Lifestyle Behaviors of Obese Children Following Parental Weight Loss Surgery
ABSTRACT BACKGROUND: Following weight loss surgery (WLS), patients are expected to make diet and lifestyle changes which may lead to children mimicking the changing behaviors of their parents. The purpose of the study was to identify the differences in diet and lifestyle behaviors between obese children with and without a parent who received WLS. METHODS: Medical records of 45 children whose parents had undergone WLS and 90 age- and gender-matched control children were reviewed from a weight loss program in a large Midwest children's hospital. Differences in dietary choices and behaviors, perceived barriers, and sedentary behaviors were examined between both groups. RESULTS: The mean age for the sample was 12.8 years. Children in the parental weight loss surgery (PWLS) group were more likely to eat two or more helpings of food at each sitting (p = 0.02) and less likely to play outdoors for more than an hour each day (p = 0.01). Compared to the control group, the PWLS group more frequently reported eating fast food on most days (45.2 vs. 27.0 %), soda consumption several times a week (48.6 vs. 29.4 %), and no vegetable intake (9.5 vs. 1.1 %). The top three barriers to exercise for both groups were lack of self-discipline, lack of interest, and lack of energy. CONCLUSIONS: Obese children who live with a parent that had undergone WLS reported several unhealthy lifestyle behaviors, in some cases worse than the children who live with parents who had not had WLS. Being cognizant of these findings will help obesity providers focus their counseling and expectations appropriately.
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ABSTRACT: Objective To evaluate the impact of adult bariatric surgery on the body mass index (BMI) of children living in the same household.MethodsA retrospective case-control study. Case dyads (n = 128) were composed of one adult who had bariatric surgery and one child at the same address. Control dyads (n = 384) were composed of an adult with obesity but no bariatric surgery and a child at the same address. Two-sample t-test was used to determine whether the differences between actual and expected BMI at follow-up (post-surgery) differed between children in the case and control dyads.ResultsAmong boys who were overweight, boys who lived with a surgery patient had a lower than expected BMI post-surgery, while boys who did not live with a surgery patient had a higher than expected BMI at follow-up (P = 0.045). Differences between actual and expected BMIs of children were not significantly different between cases and controls in girls or in children in other weight classes.Conclusions Overweight boys who lived with an adult bariatric surgery patient had a lower than expected BMI after surgery as compared to controls. Future studies may be warranted to determine the mechanisms by which these children experience collateral weight loss.Obesity 10/2014; 22(10). DOI:10.1002/oby.20827 · 4.39 Impact Factor