Obesity

Understanding family dynamics of obesity: Do parents and children lose and gain weight together?

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

Parents and children have concordant weight trajectories, and public health interventions targeting both populations are essential.

Study context

Population
Parent-child dyads, NYC Health + Hospitals system, March 2020–December 2021; children mean (SD) baseline age 9.84 (3.51), 1889 female; 3220 parents, mean (SD) age 39.9 (8.51), 2988 female
Participants
3,821 parent-child dyads
Exposure
Parent vs child body mass index (BMI) category change; child mBMIz change by parental BMI category
Outcome
Association between parent and child undesirable BMI category change
Methodological detailsNYC Health + Hospitals system
  • NYC Health + Hospitals system

Main finding

As reported in the abstract

Undesirable BMI category change in children associated with concordant change in parents

Undesirable BMI change in children associated with concordant change in parents, aOR

1.7 (1.45, 2.01), adjusted p < 0.001 (95% CI)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted coef (95% CI)P value
Child annual mBMIz change by parental BMI categoryParental obesity vs Parental normal weight or underweight · greater mBMIz change with parental obesity0.076 (0.004–0.147)P < 0.038
Child annual mBMIz change by parental BMI categoryParental severe obesity vs Parental normal weight or underweight · greater mBMIz change with parental severe obesity0.1317 (0.024–0.239)adjusted p < 0.016

Overweight and obesity at presentation

Children with overweight and obesity
53.52%
Parents with overweight and obesity
81.94%

Original publication

Understanding family dynamics of obesity: Do parents and children lose and gain weight together? Pediatr Obes. Published 7 April 2024. doi:10.1111/ijpo.13097

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