NDLI: Family factors that characterize adolescents with severe obesity and their role in weight loss surgery outcomes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Zeller, Meg H. Hunsaker, Sanita Mikhail, Carmen Reiter-Purtill, Jennifer McCullough, Mary Beth Garland, Beth Austin, Heather Washington, Gia Baughcum, Amy Rofey, Dana Smith, Kevin
Description	Country affiliation: United States Author Affiliation: Zeller MH ( Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.); Hunsaker S ( Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.); Mikhail C ( Department of Pediatrics, Texas Children's Hospital, Houston, Texas, USA.); Reiter-Purtill J ( Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.); McCullough MB ( Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.); Garland B ( Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.); Austin H ( Department of Pediatrics, Texas Children's Hospital, Houston, Texas, USA.); Washington G ( Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.); Baughcum A ( Center of Weight Management, Children's Hospital of Alabama, Birmingham, Alabama, USA.); Rofey D ( Department of Pediatrics, Texas Children's Hospital, Houston, Texas, USA.); Smith K ( Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.)
Abstract	OBJECTIVE: To comprehensively assess family characteristics of adolescents with severe obesity and whether family factors impact weight loss outcomes following weight loss surgery (WLS). METHODS: Multisite prospective data from 138 adolescents undergoing WLS and primary caregivers (adolescent: M = 16.9; M = 51.5 kg/m ; caregiver: M = 44.5; 93% female) and 83 nonsurgical comparators (NSComp: adolescent: M = 16.1; M 46.9 kg/m ; caregiver: M = 43.9; 94% female) were collected using standardized measures at presurgery/baseline and at 1 and 2 years. RESULTS: The majority (77.3%) of caregivers had obesity, with rates of caregiver WLS significantly higher in the WLS (23.8%) versus NSComp group (3.7%, P < 0.001). Family dysfunction was prevalent (≈1 in every two to three families), with rates higher for NSComp than the WLS group. For the WLS group, preoperative family factors (i.e., caregiver BMI or WLS history, dysfunction, social support) were not significant predictors of adolescent weight loss at 1 and 2 years postoperatively, although change in family functioning over time emerged as a significant correlate of percent weight loss. CONCLUSIONS: Rates of severe obesity in caregivers as well as family dysfunction were clinically noteworthy, although not related to adolescent weight loss success following WLS. However, change in family communication and emotional climate over time emerged as potential targets to optimize weight loss outcomes.
File Format	HTM / HTML
ISSN	19307381
Issue Number	12
Journal	Obesity
Volume Number	24
e-ISSN	1930739X
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2016-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology

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