All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery

Background: Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perc...

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Autores principales: Eleanor R. Mackey, Megan M. York, Evan P. Nadler
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/884a81d21f344259b2a6102232ee1f7f
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spelling oai:doaj.org-article:884a81d21f344259b2a6102232ee1f7f2021-11-25T17:14:17ZAll in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery10.3390/children81109902227-9067https://doaj.org/article/884a81d21f344259b2a6102232ee1f7f2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/990https://doaj.org/toc/2227-9067Background: Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perceived social support, emotional eating, food addiction and weight loss following surgery, with those whose parents have had surgery evidencing a stronger relationship between the psychosocial factors and weight loss as compared to their peers. Methods: Participants were 228 children and adolescents undergoing sleeve gastrectomy between 2014 and 2019 at one institution. Children and adolescents completed self-report measures of perceived family social support, emotional eating, and food addiction at their pre-surgical psychological evaluation. Change in body mass index (BMI) from pre-surgery to 3, 6, and 12 months post-surgery was assessed at follow-up clinic visits. Parents reported their surgical status as having had surgery or not. Results: There were no differences in perceived family support, emotional eating, or food addiction symptoms between those whose parents had bariatric surgery and those whose parents did not. There were some moderating effects of parent surgery status on the relationship between social support, emotional eating/food addiction, and weight loss following surgery. Specifically, at 3 months post-surgery, higher change in BMI was associated with lower perceived family support only in those whose parents had not had surgery. More pre-surgical food addiction symptoms were associated with greater weight loss at 3 months for those whose parents had not had surgery, whereas this finding was true only for those whose parents had surgery at 12 months post-surgery. Conclusions: Children and adolescents whose parents have had bariatric surgery may have unique associations of psychosocial factors and weight loss. More research is needed to determine mechanisms of these relationships.Eleanor R. MackeyMegan M. YorkEvan P. NadlerMDPI AGarticlebariatric surgerychildrenadolescentsparentspsychosocial factorsPediatricsRJ1-570ENChildren, Vol 8, Iss 990, p 990 (2021)
institution DOAJ
collection DOAJ
language EN
topic bariatric surgery
children
adolescents
parents
psychosocial factors
Pediatrics
RJ1-570
spellingShingle bariatric surgery
children
adolescents
parents
psychosocial factors
Pediatrics
RJ1-570
Eleanor R. Mackey
Megan M. York
Evan P. Nadler
All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
description Background: Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perceived social support, emotional eating, food addiction and weight loss following surgery, with those whose parents have had surgery evidencing a stronger relationship between the psychosocial factors and weight loss as compared to their peers. Methods: Participants were 228 children and adolescents undergoing sleeve gastrectomy between 2014 and 2019 at one institution. Children and adolescents completed self-report measures of perceived family social support, emotional eating, and food addiction at their pre-surgical psychological evaluation. Change in body mass index (BMI) from pre-surgery to 3, 6, and 12 months post-surgery was assessed at follow-up clinic visits. Parents reported their surgical status as having had surgery or not. Results: There were no differences in perceived family support, emotional eating, or food addiction symptoms between those whose parents had bariatric surgery and those whose parents did not. There were some moderating effects of parent surgery status on the relationship between social support, emotional eating/food addiction, and weight loss following surgery. Specifically, at 3 months post-surgery, higher change in BMI was associated with lower perceived family support only in those whose parents had not had surgery. More pre-surgical food addiction symptoms were associated with greater weight loss at 3 months for those whose parents had not had surgery, whereas this finding was true only for those whose parents had surgery at 12 months post-surgery. Conclusions: Children and adolescents whose parents have had bariatric surgery may have unique associations of psychosocial factors and weight loss. More research is needed to determine mechanisms of these relationships.
format article
author Eleanor R. Mackey
Megan M. York
Evan P. Nadler
author_facet Eleanor R. Mackey
Megan M. York
Evan P. Nadler
author_sort Eleanor R. Mackey
title All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
title_short All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
title_full All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
title_fullStr All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
title_full_unstemmed All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery
title_sort all in the family: child and adolescent weight loss surgery in the context of parental weight loss surgery
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/884a81d21f344259b2a6102232ee1f7f
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AT meganmyork allinthefamilychildandadolescentweightlosssurgeryinthecontextofparentalweightlosssurgery
AT evanpnadler allinthefamilychildandadolescentweightlosssurgeryinthecontextofparentalweightlosssurgery
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