Department of Human Sciences, College of Education and Human Ecology, 130 Campbell Hall, 1787 Neil Avenue, Columbus, OH, 43210, USA.
Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Obes Surg. 2020 Aug;30(8):3242-3246. doi: 10.1007/s11695-020-04562-9.
Children witness parental weight loss from bariatric surgery; however, little is understood about parental engagement and communication with children about weight loss. The purpose of this study is to explore parental engagement in activities and communication about weight loss with children during the bariatric surgery process. Seventy-two pre- or post-surgery parents, living with a child 2-25- years- old, were surveyed using a questionnaire to assess engagement in social and physical activities and communication with children about weight loss, and the Social Support for Exercise and Eating Habits Survey. Multivariate logistic regression determined correlates of engagement and communication, with covariates: child age and perceived weight status, surgery status, and social support. Family discouragement for making eating habit change was associated with an increased odds [OR = 1.21 (CI 1.03, 1.41)] of parents endorsing their weight held them back from social activities. Parents with older children [OR = .88 (CI .78, 1.00)] and children perceived to have overweight/obesity [OR = .18 (CI .03, .96)], and who were post-surgery [OR = 4.78 (CI 1.05, 21.88)] had increased odds of discussing losing weight with their child. The results of this study suggest parents are communicating with their children about weight loss, though more often with older and overweight/obese children.
儿童会见证父母接受减重手术，但对于父母与子女就减重进行的参与和沟通，人们知之甚少。本研究旨在探讨父母在减重手术过程中参与活动和与子女就减重进行沟通的情况。72 名接受或即将接受手术的父母，与 2-25 岁的孩子同住，通过问卷调查评估他们在社交和体育活动中的参与度以及与孩子就减重进行沟通的情况，同时还评估了《锻炼和饮食习惯社会支持调查问卷》。多变量逻辑回归确定了参与度和沟通的相关因素，协变量为：孩子的年龄和感知体重状况、手术状况和社会支持。家庭对饮食习惯改变的劝阻与父母认为自己的体重阻碍了他们参与社交活动的可能性增加相关（OR=1.21[CI 1.03,1.41]）。有年龄较大孩子的父母（OR=0.88[CI 0.78,1.00]）和孩子被认为超重/肥胖（OR=0.18[CI 0.03,0.96]），以及术后的父母（OR=4.78[CI 1.05,21.88]），更有可能与孩子讨论减肥问题。本研究结果表明，父母确实在与子女就减重进行沟通，但更常与年龄较大和超重/肥胖的孩子沟通。
