[Treatment of obesity in a hospital endocrinology clinic. Influence of parental body mass index].

Autor:	Regueras Santos L; Complejo Asistencial Universitario de León (CAULE), León, España. Electronic address: lregsan@gmail.com., Díaz Moro A; Complejo Asistencial Universitario de León (CAULE), León, España., Iglesias Blázquez C; Complejo Asistencial Universitario de León (CAULE), León, España., Rodríguez Fernández C; Complejo Asistencial Universitario de León (CAULE), León, España., Quiroga González R; Complejo Asistencial Universitario de León (CAULE), León, España., de Paz Fernández JA; Instituto de Biomedicina (IBIOMED), Universidad de León, León, España., Rodríguez Fernández LM; Complejo Asistencial Universitario de León (CAULE), León, España; Instituto de Biomedicina (IBIOMED), Universidad de León, León, España.
Jazyk:	Spanish; Castilian
Zdroj:	Anales de pediatria (Barcelona, Spain : 2003) [An Pediatr (Barc)] 2015 Nov; Vol. 83 (5), pp. 297-303. Date of Electronic Publication: 2015 Jan 21.
DOI:	10.1016/j.anpedi.2014.11.019
Abstrakt:	Introduction: Parental obesity is a risk factor for childhood obesity. The aim of this study was to determine if parental obesity influences the adherence and success of obesity treatment in a hospital paediatric endocrinology clinic. Material and Methods: An analytical, prospective, longitudinal study was conducted on obese children aged 4-14. An initial body mass index (BMI), and again at 6 months after receiving health, hygiene and dietary recommendations. Success was considered as a decrease of 0.5 in the BMI Z-score, and adherence to attending the 6-month review. Parental BMI was determined to identify overweight. The χ(2) test was used for qualitative variables and the T-Student test for quantitative (significance, p<<.05). Results: The study included 100 children (52 male), 9.9±2.7 years old, BMI 28.1± 4.5kg/m(2) and BMI Z-Score 3.11±0.98. (85% had a BMI Z-score>3). More than half (59%) of the children had one or both parents obese (41 fathers and 37 mothers were obese). Treatment was not adhered to by 25 children. Adherence was worse if both parents were obese OR 3.65 (1.3 to 10.5) (P<=.01) and adherence was better if the mother was not obese, although the father was (P=.01). The treatment had significant success in 40 patients. If the mother was the only obese one in the family, the possibility of treatment failure was greater OR 5.6 (1.4 to 22.4) (P<.01) CONCLUSIONS: A high percentage of children with severe obesity have obese parents. The mother has an important influence on adherence and response to treatment for the severely obese child. (Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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