uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Psychosocial predictors and moderators of weight management programme outcomes in ethnically diverse obese youth
Show others and affiliations
2016 (English)In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: An important area of research in childhood obesity is the identification of factors that predict or moderate the responses to obesity intervention programmes, yet few studies have examined the impact of self-esteem and family functioning on obesity treatment outcomes.

OBJECTIVES: We sought to determine whether baseline self-esteem and family functioning predicted or moderated childhood obesity intervention outcomes at 6 months.

METHODS: From 2009 to 2011, seventy-five 10-16 year old, racially/ethnically diverse obese youths with abnormal glucose tolerance were randomized to 6 months of an intensive family-based obesity lifestyle intervention (Bright Bodies) or routine outpatient Clinic Care. We examined youth self-concept, parent-rated family functioning and 6-month outcomes (youths' glucose tolerance, weight, body mass index and percent fat). We set the significance threshold as P ≤ 0.05 for moderator and predictor analyzes.

RESULTS: Having poor family functioning and self-concept scores indicating high anxiety and low self-esteem at baseline predicted poor 6-month outcomes overall (Bright Bodies and Clinic Care groups combined). Additionally, baseline self-esteem and family functioning moderated treatment effects such that Bright Bodies outperformed Clinic Care in youths with low self-esteem and poorly functioning families, whereas youths with high self-esteem and high-functioning families did similarly well with either intervention.

DISCUSSION: Our findings suggest intensive family-based lifestyle programmes are particularly beneficial for youth with low self-esteem and poorly functioning families.

Place, publisher, year, edition, pages
2016.
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-298877DOI: 10.1111/ijpo.12165PubMedID: 27384496OAI: oai:DiVA.org:uu-298877DiVA: diva2:948330
Funder
VINNOVA, 2011-03443
Note

Nowicka and Savoye - Equal contributions as Senior Authors.

Available from: 2016-07-11 Created: 2016-07-11 Last updated: 2016-07-11Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Nowicka, Paulina
By organisation
Department of Food, Nutrition and Dietetics
In the same journal
Pediatric Obesity
Pediatrics

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 67 hits
ReferencesLink to record
Permanent link

Direct link