Department of Psychology, East Tennessee State University, Johnson City, TN, USA.
J Pediatr Nurs. 2010 Aug;25(4):282-8. doi: 10.1016/j.pedn.2009.04.005. Epub 2009 Jul 3.
The aim of this study was to assess the relation between family functioning and children's response to treatment for overweight in a primary care setting.
Sixty predominantly African American (72%) parents of children who are overweight were recruited from a pediatric outpatient clinic to provide information about family functioning. Children's success in treatment was tracked through medical chart review.
Parents' baseline self-report of family adaptability was associated with child body mass index z-scores (zBMI) at 3-month follow-up, although this association was no longer significant once baseline child zBMI was taken into account.
Families with greater ability to adopt/implement changes may have children who do better in weight loss treatment. This preliminary study provides a model for integrating family systems ideas into pediatric overweight research and offers heuristic value as well as directions for future research in primary care settings.
本研究旨在评估在初级保健环境中家庭功能与儿童超重治疗反应之间的关系。
从儿科门诊招募了 60 名主要为非裔美国人（72%）的超重儿童的父母，以提供有关家庭功能的信息。通过医疗记录审查跟踪儿童治疗的成功情况。
父母的家庭适应性基线自我报告与 3 个月随访时儿童的体重指数 z 分数（zBMI）相关，但一旦考虑到基线儿童 zBMI，这种关联就不再显著。
具有更大适应/实施变化能力的家庭可能会有在减肥治疗中表现更好的孩子。这项初步研究为将家庭系统思想纳入儿科超重研究提供了模型，并为初级保健环境中的未来研究提供了启示价值和方向。
