Weight Loss Trajectories and Adverse Childhood Experience among Obese Adolescents with Polycystic Ovary Syndrome
| Autor: | Emily Seiler, Nermeen E. El Nokali, Heather L. McCauley, Elizabeth Miller, Lovie J. Jackson Foster, Dana L. Rofey |
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| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Adolescent 030209 endocrinology & metabolism Psychological Trauma Body Mass Index Life Change Events 03 medical and health sciences Adolescent medicine 0302 clinical medicine Weight loss Weight Loss Weight management medicine Humans Outpatient clinic Obesity Prospective Studies Family history Exercise 030219 obstetrics & reproductive medicine business.industry Mental Disorders Body Weight Obstetrics and Gynecology General Medicine Polycystic ovary Weight Reduction Programs Mood Pediatrics Perinatology and Child Health Female medicine.symptom business Body mass index Polycystic Ovary Syndrome |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 31:372-375 |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/j.jpag.2018.03.001 |
| Popis: | Study Objective To examine the effect of childhood trauma and family history of psychiatric illness on weight loss trajectories of obese, female adolescents with polycystic ovary syndrome (PCOS). Design Prospective study. Setting PCOS and adolescent medicine outpatient clinics. Participants Participants were, on average, 15.8 years of age, 80% Caucasian (39/49 participants), and had a body mass index of 36.8 ± 8.8. Interventions Healthy Bodies, Healthy Minds is an evidence-based one-on-one intervention consisting of 4 weekly sessions, 4 biweekly sessions, and 3 monthly booster sessions. Each session was 45-60 minutes long with 15-30 minutes of physical activity with a lifestyle coach. Main Outcome Measures Paired sample t tests were used to assess group differences in pre- and post-treatment weight between participants reporting childhood trauma and body mass index-matched controls not endorsing trauma. One-way analysis of variance was performed to assess the influence of childhood trauma on weight loss between the 2 groups. Results Adolescents without a family history of psychiatric illness lost more weight (mean, −1.28 kg; SD, 6.89) than those who had a family history of psychiatric illness (mean, −0.64 kg; SD, 4.7) from baseline to booster session completion (6 months). However, results of independent t tests did not reveal statistically significant group differences in weight loss from baseline to booster session completion (t21 = 0.51; P = .6). Conclusion Obese adolescents with PCOS who have experienced childhood trauma can lose weight and acquire its health benefits when enrolled in an intervention addressing weight, mood, and sleep. Family history of psychiatric illness emerged as a potential predictor of lesser weight loss. |
| Databáze: | OpenAIRE |
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