Weiss Netta, Kalamitzky Nataly, Interator Hagar, Lubetzky Ronit, Moran-Lev Hadar
Department of Pediatrics, Dana Dwek Children's Hospital, Tel Aviv, Israel.
Department of Pediatric Gastroenterology, Dana Dwek Children's Hospital, Tel Aviv, Israel.
BMC Pediatr. 2020 Jul 2;20(1):325. doi: 10.1186/s12887-020-02226-2.
Many obese children have at least one obese parent, and some of them have one parent who had undergone bariatric surgery ("bariatric families"). The perceptions and attitudes towards child obesity of parents in bariatric families vs. non-bariatric families have not been explored. We assessed how parents who underwent bariatric surgery for obesity perceived their child's obesity compared to those perceptions of obese parents who did not undergo bariatric surgery.
We conducted a cross-sectional survey by interviewing families in which one or both parents underwent bariatric surgery (bariatric group) and comparing their responses to those of families in which one or both parents had been treated conservatively for obesity (control group). The children of both groups were attending the Obesity Clinic of our children's hospital.
Thirty-six children (median age 10.6 years, 18 in each group, matched for age and sex) were recruited. More parents in the bariatric group replied that weight plays an important role in determining self-image (p < 0.03), and more replied that their child's obesity is a current and future health problem (p < 0.03 and p < 0.007, respectively, Table 1). Five children (28%) in the bariatric group had expectations of undergoing bariatric surgery compared to none in the control group (p < 0.02), with a similar trend among their parents (44% vs. 11%, respectively, p < 0.07).
Families in which one or both parents underwent bariatric surgery for obesity revealed different perceptions of their child's obesity and different opinions about interventions for treating it compared to families with no bariatric surgery.
许多肥胖儿童至少有一位肥胖的父母，其中一些儿童的父母一方接受过减肥手术（“减肥手术家庭”）。减肥手术家庭与非减肥手术家庭的父母对儿童肥胖的认知和态度尚未得到探讨。我们评估了接受减肥手术治疗肥胖的父母与未接受减肥手术的肥胖父母对其孩子肥胖的认知情况。
我们通过访谈父母一方或双方接受过减肥手术的家庭（减肥手术组）进行横断面调查，并将他们的回答与父母一方或双方接受过肥胖保守治疗的家庭（对照组）的回答进行比较。两组儿童均在我们儿童医院的肥胖门诊就诊。
招募了36名儿童（中位年龄10.6岁，每组18名，年龄和性别匹配）。减肥手术组中更多的父母回答说体重在决定自我形象方面起着重要作用（p < 0.03），并且更多的父母回答说他们孩子的肥胖是当前和未来的健康问题（分别为p < 0.03和p < 0.007，表1）。减肥手术组中有5名儿童（28%）期望接受减肥手术，而对照组中没有儿童有此期望（p < 0.02），他们的父母也有类似趋势（分别为44%对11%，p < 0.07）。
与未进行减肥手术的家庭相比，父母一方或双方接受过减肥手术治疗肥胖的家庭对孩子肥胖的认知不同，对治疗肥胖干预措施的看法也不同。
