Percepción parental de los factores relacionados con la obesidad y el sobrepeso en hijos/as adolescentesun estudio cualitativo

  1. Marta Elena Carrasco Solís 1
  2. Manuel Fernández Alcántara 2
  3. Mª Inmaculada Fernández Ávalos 2
  4. José María Gómez Vida 3
  5. Ricardo Pérez Iáñez 3
  6. Carolina Laynez Rubio 1
  1. 1 Consulta de Neuropsicología clínica, Unidad de Neurología, Neuropsicología, Neurodesarrollo y Psicología clínica, Servicio de Pediatría, Hospital Clínico San Cecilio PTS, Granada, España
  2. 2 Departamento de Psicología de la Salud, Universidad de Alicante, Alicante, España
  3. 3 Consulta de Endocrinología, Servicio de Pediatría, Hospital Clínico San Cecilio PTS, Granada, España
Erakutsi afiliazioak +
Aldizkaria:
Revista española de nutrición humana y dietética

ISSN: 2173-1292

Argitalpen urtea: 2022

Alea: 26

Zenbakia: 3

Orrialdeak: 178-188

Mota: Artikulua

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Beste argitalpen batzuk: Revista española de nutrición humana y dietética

Laburpena

Introduction: Childhood and adolescent obesity and overweight is associated with serious physical, psychological and social health complications. The aim of the present study was to explore in depth parents’ perceptions of factors associated with obesity and overweight in their adolescent children. Methodology: A descriptive phenomenological qualitative study was carried out through focus groups. Twenty-five mothers and fathers whose children were diagnosed with obesity or overweight who were under follow-up in the Paediatric Department of the Hospital Clínico San Cecilio (Spain) participated. Data analysis was performed with Atlas.ti 6.2 software through thematic analysis. Results: Lack of limit with food was perceived as a source of conflict and anxiety. The most common unhealthy lifestyle habits were sedentary, lack of time for cooking and skiping breakfast. Parents’ perceptions of the negative effects of obesity are related to traumatic events, effects on body image, isolation and discrimination and the occurrence of other diseases associated with excess weight. Modulating factors of eating behavior were observed such as the promotion of healthy habits in the school environment, awareness of the problem, meal planning, talking about the issue and the search for solutions. Conclusions: Parents encounter obstacles that hinder change and improvement in this population. Thus, it is necessary to address obesity and overweight as a multifactorial problem.

