Examining the interdependence of parent‐child dyads: Effects on weight loss and maintenance

Summary Background This study aimed to further elucidate correlated weight changes in parent‐child dyads enrolled in family‐based treatment (FBT) by modeling the interdependence of weight changes during treatment. Methods Parent‐child dyads (n = 172) with overweight/obesity (child mean zBMI = 2.16 ±...

Full description

Saved in:
Bibliographic Details
Published inPediatric obesity Vol. 16; no. 1; pp. e12697 - n/a
Main Authors Fowler, Lauren A., Grammer, Anne Claire, Ray, Mary Katherine, Balantekin, Katherine N., Stein, Richard I., Kolko Conlon, Rachel P., Welch, R. Robinson, Perri, Michael G., Epstein, Leonard H., Wilfley, Denise E.
Format Journal Article
LanguageEnglish
Published Chichester, UK John Wiley & Sons, Inc 01.01.2021
Wiley Subscription Services, Inc
Subjects
actor‐partner interdependence model
Adult
Child
Children & youth
Childrens health
Correlation analysis
family‐based treatment
Female
Follow-Up Studies
Humans
long‐term weight maintenance
Male
Models, Psychological
Motivation
Obesity
Obesity - psychology
Obesity - therapy
Parent-Child Relations
Parents & parenting
Parents - psychology
Pediatrics
Treatment Outcome
Weight control
Weight Loss
Weight Reduction Programs - methods
long-term weight maintenance
family-based treatment
actor-partner interdependence model
obesity
Online AccessGet full text

Cover

More Information
Summary:Summary Background This study aimed to further elucidate correlated weight changes in parent‐child dyads enrolled in family‐based treatment (FBT) by modeling the interdependence of weight changes during treatment. Methods Parent‐child dyads (n = 172) with overweight/obesity (child mean zBMI = 2.16 ± 0.39; parent mean BMI = 37.9 ± 9.4 kg/m2) completed 4 months of FBT and were randomized to one of three 8‐month maintenance interventions (Social Facilitation Maintenance [SFM]‐high dose, SFM‐low dose or control). Weight/height was measured at 0, 4 and 12 months. Structural equation models simultaneously estimated the effect that an individual had on their own (actor effect) and on one another's (partner effect) weight‐status across time using the actor‐partner interdependence model. Results Actor paths were significant over time for parent and child. Partner paths were significant for child zBMI predicting parent BMI at 4 and 12 months. Maintenance condition moderated actor/partner paths in the model. Conclusions Child weight change may motivate parents to make environmental and behavioural changes that impact their own weight. Trial Registration: ClinicalTrials.gov Identifier: NCT00759746.
Bibliography:Funding information
Eunice Kennedy Shriver National Institute of Child Health and Human Development, Grant/Award Number: R01 HD036904; National Heart, Lung, and Blood Institute, Grant/Award Number: T32 HL130357
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ObjectType-Undefined-3
Author Contributions: All authors contributed to the study conception and design. Data analyses were performed by LAF. The first draft of the manuscript was written by LAF and ACG, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Author disclosure statement: MP, RS, LAF, KNB and DEW report grants from NIH during the conduct of the study and outside the submitted work. DEW additionally reports grants from Center for Disease Control and Prevention, Patient-Centered Outcomes Research Institute, NIH, and serving as a consultant for Sunovian Pharmaceuticals and Weight Watchers, outside the submitted work.
ISSN:2047-6302
2047-6310
2047-6310
DOI:10.1111/ijpo.12697