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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/m 2 ) 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.

Titel:	Examining the interdependence of parent-child dyads: Effects on weight loss and maintenance.
Autor/in / Beteiligte Person:	Fowler, LA ; Grammer, AC ; Ray, MK ; Balantekin, KN ; Stein, RI ; Kolko Conlon, RP ; Welch, RR ; Perri, MG ; Epstein, LH ; Wilfley, DE
Link:	Full Text Finder (Volltext)
Zeitschrift:	Pediatric obesity, Jg. 16 (2021), Heft 1, S. e12697
Veröffentlichung:	Oxford, UK : Wiley-Blackwell for the International Association for the Study of Obesity, 2021
Medientyp:	academicJournal
ISSN:	2047-6310 (electronic)
DOI:	10.1111/ijpo.12697
Schlagwort:	Adult Child Female Follow-Up Studies Humans Male Models, Psychological Parents psychology Treatment Outcome Motivation Obesity psychology Obesity therapy Parent-Child Relations Weight Loss Weight Reduction Programs methods
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural Language: English [Pediatr Obes] 2021 Jan; Vol. 16 (1), pp. e12697. <i>Date of Electronic Publication: </i>2020 Jul 28. MeSH Terms: Motivation* ; Parent-Child Relations* ; Weight Loss* ; Obesity / psychology ; Obesity / therapy ; Weight Reduction Programs / *methods ; Adult ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Models, Psychological ; Parents / psychology ; Treatment Outcome References: J Consult Clin Psychol. 2014 Dec;82(6):1140-1150. (PMID: 24932567) ; Health Psychol. 2007 Jul;26(4):381-91. (PMID: 17605557) ; J Fam Psychol. 2010 Jun;24(3):359-66. (PMID: 20545409) ; Obesity (Silver Spring). 2012 Jul;20(7):1539-43. (PMID: 22421896) ; Health Psychol. 2016 Jan;35(1):92-5. (PMID: 26192385) ; Adv Data. 2000 Jun 8;(314):1-27. (PMID: 11183293) ; Arch Pediatr Adolesc Med. 2004 Apr;158(4):342-7. (PMID: 15066873) ; Obes Rev. 2013 Sep;14(9):745-60. (PMID: 23734625) ; Child Obes. 2011 Apr;7(2):110-21. (PMID: 26182126) ; JAMA Pediatr. 2017 Dec 1;171(12):1151-1159. (PMID: 29084318) ; JBI Database System Rev Implement Rep. 2019 Jul;17(7):1341-1427. (PMID: 31021970) ; Obes Rev. 2013 Apr;14(4):265-78. (PMID: 23136914) ; Curr Treat Options Cardiovasc Med. 2014 Nov;16(11):343. (PMID: 25205083) ; JAMA. 2007 Oct 10;298(14):1661-73. (PMID: 17925518) Grant Information: T32 HL130357 United States HL NHLBI NIH HHS; P30 DK092950 United States DK NIDDK NIH HHS; P30 DK056341 United States DK NIDDK NIH HHS; P30 DK111022 United States DK NIDDK NIH HHS; R01 HD036904 United States HD NICHD NIH HHS Contributed Indexing: Keywords: actor-partner interdependence model; family-based treatment; long-term weight maintenance; obesity Molecular Sequence: ClinicalTrials.gov NCT00759746 Entry Date(s): Date Created: 20200729 Date Completed: 20210520 Latest Revision: 20240511 Update Code: 20240511 PubMed Central ID: PMC8186411

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