Erreferentzia bibliografikoak

  • (1) Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012; 307: 491-7: doi: 10.1001/jama.2012.39.
  • (2) Organización Mundial de la Salud [Internet]. España:Datos y cifras de obesidad infantil 2020. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
  • (3) Gasol Foundation [Internet] 2019. Disponible en: https://www.gasolfoundation.org/es/estudio-pasos/
  • (4) Álvarez-Amor L, Aguaded-Roldán MJ, Ezquerra-Cabrera M. La Alimentación familiar. Influencia del desarrollo y mantenimiento de los trastornos de la conducta alimentaria. Trastornos de la Conducta Alimentaria. 2014; 19: 2051-69: doi: https://doi.org/10.19230/jonnpr.3171
  • (5) Martínez-Villanueva J, González-Leal R, Argente J, Martos-Moreno GA. La obesidad parental se asocia con la gravedad de la obesidad infantil y de sus comorbilidades. Anales de Pediatría. 2019; 4; 224-31: doi: 10.1016/j.anpedi.2018.06.013.
  • (6) Douglas F, Clark J, Craig L, Campbell J, Mcneill G. “It’s a balance of just getting things right”:mothers’ views about pre-school childhood obesity and obesity prevention in Scotland. BMC Public Health. 2014; 14: 1-12: doi: https://doi.org/10.1186/1471-2458-14-1009.
  • (7) Harrison M, Brodribb W, Davies PSW, Hepworth J. Impact of maternal infant weight perception on infant feeding and dietary intake. Maternal and Child Health Journal. 2018.; 22:1135-45: doi:10.1007/s10995-018-2498-x
  • (8) Ziser K, Decker S, Stuber F, Herschbach A, Giel K, Kipfel S, Ehehalt S, Junne F. Barriers to Behavior Change in Parents With Overweight or Obese Chidres: A Qualitative Interview Study. Frontiers in Psychology. 2021; 12: 1-10: doi:10.3389/fpsyg.2021.631678
  • (9) Amigo I, Busto R, Pena E, Fernández C. Prevalencia de sobrepeso y obesidad en los niños de 9 y 10 años del Principado de Asturias: el sesgo de la valoración de los padres. Anales de Pediatría. 2013; 4: 1-11. doi: 10.1016/j.
  • (10) Chávez KL, Rodríguez J, Santos J, Segovia JG, Altamirano DC, Matías VM. Alteración de la percepción del estado nutricional por parte de padres de preescolares: un factor de riesgo para obesidad y sobrepeso. Archivos Argentinos de Pediatría. 2016; 3: 237-42: doi:10.5546/aap.2016.237
  • (11) Lora K, Cheney M, Branscum P. Hispanic mothers' views of the fathers' role in promoting healthy behaviors at home: Focus Group Findings. ournal of the Academy of Nutrition and Dietetics. 2017; 6: 914-22. doi:http://doi.org/10.1016/j.jand.2017.01.005.
  • (12) Matto KA, Shubayr M. Association between parental negligence in feeding and social activity of obese adults among jazan population. Nigerian Journal of Clinical Practice. 2021;10: 1356-67: doi:10.4103/njcp.njcp_553_19
  • (13) Harris HA, Jansen E, Rossi T. 'It's not worth the fight': Fathers' perceptions of family mealtime interactions, feeding practices and child eating behaviors. Appetite. 2020; 1;150:104642. doi: 10.1016/j.appet.2020.104642.
  • (14) Dallacker M, Hertwig R, Mata J. The frequency of family meals and nutritional health in children: a meta-analysis: Family meals and children's health. Obesity Review. 2018; 5:638-53. doi: 10.1111/obr.12659.
  • (15) Roberts KJ, Binns HJ, Vincent C, Koening MD. A Scoping Review: Family and Child Perspectives of Clinic-Basad Obesity Treatment. Journal of Pediatric Nursing. 2021; 57: 56-72. Doi: https://doi.org/10.1016/j.pedn.2020.10.025.
  • (16) Howitt, D. (2013). Introduction to qualitative methods in psychology. London: Pearson
  • (17) Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 2: 77-101. doi:10.1191/1478088706qp063oa
  • (18) Reichenberger J, Schnepper R, Arend AK, Blechert J. Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proceedings of the Nutrition Society. 2021; 3: 290-9. doi:10.1017/S0029665120007004
  • (19) Shriver LH, Dollar JM, Calkins SD, Keane SP, Shanahan L, Wideman L. Emotional Eating in Adolescence: Effects of Emotion Regulation, Weight Status and Negative Body Image. Nutrients 2021;1. doi:10.3390/nu13010079.
  • (20) Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neuroscience Biobehaval Reviews. 2020; 108: 771-80. doi: 10.1016/j.neubiorev.2019.12.025.
  • (21) Strien TV. Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports. 2018; 35: doi:10.1007/s11892-018-1000-x
  • (22) Pocock M, Trivedi D, Wills W, Bunn F, Magnusson J. Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies. Obesity Review. 2010; 5: 338-53. doi:10.1111/j.1467-789X.2009.00648.x
  • (23) Rodríguez-Oliveros G, Hainess J, Ortega-Altamirano D, Power E, Taveras EM, González-Unzaga MA, Reyes-Morales H. Obesity Determinants in Mexican Preschool Children: Parental Perceptions and Practices Related to Feeding and Physical Activity. Archives of Medical Research. 2011; 6: 532-9. doi:10.1016/j.arcmed.2011.10.006
  • (24) Horikawa C, Kodama S, Yachi Y, Heianza Y, Hirasawa R, Ibe Y, Saito K, Shimano H, Yamada N, Sone H. Skipping breakfast and prevalence of overweight and obesity in Asian and Pacific regions: A meta-analysis. Preventive Medicine. 2011; 4-5: 260-7. DOI:10.1016/j.ypmed.2011.08.030
  • (25) Freitas-Júnior I, Christofaro DGD, Codogno JS, Monteiro PA, Silveira LS, Fernandes RA. The association between skipping breakfast and biochemical variables in sedentary obese children and adolescents. The Journal of Pediatrics. 2012; 5: 871-4. doi: 10.1016/j.jpeds.2012.04.055
  • (26) Sahoo K, Sahoo B, Kumar-Choudhury A, Yasin-Sofi N, Kumar R, Singh-Bhadoria A. Childhood obesity: causes and consequences. Journal of Family Medicine and Primary Care. 2015; 2: 187–92. doi:10.4103/2249-4863.154628.
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