دورية أكاديمية
"A balancing act": parents' longitudinal perspectives of weight-related discussions with their children following obesity treatment.
| العنوان: | "A balancing act": parents' longitudinal perspectives of weight-related discussions with their children following obesity treatment. |
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| المؤلفون: | Sjunnestrand M; Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden. my.sjunnestrand@ikv.uu.se., Neuman N; Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden., Järvholm K; Department of Psychology, Lund University, Lund, Sweden., Ek A; Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden., Nordin K; Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden., Salas XR; European Association for the Study of Obesity, United Kingdom and Bias 180, Ottawa, Canada., Eli K; Warwick Medical School, University of Warwick, Coventry, UK., Nowicka P; Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden. |
| المصدر: | BMC public health [BMC Public Health] 2024 Jun 25; Vol. 24 (1), pp. 1695. Date of Electronic Publication: 2024 Jun 25. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Parents*/psychology , Parent-Child Relations* , Qualitative Research*, Humans ; Male ; Female ; Child ; Sweden ; Pediatric Obesity/therapy ; Adult ; Interviews as Topic ; Communication ; Longitudinal Studies ; Obesity/therapy ; Obesity/psychology ; Body Weight ; Body Image/psychology |
| مستخلص: | Weight-related discussions during childhood may have long-lasting effects on children's body image and well-being. However, little is known about how parents frame these discussions with children who have undergone treatment for obesity. Our study aimed to explore how parents perceive weight-related discussions, several years after their children started obesity treatment. This qualitative study is part of the 4-year follow-up of the More and Less study, a randomized controlled trial examining the effectiveness of a parental support program as part of obesity treatment for preschool-aged children in Stockholm, Sweden. Semi-structured interviews were conducted with 33 parents (79% mothers, 48% with a university degree, 47% with foreign background) of 33 children (mean age 9.3 years (SD 0.7), 46% girls), transcribed and analyzed using realist informed thematic analysis. Three main themes, encompassing three subthemes were developed. Under the first theme, Parental attitudes and concerns, parents emphasized the importance of discussing weight and health behaviors with their children, yet found it challenging due to uncertainties about how to approach it safely and sensitively. A few parents found the conversation manageable, citing their own experiences of having overweight or their style of communication with the child as facilitating the conversation. Under the second theme, The significance of time and context, parents said they engaged in weight-related conversations with their children more frequently as the children matured, driven by their growing self-awareness. Parents also expressed how contextual factors, such as gender and the presence of others, shaped conversations. Parents perceived boys as more resilient, thus exposing them to more negative weight talk. The third theme, Navigating weight stigma, revealed how parents employed strategies such as nurturing their children's self-confidence, downplaying the significance of appearance and emphasizing health when discussing weight to shield their children from weight stigma. Taken together, we found that many parents need support to navigate weight-related discussions. Addressing weight stigma is part of children's obesity management process, as children may be bullied, teased, or experience discrimination in different social settings. More research is needed to explore how young children undergoing obesity treatment experience weight stigma and to understand gendered differences in these experiences. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Childhood obesity; Obesity stigma; Qualitative research; Thematic analysis; Weight bias; Weight-related conversations |
| تواريخ الأحداث: | Date Created: 20240625 Date Completed: 20240626 Latest Revision: 20240827 |
| رمز التحديث: | 20240828 |
| مُعرف محوري في PubMed: | PMC11202376 |
| DOI: | 10.1186/s12889-024-19195-1 |
| PMID: | 38918803 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
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| DOI: | 10.1186/s12889-024-19195-1 |