Department of Pediatrics, Wake Forest School of Medicine, Medical Center Blvd., Winston-Salem, NC, 27157, USA.
Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Curr Obes Rep. 2020 Dec;9(4):424-441. doi: 10.1007/s13679-020-00407-9. Epub 2020 Oct 27.
The treatment of pediatric obesity entails working with entire families. However, aside from parenting and family health behaviors, family dynamics and relationships are not often incorporated in clinical treatment of obesity.
Evidence across several studies suggest a relationship between family dynamics and child weight, with impaired family dynamics associated with higher weight status in children. Evidence is mixed if child age and family function are associated. Unfortunately, there is little evidence that addressing family dynamics (i.e., relationships and overall family system) will improve weight in children with obesity. Notably, few studies target family dynamics specifically. There are several validated measures of family dynamics available for researchers to explore the family system as it relates to child health and behaviors. A deeper understanding of family dynamics and relationships may provide new avenues to address issues of weight in children; accounting for the family, and their underlying functioning, may benefit the clinician and child engaged in weight management.
儿科肥胖的治疗需要涉及整个家庭。然而，除了育儿和家庭健康行为外，家庭动态和关系通常不包含在肥胖的临床治疗中。
多项研究的证据表明家庭动态与儿童体重之间存在关系，家庭动态受损与儿童体重较高有关。儿童年龄和家庭功能是否相关的证据则存在差异。不幸的是，几乎没有证据表明解决家庭动态（即关系和整个家庭系统）会改善肥胖儿童的体重。值得注意的是，很少有研究专门针对家庭动态。有几个经过验证的家庭动态衡量标准可供研究人员探索与儿童健康和行为相关的家庭系统。更深入地了解家庭动态和关系可能为解决儿童体重问题提供新途径；考虑家庭及其潜在功能可能会使参与体重管理的临床医生和儿童受益。
