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  • Title: Treating childhood obesity: family background variables and the child's success in a weight-control intervention.
    Author: Pott W, Albayrak O, Hebebrand J, Pauli-Pott U.
    Journal: Int J Eat Disord; 2009 Apr; 42(3):284-9. PubMed ID: 19189408.
    Abstract:
    OBJECTIVE: To analyze whether caregiver and family characteristics predict success in a family-based lifestyle intervention program for children and adolescents. METHOD: Participants were 111 overweight and obese children (7-15 years) who attended a family-based weight-reduction program. Body mass index (BMI) and BMI standard deviation scores (BMI-SDS) of index child, and BMI of family members, family adversity characteristics, depression, and attachment attitudes of the primary caregiver were assessed. RESULTS: Risk of nonresponse (<or=5% reduction of BMI-SDS or dropout) was elevated in older children, cases with obese sibling(s), maternal depression, and avoidant attachment attitude. In a logistic regression analysis, maternal depression, attachment attitude, and age of index child explained common variance whereas the presence of obese siblings explained unique variance in nonresponding. DISCUSSION: To meet the specific needs of all participating families and to prevent the discouraging experience of failure in weight-control interventions, our data suggest that special support should be provided to adolescents with obese siblings, and cases of maternal depression, and avoidant attachment attitude.
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