دورية أكاديمية

Parent Involvement in Adolescent Obesity Treatment: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Parent Involvement in Adolescent Obesity Treatment: A Systematic Review.
المؤلفون: Bean MK; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia; melanie.bean@vcuhealth.org., Caccavale LJ; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia., Adams EL; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia., Burnette CB; Department of Psychology, College of Humanities and Sciences and., LaRose JG; Departments of Health Behavior and Policy and., Raynor HA; Department of Nutrition, The University of Tennessee, Knoxville, Knoxville, Tennessee., Wickham EP 3rd; Internal Medicine, School of Medicine, Virginia Commonwealth University, Richmond, Virginia; and.; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia., Mazzeo SE; Department of Psychology, College of Humanities and Sciences and.; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia.
المصدر: Pediatrics [Pediatrics] 2020 Sep; Vol. 146 (3).
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Systematic Review
اللغة: English
بيانات الدورية: Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 0376422 Publication Model: Print Cited Medium: Internet ISSN: 1098-4275 (Electronic) Linking ISSN: 00314005 NLM ISO Abbreviation: Pediatrics Subsets: MEDLINE
أسماء مطبوعة: Publication: Elk Grove Village Il : American Academy of Pediatrics
Original Publication: Springfield, Ill., Thomas.
مواضيع طبية MeSH: Parent-Child Relations* , Risk Reduction Behavior*, Parents/*psychology , Pediatric Obesity/*psychology , Pediatric Obesity/*therapy , Randomized Controlled Trials as Topic/*methods, Adolescent ; Humans ; Treatment Outcome
مستخلص: Context: Family-based lifestyle interventions are recommended for adolescent obesity treatment, yet the optimal role of parents in treatment is unclear.
Objective: To examine systematically the evidence from prospective randomized controlled and/or clinical trials (RCTs) to identify how parents have been involved in adolescent obesity treatment and to identify the optimal type of parental involvement to improve adolescent weight outcomes.
Data Sources: Data sources included PubMed, PsychINFO, and Medline (inception to July 2019).
Study Selection: RCTs evaluating adolescent (12-18 years of age) obesity treatment interventions that included parents were reviewed. Studies had to include a weight-related primary outcome (BMI and BMI z score).
Data Extraction: Eligible studies were identified and reviewed, following the Preferred Reporting for Systematic Review and Meta-Analyses guidelines. Study quality and risk of bias were evaluated by using the Cochrane Collaboration risk of bias tool.
Results: This search identified 32 studies, of which 23 were unique RCTs. Only 5 trials experimentally manipulated the role of parents. There was diversity in the treatment target (parent, adolescent, or both) and format (group sessions, separate sessions, or mixed) of the behavioral weight loss interventions. Many studies lacked detail and/or assessments of parent-related behavioral strategies. In ∼40% of unique trials, no parent-related outcomes were reported, whereas parent weight was reported in 26% and associations between parent and adolescent weight change were examined in 17%.
Limitations: Only RCTs published in English in peer-reviewed journals were eligible for inclusion.
Conclusions: Further research, with detailed reporting, is needed to inform clinical guidelines related to optimizing the role of parents in adolescent obesity treatment.
Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
(Copyright © 2020 by the American Academy of Pediatrics.)
التعليقات: Comment in: Pediatrics. 2020 Sep;146(3):. (PMID: 32839246)
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معلومات مُعتمدة: R01 HD095910 United States HD NICHD NIH HHS; R21 HD084930 United States HD NICHD NIH HHS; T32 CA093423 United States CA NCI NIH HHS
تواريخ الأحداث: Date Created: 20200826 Date Completed: 20200930 Latest Revision: 20210903
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7461263
DOI: 10.1542/peds.2019-3315
PMID: 32839242
قاعدة البيانات: MEDLINE
الوصف
تدمد:1098-4275
DOI:10.1542/peds.2019-3315