دورية أكاديمية
Household chaos and childhood obesity-related health outcomes.
| العنوان: | Household chaos and childhood obesity-related health outcomes. |
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| المؤلفون: | Burton ET; Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States.; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, United States., Choquette AE; Department of Psychology, The University of Memphis, Memphis, TN, United States., Gray E; Department of Health Promotion and Disease Prevention, University of Tennessee Health Science Center, Memphis, TN, United States., Odulana A; Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States., Kim A; Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States.; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States., Smith WA; Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States. |
| المصدر: | Journal of pediatric psychology [J Pediatr Psychol] 2024 Jul 03. Date of Electronic Publication: 2024 Jul 03. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 7801773 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-735X (Electronic) Linking ISSN: 01468693 NLM ISO Abbreviation: J Pediatr Psychol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Cary, NC : Oxford University Press Original Publication: Washington, Society of Pediatric Psychology. |
| مستخلص: | Objective: Household chaos, defined as a lack of organization, structure, and predictability, has been linked to deleterious childhood health outcomes and may hinder attempts to initiate and maintain healthy lifestyle changes. This study examined the associations of household chaos and obesity-related health conditions in a sample of youth being treated for obesity. Methods: Participants were 715 patients (61.8% girls; Mage = 12.3 years; 68.7% non-Hispanic Black; M% of 95th BMI %-ile = 146.9%) enrolled in a pediatric weight management clinic. Caregiver report of household chaos was measured using the Confusion, Hubbub and Order Scale (CHAOS). Physiological obesity-related comorbidities (e.g., insulin resistance, hypertension, dyslipidemia) were assessed by a medical clinician and abstracted from electronic medical records; health conditions were dichotomized as present or not present. Psychological functioning was measured with the Pediatric Symptom Checklist, a caregiver-completed mental health screen that assesses internalizing, externalizing, and attention concerns. Results: The Wilcoxon rank-sum test was used to test differences in household chaos scores for each obesity-related health condition. Caregivers of youth diagnosed with hypertension and obstructive sleep apnea reported significantly lower levels of household chaos, while caregivers who reported clinical levels of psychological dysfunction reported higher levels of chaos. Conclusions: Traditional management of childhood obesity requires changes across multiple health domains (e.g., dietary, exercise, sleep), and such change may be facilitated by structure and consistency. Present findings suggest that psychological resources within pediatric weight management settings should address individual patient-level factors associated with physiological and mental health as well as household functioning. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| معلومات مُعتمدة: | Urban Child Institute and the Children's Foundation Research Institute; Le Bonheur Children's Hospital |
| فهرسة مساهمة: | Keywords: chronic health conditions; health behaviors; health disparities; pediatric weight management; social determinants of health |
| تواريخ الأحداث: | Date Created: 20240703 Latest Revision: 20240703 |
| رمز التحديث: | 20240704 |
| DOI: | 10.1093/jpepsy/jsae053 |
| PMID: | 38960723 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1465-735X |
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| DOI: | 10.1093/jpepsy/jsae053 |