Mechanisms of self-esteem change in overweight children participating in a family-based weight management program PDF Download

Author: Kelly Walker
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Author: Lindsay Watts Chenelle (Psy.D. candidate at the University of Hartford)
Publisher:
ISBN:
Category : Body image in adolescence
Languages : en
Pages : 136

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Half of American children are currently overweight or obese, putting them at increased risk for a multitude of obesity-related health problems. Childhood obesity has been linked to physical, emotional, social, and economic consequences, many of which last well into adulthood. Pediatric obesity has also been associated with an increased risk for comorbid medical conditions, poor sleep health, and psychopathology. In children, these risks can be accompanied by lower academic achievement and less favorable social and psychological outcomes. All of these factors have been correlated to decreased self-esteem in children and adolescents diagnosed with the disease. Although there have been many research studies evaluating the self-esteem of children with obesity, this research is limited with regard to pediatric weight management programs based in the community. This dissertation provides a review of the current literature on the impact of pediatric obesity, as well as the current treatment options. It also describes the present study, which examined whether there are changes in the self-esteem of children who participate in a six-month weight management program that targets both the physical and psychological components of the disease. A standardized, multidimensional measure of self-esteem was used to assess how children think about themselves before and after participation in a weight management program. All children who completed the MIGHTY program reported improvements in overall self-concept, particularly with regard to their physical appearance and social functioning. Therefore, this study concluded that pediatric weight management programs in the community can be effective in improving the self-esteem of children diagnosed with obesity. It is hoped that the results of this study will inform future treatment and program development for children diagnosed with pediatric obesity.

Author: Mark Abbey-Lambertz
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Childhood obesity is associated with numerous morbidities, and effective interventions are needed to provide children and their parents the tools and skills they need to make healthier lifestyle choices. Children with obesity are more likely to have poorer health-related quality of life (HRQOL) and poorer weight-specific quality of life (WSQOL) compared to their peers. The impact of weight management interventions on children’s HRQOL and WSQOL is not fully understood. Whether and how weight loss changes parents’ and children’s perceptions of the children’s quality of life can provide insight into interventions’ effectiveness and highlight opportunities for adapting interventions.Objective: To determine the association between pediatric participants’ weight loss and change in their quality of life, specifically HRQOL and WSQOL, among participants enrolled in family-based behavioral weight management interventions. This study used a one-arm quasi-experimental design and combined data from two previous pediatric weight management intervention studies. Parents with overweight/obesity and their children ages 7 to 11 with overweight/obesity participated in a 20-week, family-based weight management intervention focused on increasing healthier lifestyle eating and activity behaviors. Child height, child weight, and child self-reported and parent proxy-reported HRQOL and WSQOL were collected. Child self-reported and parent proxy-reported HRQOL and WSQOL scores were compared. Multiple regression was used to assess the association between change in child BMI z-score and change in child HRQOL and WSQOL. Parent proxy-reported WSQOL was significantly lower than child self-reported WSQOL at all timepoints, but quality of life significantly increased with treatment. Change in child BMI z-score was significantly negatively associated with change in child self-reported total WSQOL (improvements in child weight status associated with improvements in weight-related quality of life) but not child self-reported total HRQOL. Change in child BMI z-score was also significantly negatively associated with parent proxy-reported HRQOL and WSQOL. The change in children’s self-reported quality of life does not track with changes in their weight status as much as changes in parents’ perceptions of child quality of life improvements. Parent perceptions of child HRQOL and WSQOL indicate significant improvement with intervention that is more linked to child weight status changes. Pediatric weight management interventions may need modification to show children how their weight loss is related to their improving quality of life.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309089964
Category : Medical
Languages : en
Pages : 277

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The primary purpose of fitness and body composition standards in the U.S. Armed Forces has always been to select individuals best suited to the physical demands of military service, based on the assumption that proper body weight and composition supports good health, physical fitness, and appropriate military appearance. The current epidemic of overweight and obesity in the United States affects the military services. The pool of available recruits is reduced because of failure to meet body composition standards for entry into the services and a high percentage of individuals exceeding military weight-for-height standards at the time of entry into the service leave the military before completing their term of enlistment. To aid in developing strategies for prevention and remediation of overweight in military personnel, the U.S. Army Medical Research and Materiel Command requested the Committee on Military Nutrition Research to review the scientific evidence for: factors that influence body weight, optimal components of a weight loss and weight maintenance program, and the role of gender, age, and ethnicity in weight management.

