Changing Parental Style for the Management of Childhood Obesity: A Multi-Component Group Experience

Authors

  • Paola Iaccarino Idelson Department of Public Health, University of Naples Federico II, Naples, Italy
  • Eugenio Zito Department of Translational Medicine, University of Naples Federico II, Naples, Italy
  • Enza Mozzillo Department of Movement and Wellbeing Sciences, Parthenope University of Naples, Napoli, Italy
  • Mary Lista Department of Translational Medicine, University of Naples Federico II, Naples, Italy
  • Sara Mobilia Department of Translational Medicine, University of Naples Federico II, Naples, Italy
  • Giuliana Valerio Department of Movement and Wellbeing Sciences, Parthenope University of Naples, Napoli, Italy
  • Adriana Franzese Department of Translational Medicine, University of Naples Federico II, Naples, Italy

DOI:

https://doi.org/10.6000/1929-4247.2015.04.04.3

Keywords:

Obesity, weight management, multi-component-group-programme, parenting style, behavior

Abstract

Obesity is a complex public health issue with increasing prevalence in childhood and with a large burden on physical and mental health. Recent data suggest the effectiveness of multi-component approach, of interventions aimed at changing parenting style, and of group educational sessions. In particular, interventions containing a family-behavioral component produce larger effect sizes than alternative treatment groups. Many models have been developed for the multi-component and multi-stakeholder treatment of childhood obesity, with a frequent discrepancy in the intensity of the treatment programme and in the resources available within clinics. Looking for effective strategies for the treatment of childhood obesity we built a Multi-component Obesity Group Experience (MOGE) model, analysing BMI and fat mass reduction as primary outcomes and qualitative improvements in the behavior towards nutrition and lifestyle as secondary one. Thirty-five consecutive obese children (20 girls, BMI z-score 2.1+0.2), were treated by MOGE model and the results were compared with 35 matched obese subjects of the same age (control group followed with a traditional treatment). After 3, 6 and 12 months of treatment it has been observed a significant reduction of BMI z-score and body fat mass. Moreover, a clinically significant psychological wellness was observed in children of MOGE group.

References

Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics 2002; 109: 45-60. http://dx.doi.org/10.1542/peds.109.1.45

Valerio G, Licenziati MR, Manco M, et al. Health consequences of obesity in children and adolescents. Minerva Pediatrica 2014; 66: 381-414. Available from http://www.ncbi.nlm.nih.gov/pubmed/25253187

Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. International Journal of Pediatric Obesity 2006; 1: 11-25. http://dx.doi.org/10.1080/17477160600586747

Levine MD, Ringham RM, Kalarchian MA, Wisniewski L, Marcus MD. Is family-based behavioral weight control appropriate for severe pediatric obesity? International Journal Eating Disorders 2001; 30: 318-28. http://dx.doi.org/10.1002/eat.1091

Pomietto M, Docter AD, Van Borkulo N, Alfonsi L, Krieger J, Liu LL. Small steps to health: building sustainable partnerships in paediatric obesity care. Pediatrics 2009; 123: 308-16. http://dx.doi.org/10.1542/peds.2008-2780J

Iaccarino Idelson P, Zito E, Mozzillo E, et al. Combined in- and outpatient multicomponent intervention on moderate/severe obese children. Int J Obes 2011; 1(Suppl 1): 14-5.

Centis E, Marzocchi R, Di Luzio R, et al. A controlled, class-based multicomponent intervention to promote healthy lifestyle and to reduce the burden of childhood obesity. Pediatr Obes 2012; 7: 436-45. http://dx.doi.org/10.1111/j.2047-6310.2012.00079.x

Whitlock EP, O’Connor EA, Williams SB, Beil TL, Lutz KW. Effectiveness of weight management interventions in children: a targeted systematic review for the USPSTF. Pediatrics 2010; 125: e396. http://dx.doi.org/10.1542/peds.2009-1955

Østbye T, Zucker N, Krause KM, et al. Kids and adults now! Defeat Obesity (KAN-DO): rationale, design and baseline characteristics. Contemp Clin Trials 2011; 32: 461-9. http://dx.doi.org/10.1016/j.cct.2011.01.017

