Turer Christy Boling, Mehta Megha, Durante Richard, Wazni Fatima, Flores Glenn
Division of General Pediatrics, Department of Pediatrics, UT Southwestern Medical Center, Dallas, Texas, USA.
Case Western Reserve, Rainbow Babies Hospital, Cleveland, Ohio, USA.
Matern Child Nutr. 2016 Apr;12(2):326-38. doi: 10.1111/mcn.12131. Epub 2014 Apr 10.
To identify parental perspectives regarding weight-management strategies for school-age children, focus groups were conducted of parents of overweight and obese (body mass index ≥ 85th percentile) 6-12-year-old children recruited from primary-care clinics. Questions focused on the role of the primary-care provider, effective components of weight-management strategies and feasibility of specific dietary strategies. Focus groups were recorded, transcribed and analysed using margin coding and grounded theory. Six focus groups were held. The mean age (in years) for parents was 32, and for children, eight; 44% of participants were Latino, 33%, African-American and 23%, white. Parents' recommendations on the primary-care provider's role in weight management included monitoring weight, providing guidance regarding health risks and lifestyle changes, consistent follow-up and using discretion during weight discussions. Weight-management components identified as key included emphasising healthy lifestyles and enjoyment, small changes to routines and parental role modelling. Parents prefer guidance regarding healthy dietary practices rather than specific weight-loss diets, but identified principles that could enhance the acceptability of these diets. For dietary guidance to be feasible, parents recommended easy-to-follow instructions and emphasising servings over counting calories. Effective weight-management strategies identified by parents include primary-care provider engagement in weight management, simple instructions regarding healthy lifestyle changes, parental involvement and deemphasising specific weight-loss diets. These findings may prove useful in developing primary-care weight-management strategies for children that maximise parental acceptance.
为了确定家长对学龄儿童体重管理策略的看法，我们对从初级保健诊所招募的超重和肥胖（体重指数≥第85百分位）6至12岁儿童的家长进行了焦点小组访谈。问题集中在初级保健提供者的作用、体重管理策略的有效组成部分以及特定饮食策略的可行性。焦点小组访谈进行了录音、转录，并使用边缘编码和扎根理论进行了分析。共举行了六个焦点小组访谈。家长的平均年龄为32岁，孩子的平均年龄为8岁；44%的参与者是拉丁裔，33%是非洲裔美国人，23%是白人。家长对初级保健提供者在体重管理中作用的建议包括监测体重、提供健康风险和生活方式改变方面的指导、持续随访以及在体重讨论中谨慎行事。被确定为关键的体重管理组成部分包括强调健康的生活方式和乐趣、对日常习惯进行小的改变以及家长树立榜样。家长更喜欢关于健康饮食习惯的指导，而不是特定的减肥饮食，但确定了可以提高这些饮食可接受性的原则。为了使饮食指导可行，家长建议提供易于遵循的说明，并强调份数而不是计算卡路里。家长确定的有效的体重管理策略包括初级保健提供者参与体重管理、关于健康生活方式改变的简单说明、家长的参与以及不强调特定的减肥饮食。这些发现可能有助于制定能使家长最大程度接受的儿童初级保健体重管理策略。
