Department of Psychiatry, Rhode Island Hospital, Alpert Medical School of Brown University, 1, Hoppin Street, Providence, RI 02903, USA.
J Pediatr Psychol. 2011 May;36(4):451-60. doi: 10.1093/jpepsy/jsq105. Epub 2010 Nov 26.
To evaluate associations between parent behaviors (i.e., parent weight change, self-monitoring of their behavior, and feeding practices and attitudes) and changes in adolescent BMI and weight following 16-weeks of behavioral weight control (BWC) intervention.
Adolescents (N = 86) 13-16 years old and 30-90% overweight (M = 60.54%, SD = 15.10%) who completed BWC intervention and their parents. Adolescents were randomized to 1 of 2 interventions involving 16 consecutive weeks of active treatment with 4 biweekly maintenance sessions. Adolescent weight and BMI were measured at baseline and 16-weeks. Feeding practices were measured at baseline. Parent self-monitoring was measured during the intervention.
The only independently significant predictor of adolescent BMI change (p < .01) was parent BMI change. Greater parent self-monitoring (p < .01) predicted greater adolescent weight loss. Greater parent pressure to eat predicted less adolescent weight loss (p < .01).
Findings highlight the potential importance of parent weight-related behaviors and feeding practices in the context of adolescent BWC.
评估父母行为（即父母体重变化、自我行为监测以及喂养实践和态度）与青少年 BMI 和体重在 16 周行为体重控制（BWC）干预后的变化之间的关联。
参与 BWC 干预的青少年（N=86）年龄在 13-16 岁之间，超重 30-90%（M=60.54%，SD=15.10%），其父母也参与了该研究。青少年被随机分配到 2 种干预措施中的 1 种，干预时间为 16 周，每周进行 4 次双周维持治疗。青少年体重和 BMI 在基线和 16 周时进行测量。喂养实践在基线时进行测量。父母自我监测在干预期间进行测量。
青少年 BMI 变化的唯一独立显著预测因子是父母 BMI 的变化（p<.01）。父母自我监测的增加（p<.01）预示着青少年体重减轻的幅度更大。父母的进食压力越大，青少年体重减轻的幅度就越小（p<.01）。
研究结果强调了父母体重相关行为和喂养实践在青少年 BWC 背景下的潜在重要性。