Sandler IN, Schoenfelder EN, Wolchik SA, Mackinnon DP. Long-term impact of prevention programs to promote effective parenting: lasting effects but uncertain processes. Annu Rev Psychol 2011; 62: 299-329. http://dx.doi.org/10.1146/annurev.psych.121208.131619

Youn KM, Northern JJ, Lister KM, Drummond JA, O’Brien WH. A meta-analysis of family-behavioral weight-loss treatments for children. Clin Psychol Rev 2007; 27: 240-9. http://dx.doi.org/10.1016/j.cpr.2006.08.003

Sacher PM, Kolotourou M, Chadwick PM, et al. Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity 2010; 18: 62-8. http://dx.doi.org/10.1038/oby.2009.433

Valerio G, Licenziati MR, Tanas R, et al. Management of children and adolescents with severe obesity. Minerva Pediatrica 2012; 64: 413-31. Available from http://www.ncbi.nlm.nih.gov/pubmed/22728613

Faith MS, Van Horn L, Appel LJ, et al. Evaluating parents and adult caregivers as “agents of change” for treating obese children: evidence for parent behavior change strategies and research gaps: a scientific statement from the American Heart Association. Circulation 2012; 125: 1186-207. http://dx.doi.org/10.1161/CIR.0b013e31824607ee

Gerards SM, Sleddens EF, Dagnelie PC, De Vries NK, Kremers SP. Interventions addressing general parenting to prevent or treat childhood obesity. Int J Pediatr Obes 2011; 6: e28-e45. http://dx.doi.org/10.3109/17477166.2011.575147

Zito E, Iaccarino Idelson P, Mozzillo E, et al. Psychological factors in moderate/severe childhood obesity. International Journal of Obesity 2011; 1(Suppl 1): 27.

Golan M. Parents are key players in the prevention and treatment of weight-related problems. Nutr Rev 2004; 62: 39-50. http://dx.doi.org/10.1111/j.1753-4887.2004.tb00005.x

Golan M. Parents as agents of change in childhood obesity-from research to practice. Int J Pediatr Obes 2006; 1: 66-76. http://dx.doi.org/10.1080/17477160600644272

Spear BA, Barlow SE, Ervin C, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics 2007; 107: 254-88. http://dx.doi.org/10.1542/peds.2007-2329F

Pinard CA, Hart MH, Hodgkins Y, Serrano EL, Mc Ferren MM, Estabrooks PA. Smart choices for healthy families: a pilot study for the treatment of childhood obesity in low-income families. Health Educ Behav 2012; 39: 433-45. http://dx.doi.org/10.1177/1090198111425686

Tibon Czopp S. Invited commentary: applying psychodynamic developmental assessment to explore mental functioning in adolescents. J Youth Adolesc 2012; 41: 1259-66. http://dx.doi.org/10.1007/s10964-012-9749-8

Ross MM, Kolbash S, Cohen GM, Skelton JA. Multidisciplinary Treatment of Pediatric Obesity: Nutrition Evaluation and Management. Nutr Clin Pract 2010; 25: 327-34. http://dx.doi.org/10.1177/0884533610373771

Robertson W, Friede T, Blissett J, Rudolf MC, Wallis M, Stewart-Brown S. Pilot of “Families for Health”: community-based family intervention for obesity. Arch Dis Child 2008; 93: 921-6. http://dx.doi.org/10.1136/adc.2008.139162

Kalarchian MA, Levine MD, Arslanian SA, et al. Family-based treatment of severe pediatric obesity: A randomized controlled trial. Pediatrics 2009; 124: 1060-8. http://dx.doi.org/10.1542/peds.2008-3727

West F, Sanders MR, Cleghorn GJ, Davies PS. Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behav Res Ther 2010; 48: 1170-9. http://dx.doi.org/10.1016/j.brat.2010.08.008

Teder M, Mörelius E, Bolme P, Nordwall M, Ekberg J, Timpka T. Family-based behavioral intervention programme for obese children: a feasibility study. BMJ Open 2012; 2: e000268. http://dx.doi.org/10.1136/bmjopen-2011-000268

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Published

2015-12-11

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General Articles