致不健康饮食态度和行为的增加。未来的研究应该检查将饮食失调预防纳入儿科体重管理计划的影响。
Behavioral interventions targeting overweight children have been successful in facilitating weight loss; however, there is concern that these programs produce disordered eating attitudes among youth. The purpose was to (1) to determine if overweight youth receiving one of two behavioral interventions were more likely to report an increase in disordered eating attitudes over time compared to a waitlist control; and (2) to determine psychosocial predictors of eating disordered attitudes at six-month follow-up. Participants were randomized to one of two behavioral lifestyle interventions or a waitlist control. Data was collected at baseline, post-treatment, and six-month follow-up. Participants were 68 overweight youths, ages 8–13, and their parent(s) who lived in rural north central Florida. The project ran from January 2006 to January 2008. Each treatment condition consisted of 12 group sessions over 16 weeks. Parents completed a demographic form and the Child Feeding Questionnaire. Children completed the Children's Eating Attitudes Test, Schwartz Peer Victimization Scale, and Children's Body Image Scale. Mixed 2×2 ANOVAs were used to examine the effect of treatment on eating attitudes. Hierarchical linear regression was used to assess whether baseline levels of psychosocial variables predicted disordered eating attitudes at follow-up, controlling for baseline eating attitudes and treatment condition. Youth who participated in the behavioral interventions did not report significant increases in disordered eating attitudes over time compared to the waitlist control. Across all conditions, higher levels of body dissatisfaction, peer victimization, parent restrictive feeding practices and concern for child weight at baseline predicted higher levels of disordered eating attitudes at follow-up. These findings do not provide evidence that behavioral interventions lead to an increase in unhealthy eating attitudes and behaviors. Future research should examine the impact of incorporating eating disorder prevention in pediatric weight management programs.
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影响因子：
4.2
作者：
Epstein, Leonard H.;Paluch, Rocco A.;Beecher, Meghan D.
通讯作者：
Beecher, Meghan D.
影响因子：
120.7
作者：
EPSTEIN, LH;VALOSKI, A;MCCURLEY, J
通讯作者：
MCCURLEY, J
影响因子：
--
作者：
Janicke, David M.;Sallinen, Bethany J.;Perri, Michael G.;Lutes, Lesley D.;Huerta, Milagros;Silverstein, Janet H.;Brumback, Babette
通讯作者：
Brumback, Babette
影响因子：
6.9
作者：
GARNER, DM;OLMSTED, MP;GARFINKEL, PE
通讯作者：
GARFINKEL, PE
DOI：
10.1097/00004583-198809000-00004
发表时间：
1988-09-01
影响因子：
13.3
作者：
MALONEY, MJ;MCGUIRE, JB;DANIELS, SR
通讯作者：
DANIELS, SR