Wills Wendy J, Lawton Julia
Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
Centre for Public Health Sciences, University of Edinburgh, Edinburgh, UK.
Health Expect. 2015 Oct;18(5):775-83. doi: 10.1111/hex.12182. Epub 2014 Feb 25.
As most young teenagers grow up in families, parents might be well situated to facilitate and support their weight management and thereby prevent or manage obesity prior to adulthood.
This paper explores parents' perceptions of, and views about, their teenage children's weight and the factors that influence parents' weight management strategies.
DESIGN, SETTING AND PARTICIPANTS: We conducted two qualitative studies in Scotland, UK, involving in-depth interviews with the parents of overweight/obese and 'normal' weight 13-15 year olds (n = 69).
Parents' concerns about their own weight provided useful context for understanding their attitudes or actions with regards to their teenage child. Some parents described their teenager's weight as being of concern to them, although puberty often introduced confusion about a child's weight status. Genetic explanations were very often put forward as a way of making sense of teenage weight or body size. Frustration about advising teenagers about weight management was expressed, and some parents worried about giving their growing child a 'problem' if they directly raised concerns about weight with them.
Parents' views about their own weight as well as social and moral norms about labelling a teenager as overweight or as needing help with their weight could usefully inform patient-centred service development. Parent/teenage partnerships and supporting parents to create a healthy home in which teenagers can make healthier choices are suggestions for intervention development.
The study highlights the importance of taking parents' perceptions into account when developing family-based interventions to address teenage overweight and obesity.
由于大多数青少年在家庭中成长，父母可能处于有利地位来促进和支持他们的体重管理，从而在成年之前预防或控制肥胖。
本文探讨父母对其十几岁孩子体重的看法和观点，以及影响父母体重管理策略的因素。
设计、地点和参与者：我们在英国苏格兰进行了两项定性研究，对超重/肥胖和体重“正常”的13至15岁青少年的父母进行了深入访谈（n = 69）。
父母对自己体重的担忧为理解他们对十几岁孩子的态度或行为提供了有用的背景。一些父母表示担心自己十几岁孩子的体重，尽管青春期常常让孩子的体重状况变得令人困惑。基因解释经常被提出来，作为理解青少年体重或体型的一种方式。父母们表达了在为青少年提供体重管理建议时的挫败感，一些父母担心如果直接向成长中的孩子提及体重问题，会给他们带来“困扰”。
父母对自己体重的看法，以及将青少年标记为超重或需要体重管理帮助的社会和道德规范，可为以患者为中心的服务发展提供有益参考。父母/青少年伙伴关系以及支持父母营造一个健康的家庭环境，让青少年能够做出更健康的选择，是干预措施发展的建议方向。
该研究强调了在制定基于家庭的干预措施以解决青少年超重和肥胖问题时，考虑父母看法的重要性。
