eISSN: 2391-517X
ISSN: 2353-9437
Nutrition, Obesity & Metabolic Surgery
Current issue Archive About the journal Abstracting and indexing Contact Instructions for authors
1/2018
vol. 5
 
Share:
Share:
more
 
 
abstract:
Original paper

Family system characteristics from the obese child and parent perspective – a pilot study

Agnieszka Pasztak-Opilka, Agnieszka Zachurzok, Ewa Małecka-Tendera

Nutrition, Obesity & Metabolic Surgery 2018; 5, 1: 29–34
Online publish date: 2018/10/10
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Objective
The aim of the study was to assess family system functioning in obese children from the perspective of child and parent.

Material and methods
Forty-six dyads (child-parent) were included into the study. Children group comprises of 48% boys and 52% girls, aged 11-18 years (13.0 ± 1.9 years), with simple obesity (BMI > 97 percentile, BMI z-score 2.1 ± 0.3). In parents’ group, 87% mothers and 13% fathers were examined. The weight and height were measured, BMI, and BMI z-score were calculated, and Polish version of Family Adaptability and Cohesion Evaluation Scales by D. Olson was performed in all dyads. In parents, a questionnaire formulated for the research was applied.

Results
Only parents of 2 (7%) children had BMI within the normal range. According to the information given in the questionnaire, problems with weight in the family were declared by significantly less parents: 22 (48%). In parent’s opinion, low physical activity (87%) and inappropriate diet (87%) were the most common reasons for obesity, whereas psychological problems (65%) and poor physical fitness (65%) were the most its common consequences. The most effective therapeutic factors were to comply with diet (87%), increase physical activity (72%), and change of lifestyle of the child (65%). The families were assessed as balanced according to 57% of children and 30% of parents (p = 0.01). Also, cohesion index and main index were significantly higher in children’s perception then parents’ (p = 0.02, p = 0.004).

Conclusions
Most of parents, in majority also obese, underline the need of change only in child’s functioning; they do not see the need to change of their own habits and deny the presence of obesity in the family. Moreover, parents perceived cohesion in their families lower than children. Our observation confirms that obesogenic family with some aberration in its functioning could lead to many difficulties in treatment of obesity.

keywords:

childhood obesity, family system, cohesion, flexibility, circumplex model

references:
Roth CL, Jain V. Rising Obesity in Children: A Serious Public Health Concern. Indian J Pediatr 2018; 85: 461-462.
August GP, Caprio S, Fennoy I, et al. Prevention and treatment of paediatric obesity: an endocrine society clinical practice guideline based on expert opinion. J Clin Endocrinol Metab 2008; 93: 4576-4599.
Margasinski A. Family in Circumplex Model and FACES IV by David H. Olson. Nowiny Psychologiczne 2006; 4: 69-87.
Olson DH, Gorall DM. Faces IV and the Circumplex model. Life Innovations, Minneapolis 2006; 1-20.
Gowey MA, Reiter-Purtill J, Becnel J, et al.; TeenView Study Group. Weight-related correlates of psychological dysregulation in adolescent and young adult (AYA) females with severe obesity. Appetite 2016; 99: 211-218.
Cichecka-Wilk M. Eating behaviour in children with simple obesity in own experience. Lubelski Rocznik Pedagogiczny 2015; 32: 243-275.
Hood MY, Moore LL, Sundarajan-Ramamurti A, et al. Parental eating attitudes and the development of obesity in children. The Framingham Children’s Study. Int J Obes Relat Metab Disord 2010; 24: 1319-1325.
Gibson LY, Byrne SM, Davis EA, et al. The role of family and maternal factors in childhood obesity. Med J Aust 2007; 186: 591-595.
Keane E, Layte R, Harrington J, Kearney PM, Perry IJ. Measured parental weight status and familial socio-economic status correlates with childhood overweight and obesity at age 9. PLoS One 2012; 7: 43503.
Scaglioni S, Salvioni M, Galimberti C. Influence of parental attitudes in the development of children eating behavior. Br J Nutr 2008; 99: 22-25.
Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 1999; 29: 563-570.
Mróz J, Kaleta K. Relation structure in the parent family and healthy behavior in adulthood. Problemy Higieny i Epidemiologii 2013; 94: 239-246.
Nascimento MMR, Melo TR, Pinto RMC, et al. Parents’ perception of health-related quality of life in children and adolescents with excess weight. Jornal de Pediatria 2015; 92: 65-72.
Uzark KC, Becker MH, Dielman TE, et al. Perceptions held by obese children and their parents: implications for weight control intervention. Health Educ Q 1998; 15: 185-198.
Whitherspoon D, Latta L, Wang Y, Black M.M. Do depression, self-esteem, body-esteem and eating attitudes vary by BMI among African American adolescents? J Pediatr Psychol 2013; 38: 1112-1120.
Moore ES, Wilkie WL, Desrochers DM. All in the Family? Parental Roles in the Epidemic of Childhood Obesity. J Consum Res 2016; 43: 824-859.
Pasztak-Opiłka A. Psychosocial dimensions of childhood and adolescent obesity and possibility of an effective intervention. I National Meeting: “Obesity and children and adolescent – from causes to consequences. The role of bariatric surgery”. Katowice 2016, 19-20.09.2016.
Haines J, Rifas-Shiman SL, Horton NJ, et al. Family functioning and quality of parent-adolescent relationship: cross-sectional associations with adolescent weight-related behaviors and weight status. Int J Behav Nutr Phys Act 2016; 13: Article ID 68.
Cyril S, Halliday J, Green J, Renzaho AMN. Relationship between body mass index and family functioning, family communication, family type and parenting style among African migrant parents and children in Victoria, Australia: a parent-child dyad study. BMC Public Health 2016; 16: 707.
Boutelle KN, Feldman S, Neumark-Sztainer D. Parenting an overweight or obese teen: issues and advice from parents. J Nutr Educ and Behav 2012; 44: 500-506.
FEATURED PRODUCTS
Quick links
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe