Swipe om te navigeren naar een ander artikel
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Baranowski, T., Baranowski, J., Cullen, K. W., deMoor, C., Rittenberry, L., Hebert, D., et al. (2002). 5 a day achievement badge for African-American boy scouts: Pilot outcome results. Preventive Medicine: An International Journal Devoted to Practice and Theory, 34(3), 353–363.
Baranowski, T., Simons-Morton, B., Hooks, P., Henske, J., Tiernan, K., Dunn, J. K., et al. (1990). A center-based program for exercise change among black-American families. Health Education Quarterly, 17(2), 179–196. PubMed
Baumrind, D. (1966). Effects of authoritative control on child behavior. Child Development, 37(4), 887–907. CrossRef
Beavers, W. R., & Hampson, R. B. (1990). Successful families: Assessment and intervention. New York, NY: W.W. Norton & Company.
Beech, B. M., Klesges, R. C., Kumanyika, S. K., Murray, D. M., Klesges, L., McClanahan, B., et al. (2003). Child- and parent-targeted interventions: The Memphis GEMS pilot study. Ethnicity and Disease, 13(1 Suppl 1), S40–S53. PubMed
Berkel, L. A., Carlos Poston, W. S., Reeves, R. S., & Foreyt, J. P. (2005). Behavioral interventions for obesity. Journal of the American Dietetic Association, 105(5, Suppl 1), 35–43. CrossRef
Broderick, C. B. (1993). Understanding family process: Basics of family systems theory. Thousand Oaks, CA: Sage Publications.
Brownell, K. D., Kelman, J. H., & Stunkard, A. J. (1983). Treatment of obese children with and without their mothers: Changes in weight and blood pressure. Pediatrics, 71(4), 515–523. PubMed
CDC (2008). Prevalence of overweight amont children and adolescents: United States: 1999–2002. Retrieved September 10, 2008, from http://www.cdc.gov/nchs/products/pubs/pubd/hestats/overwght99.htm.
Coates, T. J., Kilien, J. D., & Slinkard, L. A. (1982). Parent participation in a treatment program for overweight adolescents. International Journal of Eating Disorders, 1(3), 37–48. CrossRef
Darling, N., & Steinberg, L. (1993). Parenting style as context: An integrative model. Psychological Bulletin, 113(3), 487–496. CrossRef
Davis, M., Gance-Cleveland, B., Hassink, S., Johnson, R., Paradis, G., & Resnicow, K. (2007). Recommendations for prevention of childhood obesity. Pediatrics, 120, S229–S253.
DeVore, E., & Ginsburg, K. (2005). The protective effects of good parenting on adolescents. Current Opinions in Pediatrics, 17(4), 460–465.
Epstein, L. H., Wing, R. R., Koeske, R., Frank, A., & Ossip, D. J. (1981). Child and parent weight loss in family-based behavior modification programs. Journal of Consulting and Clinical Psychology, 49(5), 674–685.
Faith, M. S., Pietrobelli, A., Allison, D. B., & Heymsfield, S. B. (1997). Prevention of pediatric obesity. Examining the issues and forecasting research directions. In A. Bendich & R. J. Deckelbaum (Eds.), Preventive nutrition (pp. 471–486). Totowa, NJ: Humana Press.
Flodmark, C. E., Ohlsson, T., Ryden, O., & Sveger, T. (1993). Prevention of progression to severe obesity in a group of obese schoolchildren treated with family therapy. Pediatrics, 91(5), 880–884. PubMed
Foerster, S. B., Gregson, J., Beall, D. L., Hudes, M., Magnuson, H., Livingston, S., et al. (1998). The California children’s 5 a day-power play! Campaign: Evaluation of a large-scale social marketing initiative. Family & Community Health, 21(1), 46–64.