Author: Sylvia Rimm
Publisher: Rodale
ISBN: 9781579548506
Category : Family & Relationships
Languages : en
Pages : 252

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A compassionate guide for parents focuses on the emotional impact of being an overweight child, citing the risks and challenges faced by young people with weight problems while offering advice on how to be aware of peer discrimination, encourage healthy eating without nagging, and more. 40,000 first printing.

Author: Morris Rosenberg
Publisher:
ISBN:
Category : Psychology
Languages : en
Pages : 182

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Author: Vanessa Elizabeth Cordova
Publisher:
ISBN:
Category :
Languages : en
Pages :

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The prevalence of children who are overweight and obese has increased at an alarming rate over the past 30 years. Overweight and obese children are at an increased risk for chronic diseases such as type two diabetes, hypertension, and cardiovascular disease. Minority children, particularly Latinos, are at most risk for becoming overweight or obese due to many factors including genetics, low-income, and lack of access to healthy foods. Effective strategies and interventions to help reduce overweight and obesity rates in children are needed more than ever. The following proposed study will examine the counseling technique called motivational interviewing, as an interventional method for increased weight loss. This research proposal will specifically ask if integrating motivational interviewing into a 6-week, family-based, weight management program located in Los Angeles serving the Latino families, is an effective, feasible, and cost-effective intervention that will result in increased weight loss for participating children.

Author: Susan Bonnell
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 186

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Obesity in children is increased in the United States and globally which creates both physical and psychological health risks and co-morbidities affecting the development of positive self-esteem (Sinton & Birch, 2005; Whetstone, Morrissey, & Cummings, 2007). The development of poor self-esteem in children increases the risk of problem behaviors such as aggression, crime, teenage pregnancy, drug and alcohol use, tobacco use, and eating disorders (Brook et al., 2007). Treatment of childhood obesity is multifaceted, requiring behavioral and lifestyle changes for both child and family to achieve a healthy weight (De-Santis-Moniaci & Altshuler, 2007; Plourde, 2006; Ritchie, Crawford, Hoelscher, & Sothern, 2006; Spear et al., 2007; Vaughn & Waldrop, 2007; Wofford, 2008). Therapeutic intervention must enlist the support of the family to reshape children's perception of him- or herself (Harter, 1999). One method shown to result in positive improvements in attaining healthy weight and lifestyle with children is family-based behavioral treatment (FBBT). The purpose of this study was to evaluate the effect of SHAPEDOWN, an interventional FBBT program, on self-esteem and lifestyle habits and family lifestyle habits. The theoretical models for this research was Bandura's social cognitive theory (1999), and the conceptual framework was based on "Familial Approach to the Treatment of Childhood Obesity; Parent and Child Collaboration" (Golan & Weitzman, 2001). A convenience sample of 12 children and 11 parents were recruited from elementary schools and referred by pediatric primary care providers. The data collection measures included a revised self-esteem scale (Harter, 1985), and the Children's Habit and Family Habit inventories. The inventories were administered pre- and post- a SHAPEDOWN intervention for healthy lifestyle and weight management. Descriptive and inferential statistics were used to describe the study sample and variables. Pearson product moment correlation and dependent group' t-test was used to analyze the data. Although there were no statistically significant results, correlation demonstrated trending toward the positive effect of SHAPEDOWN and its relationship with children self-esteem and lifestyles habits for families and children. The study was limited by attrition and sample size. This study highlights the continued need to explore the barriers associated with effective provision of treatment for overweight children.

Author: Edward Smith Harris
Publisher:
ISBN:
Category : Adolescent psychology
Languages : en
Pages : 102

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Author: Paul R. Thomas
Publisher: National Academies
ISBN:
Category : Medical
Languages : en
Pages : 44

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This volume presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. Discusses information necessary to make wise program choices and evaluations; examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect these programs.