Lifestyle Behaviors of Obese Children Following Parental Weight Loss Surgery

School of Health and Rehabilitation Sciences, The Ohio State University, 435 W. 10th Avenue, 306 Atwell Hall, Columbus, OH, 43210, USA, .
Obesity Surgery (Impact Factor: 3.75). 09/2012; 23(2). DOI: 10.1007/s11695-012-0752-7
Source: PubMed


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.

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.

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.

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: Background Bariatric surgery must be partnered with post-operative lifestyle modifications for enduring weight loss and related health effects to be fully appreciated. Little is known about how these lifestyle modifications may be affected by the involvement of other family members living in the household; therefore, this review describes current family-based approaches to improving post-operative outcomes in bariatric surgery patients and their families. Methods A MEDLINE search of publications between 1999-to-2014 was conducted in January 2014. Retrieved titles and abstracts were assessed by two authors to determine relevance to the topic surrounding family-based approaches to improve post-bariatric surgery outcomes. All study designs except case studies were considered if they included some aspect of family as a predictor in relation to improved health outcomes after surgery. Results Initial searches yielded 650 publications (bariatric surgery + family n=193; bariatric surgery + child n=338; bariatric surgery + spouse n=4; bariatric surgery + social support n=115). Two studies met criteria for a family-based approach to improving metabolic outcomes in bariatric patients. Seven studies discussed the impact of bariatric surgery on families. All other studies were excluded for not discussing family-based approaches. Conclusions Despite limited documentation of family-based approaches on improving health outcomes in patients who underwent bariatric surgery, evidence suggests that such an approach may be advantageous if planned a priori to occur before, during, and after bariatric surgery. Future studies could test the combination of bariatric surgery and a family-based approach for improved metabolic outcomes in both the patient and involved family member(s).
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