Gillis, D., Brauner, M., & Granot, E. (2007). A community-based behavior modification intervention for childhood obesity. Journal of Pediatric Endocrinology and Metabolism, 20(2), 197–203. PubMed
Golan, M., Weizman, A., Apter, A., & Fainaru, M. (1998). Parents as the exclusive agents of change in the treatment of childhood obesity. The American Journal of Clinical Nutrition, 67(6), 1130–1135. PubMed
Goldenberg, I., & Goldenberg, H. (1991). Family therapy: An overview (3rd ed.). Belmont, CA: Thomson Brooks/Cole Publishing Co.
Gortmaker, S. L., Cheung, L. W., Peterson, K. E., Chomitz, G., Cradle, J. H., Dart, H., et al. (1999). Impact of a school-based interdisciplinary intervention on diet and physical activity among urban primary school children: Eat well and keep moving. Archives of Pediatrics and Adolescent Medicine, 153(9), 975–983. PubMed
Hedges, L., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.
Hopper, C. A., Munoz, K. D., Gruber, M. B., & MacConnie, S. (1996). A school-based cardiovascular exercise and nutrition program with parent participation: An evaluation study. Children’s Health Care, 25(3), 221–235. CrossRef
Hopper, C. A., Munoz, K. D., Gruber, M. B., & Nguyen, K. P. (2005). The effects of a family fitness program on the physical activity and nutrition behaviors of third-grade children. Research Quarterly for Exercise and Sport, 76(2), 130–139. PubMed
Israel, A. C., Stolmaker, L., & Andrian, C. A. (1985). The effects of training parents in general child management skills on a behavioral weight loss program for children. Behavior Therapy, 16(2), 169–180. CrossRef
Janicke, D. M., Sallinen, B. J., Perri, M. G., Lutes, L. D., Huerta, M., Silverstein, J. H., et al. (2008). Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings: Outcomes from project STORY. Archives of Pediatrics and Adolescent Medicine, 162(12), 1119–1125. CrossRefPubMed
Johnson, S. L., & Birch, L. L. (1994). Parents’ and children’s adiposity and eating style. Pediatrics, 94(5), 653–661. PubMed
Johnson, C. C., Nicklas, T. A., Arbeit, M. L., Harsha, D. W., Mott, D. S., Hunter, S. M., et al. (1991). Cardiovascular intervention for high-risk families: The Heart Smart Program. Southern Medical Journal, 84(11), 1305–1312. PubMed
Kirschenbaum, D. S., Harris, E. S., & Tomarken, A. J. (1984). Effects of parental involvement in behavioral weight loss therapy for preadolescents. Behavior Therapy, 15(5), 485–500. CrossRef
Lytle, L., Murray, D., Perry, C., Story, M., Birnbaum, A., Kubik, M., et al. (2004). School-based approaches to affect adolescents’ diets: Results from the TEENS study. Health Education and Behavior, 31(2), 270–287.
McCallum, Z., Wake, M., Gerner, B., Baur, L. A., Gibbons, K., Gold, L., et al. (2007). Outcome data from the LEAP (Live, Eat and Play) trial: A randomized controlled trial of a primary care intervention for childhood overweight/mild obesity. International Journal of Obesity (London), 31(4), 630–636.
McGoldrick, M., Giordano, J., Garcia-Preto, N., McGoldrick, M., Giordano, J., & Garcia-Preto, N. (2005). Ethnicity and family therapy (3rd ed.). New York, NY US: Guilford Press.
