Sophia A Rotman1,2, Lauren A Fowler1, Mary Katherine Ray1, Richard I Stein3, Jacqueline F Hayes1, Rachel P Kolko4, Katherine N Balantekin5, Alexis Engel1, Brian E Saelens6, R Robinson Welch1, Michael G Perri7, Leonard H Epstein8, Denise E Wilfley1. 1. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO. 2. Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA. 3. Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO. 4. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA. 5. Department of Exercise and Nutrition Sciences, University of Buffalo, Buffalo, NY. 6. Department of Pediatrics, University of Washington and Seattle Children's Research Institute, Seattle, WA. 7. Department of Clinical and Health Psychology, University of Florida, Gainesville, FL. 8. Department of Pediatrics, University at Buffalo, Buffalo, NY.
Abstract
Introduction: Social support for healthy eating can influence child eating behaviors; however, little is known about the impact of social support during family-based behavioral weight-loss treatment (FBT). This study aimed to determine the impacts of both baseline and change in family support on change in child diet and weight during FBT. Methods: Children (n = 175; BMI percentile ≥85th; ages 7-11; 61.1% female; 70.9% white) and a participating parent completed 4 months of FBT. Parents were active participants and learned social support-related strategies (i.e., praise and modeling of healthy eating). Child perceived family encouragement and discouragement for healthy eating, child diet quality (via 24-hour recalls), and child weight were assessed pre- and post-FBT. Results: Family encouragement for healthy eating increased during FBT, and this increase was related to increases in child healthy vegetable intake and overall diet quality, as well as decreases in refined grains consumed. Low pre-FBT family encouragement predicted greater increases in healthy vegetable intake, greater weight reduction, and greater increases in family encouragement for healthy eating. Family discouragement for healthy eating did not change during treatment nor did it predict dietary or weight outcomes. Conclusions: FBT successfully improves family encouragement, which is associated with improvements in child diet. Furthermore, even children who began treatment with low family encouragement for healthy eating show great improvements in dietary intake and weight during treatment. Results suggest that changes in child eating behavior during treatment is influenced by active, positive parenting techniques such as praise of healthy eating rather than negative family support.
Introduction: Social support for healthy eating can influence child eating behaviors; however, little is known about the impact of social support during family-based behavioral weight-loss treatment (FBT). This study aimed to determine the impacts of both baseline and change in family support on change in child diet and weight during FBT. Methods: Children (n = 175; BMI percentile ≥85th; ages 7-11; 61.1% female; 70.9% white) and a participating parent completed 4 months of FBT. Parents were active participants and learned social support-related strategies (i.e., praise and modeling of healthy eating). Child perceived family encouragement and discouragement for healthy eating, child diet quality (via 24-hour recalls), and child weight were assessed pre- and post-FBT. Results: Family encouragement for healthy eating increased during FBT, and this increase was related to increases in child healthy vegetable intake and overall diet quality, as well as decreases in refined grains consumed. Low pre-FBT family encouragement predicted greater increases in healthy vegetable intake, greater weight reduction, and greater increases in family encouragement for healthy eating. Family discouragement for healthy eating did not change during treatment nor did it predict dietary or weight outcomes. Conclusions: FBT successfully improves family encouragement, which is associated with improvements in child diet. Furthermore, even children who began treatment with low family encouragement for healthy eating show great improvements in dietary intake and weight during treatment. Results suggest that changes in child eating behavior during treatment is influenced by active, positive parenting techniques such as praise of healthy eating rather than negative family support.
Entities:
Keywords:
child; diet; obesity; social support; treatment
Authors: Denise E Wilfley; Brian E Saelens; Richard I Stein; John R Best; Rachel P Kolko; Kenneth B Schechtman; Michael Wallendorf; R Robinson Welch; Michael G Perri; Leonard H Epstein Journal: JAMA Pediatr Date: 2017-12-01 Impact factor: 16.193
Authors: Jacqueline F Hayes; Myra Altman; Rachel P Kolko; Katherine N Balantekin; Jodi Cahill Holland; Richard I Stein; Brian E Saelens; R Robinson Welch; Michael G Perri; Kenneth B Schechtman; Leonard H Epstein; Denise E Wilfley Journal: Obesity (Silver Spring) Date: 2016-09-07 Impact factor: 5.002
Authors: Myra Altman; Jodi Cahill Holland; Delaney Lundeen; Rachel P Kolko; Richard I Stein; Brian E Saelens; R Robinson Welch; Michael G Perri; Kenneth B Schechtman; Leonard H Epstein; Denise E Wilfley Journal: J Acad Nutr Diet Date: 2015-05-08 Impact factor: 4.910
Authors: Lauren A Fowler; Mark D Litt; Sophia A Rotman; Rachel P Kolko Conlon; Jessica Jakubiak; Richard I Stein; Katherine N Balantekin; R Robinson Welch; Michael G Perri; Leonard H Epstein; Denise E Wilfley Journal: Eat Weight Disord Date: 2021-09-21 Impact factor: 3.008