Mendoza, J. A., Drewnowski, A., Cheadle, A., & Christakis, D. A. (2006). Dietary energy density is associated with selected predictors of obesity in U.S. Children. The Journal of Nutrition, 136(5), 1318–1322. PubMed
Must, A., & Anderson, S. E. (2003). Effects of obesity on morbidity in children and adolescents. Nutrition in Clinical Care, 6(1), 4–12. PubMed
Nader, P. R., Sallis, J. F., Patterson, T. L., Abramson, I. S., Rupp, J. W., Senn, K. L., et al. (1989). A family approach to cardiovascular risk reduction: Results from the San Diego Family Health Project. Health Education Quarterly, 16(2), 229–244. PubMed
Nader, P. R., Stone, E. J., Lytle, L. A., Perry, C. L., Osganian, S. K., Kelder, S., et al. (1999). Three-year maintenance of improved diet and physical activity: The CATCH cohort. Child and adolescent trial for cardiovascular health. Archives of Pediatrics and Adolescent Medicine, 153(7), 695–704. PubMed
Nowicka, P., Hoglund, P., Pietrobelli, A., Lissau, I., & Flodmark, C. (2008). Family weight school treatment: 1-year results in obese adolescents. International Journal of Pediatric Obesity, 3, 141–147.
Obarzanek, E., Kimm, S. Y., Barton, B. A., Van Horn, L. L., Kwiterovich, P. O., Jr., Simons-Morton, D. G., et al. (2001). Long-term safety and efficacy of a cholesterol-lowering diet in children with elevated low-density lipoprotein cholesterol: Seven-year results of the Dietary Intervention Study in Children (DISC). Pediatrics, 107(2), 256–264. CrossRefPubMed
Rhee, K. (2008). Childhood overweight and the relationship between parent behaviors, parenting style, and family functioning. The ANNALS of the American Academy of Political and Social Science, 615(1), 11–37. CrossRef
Rooney, B., Gritt, L., Havens, S., Mathiason, M., & Clough, E. (2005). Growing healthy families: Family use of pedometers to increase physical activity and slow the rate of obesity. Wisconsin Medical Journal, 104(5), 54–60.
Snyder, D. K., Cozzi, J. J., & Mangrum, L. F. (2002). Conceptual issues in assessing couples and families. In H. A. Liddle, D. A. Santisteban, R. F. Levant, & J. H. Bray (Eds.), Family psychology: Science based interventions. Washington DC: APA.
Stolley, M., & Fitzgibbon, M. (1997). Effects of an obesity prevention program on the eating behavior of African American mothers and daughters. Health Education and Behavior, 24(2), 152–164.
Troiano, R. P., Berrigan, D., Dodd, K. W., Masse, L. C., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise, 40(1), 181–188. PubMed
Turner, H. M., Rose, K. S., & Cooper, M. J. (2005). Schema and parental bonding in overweight and nonoverweight female adolescents. International Journal of Obesity (London), 29(4), 381–387. CrossRef
Wadden, T. A., Stunkard, A. J., Rich, L., Rubin, C. J., Sweidel, G., & McKinney, S. (1990). Obesity in black adolescent girls: A controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics, 85(3), 345–352. PubMed
Ward-Begnoche, W., & Speaker, S. (2006). Overweight youth: Changing behaviors that are barriers to health. Journal of Family Practice, 55(11), 957–963. PubMed
Williamson, D. A., Martin, P. D., White, M. A., Newton, R., Walden, H., York-Crowe, E., et al. (2005). Efficacy of an internet-based behavioral weight loss program for overweight adolescent African-American girls. Eating and Weight Disorders, 10(3), 193–203. PubMed
Williamson, D. A., Walden, H. M., White, M. A., York-Crowe, E., Newton, R. L., Jr., Alfonso, A., et al. (2006). Two-year internet-based randomized controlled trial for weight loss in African-American girls. Obesity (Silver Spring), 14(7), 1231–1243. CrossRef
Wilson, D. K. (2009). New perspectives on health disparities and obesity interventions in youth. Journal of Pediatric Psychology, jsn137.
Wilson, D. K., & Kitzman-Ulrich, H. (2008). Cultural considerations in the development of pediatric weight management interventions. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 293–310). New York: Springer.
- The Integration of a Family Systems Approach for Understanding Youth Obesity, Physical Activity, and Dietary Programs
Dawn K. Wilson
Sara M. St. George
- Springer US