References

Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. 2017. https//www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32129-3/fulltext

Family entropy: understanding the organization of the family home environment and impact on child health behaviors and weight. 2019. https//academic.oup.com/tbm/article-abstract/9/3/413/5489488

CHAOS in the Home Environment and Child Weight-Related Outcomes. 2021. https//www.jabfm.org/content/34/6/1163.full (cited 2022 Apr 22)

Effect of Media Use on Adolescent Body Weight. 2018. https//www.cdc.gov/pcd/issues/2018/18_0206.htm

Home Environment Factors and Health Behaviors of Low-income, Overweight, and Obese Youth. 2019. https//www.ingentaconnect.com/contentone/png/ajhb/2019/00000043/00000002/art00017 (cited 2019 Nov 23)

East P, Delker E, Blanco E, Burrows R, Lozoff B, Gahagan S. Home and Family Environment Related to Development of Obesity: A 21-Year Longitudinal Study. Childhood Obesity. 2019; 15:(3)156-166 https://doi.org/10.1089/chi.2018.0222

Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC). study. 2022. https://doi.org/10.1016/j.ssmph.2022.101127 (accessed 2022 Jul 28)

Gätjens I, Hasler M, di Giuseppe R, Bosy-Westphal A, Plachta-Danielzik S. Family and Lifestyle Factors Mediate the Relationship between Socioeconomic Status and Fat Mass in Children and Adolescents. Obesity Facts. 2020; 13:(6)596-607 https://doi.org/10.1159/000511927

Gmeinder R, Heldt K, Anneco Dintheer-ter Velde Büchter D, Brogle B, Schmid H, Laimbacher J, l'Allemand D. Home visits to identify the roles lifestyle and stress play in families of children with obesity. 2023; https://doi.org/10.1111/cob.12602

Gray LA, Hernandez Alava M, Kelly MP, Campbell MJ. Family lifestyle dynamics and childhood obesity: evidence from the millennium cohort study. BMC Public Health. 2018; 18:(1) https://doi.org/10.1186/s12889-018-5398-5

Harding S. Evaluation of Adherence to Childhood Obesity Guidelines and the Use of a Screening Tool in the Primary Care Setting. Pediatric Nursing. 2023; 49:(1)21-31

Early Childhood Obesity Risk Factors: Socioeconomic Adversity, Family Dysfunction, Offspring Distress, and Junk Food Self-Medication. 2018. https://doi.org/10.1007/s13679-018-0310-2

Henderson NN. Childhood Obesity: Improving Outcomes Through Primary Care-Based Interventions. Pediatric Nursing. 2021; 47:(6)267-274

Hruska V, Darlington G, Haines J, Ma DWL. Parent Stress as a Consideration in Childhood Obesity Prevention: Results from the Guelph Family Health Study, a Pilot Randomized Controlled Trial. Nutrients. 2020; 12:(6) https://doi.org/10.3390/nu12061835

Kininmonth AR, Schrempft S, Smith A, Dye L, Lawton C, Fisher A, Llewellyn CH, Fildes A. Associations between the home environment and childhood weight change: a cross-lagged panel analysis. International Journal of Obesity. 2022; 46:(9)1678-1685 https://doi.org/10.1038/s41366-022-01170-8

Krupsky KL, Parrott A, Andridge R, Zvara BJ, Keim SA, Anderson SE. A mixed methods analysis of environmental and household chaos: considerations for early-childhood obesity research. BMC Public Health. 2021; 21:(1) https://doi.org/10.1186/s12889-021-11936-w

Lindsay A, Wallington S, Lees F, Greaney M. Exploring How the Home Environment Influences Eating and Physical Activity Habits of Low-Income, Latino Children of Predominantly Immigrant Families: A Qualitative Study. International Journal of Environmental Research and Public Health. 2018; 15:(5) https://doi.org/10.3390/ijerph15050978

Min J, Xue H, Wang Y. Association between household poverty dynamics and childhood overweight risk and health behaviours in the United States: a 8-year nationally representative longitudinal study of 16 800 children. Pediatric Obesity. 2018; 13:(10)590-597 https://doi.org/10.1111/ijpo.12292

Rollins BY, Francis LA, Riggs NR. Family Psychosocial Assets, Child Behavioral Regulation, and Obesity. Pediatrics. 2022; 149:(3) https://doi.org/10.1542/peds.2021-052918

Childhood Obesity Foundation. Statistics – Childhood Obesity Foundation. 2019. https//childhoodobesityfoundation.ca/what-is-childhood-obesity/statistics/

Vaquera E, Jones R, Marí-Klose P, Marí-Klose M, Cunningham SA. Unhealthy weight among children in Spain and the role of the home environment. BMC Research Notes. 2018; 11:(1) https://doi.org/10.1186/s13104-018-3665-2

Hulst Van, Jayanetti Sujani, Sanson-Rosas Ana Maria, Harbec Marie-Josée, Kakinami L, Barnett TA, Henderson M. Adolescents' reports of chaos within the family home environment: Investigating associations with lifestyle behaviours and obesity. 2023; 18:(1)e0280737-e0280737 https://doi.org/10.1371/journal.pone.0280737

A prospective cohort study of the association between key family and individual factors and obesity status among youth. 2022. https://doi.org/10.1038/s41598-022-19585-8

World Health Organization. Obesity and Overweight. 2021. https//www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Looking at aspects of family dynamics that contribute to childhood obesity

02 October 2023
Volume 4 · Issue 5

Abstract

Childhood obesity has reached epidemic levels over the past 30 years and has become a global issue. As obesity can lead to multiple comorbidities, it is essential to gain a good understanding of possible contributing factors to help address it. This article looks at variables in family dynamics that are associated with childhood obesity.

Childhood obesity has become a pandemic. In 1975, the number of obese children, ages 7–19 years, was about 11 million, worldwide (Abarca-Gomez et al, 2017). In 2016, obesity in children, ages 5–19 years, increased to about 124 million, with an additional 213 million children being overweight (World Health Organization, 2021; Statistics – Childhood Obesity Foundation, 2019). In 2019–2020 it was estimated that 150 million children worldwide are obese, with 39 million being under the age of 5 years (World Health Organization, 2021; Childhood Obesity Foundation, 2019). Research shows that obesity can lead to multiple comorbidities and a shorter lifespan (Henderson, 2021). Studies have also documented ways in which parents (or families) can access free interventions to combat childhood obesity, yet the epidemic has shown little signs of decline in those with obesity (Henderson, 2021). Identifying the contributing factors to obesity may be key to creating an effective treatment plan and help address this issue. A more recent area of study in childhood obesity focuses on family dynamics, including family structure, family environment, and family functioning. How do these family dynamics contribute to, or affect childhood obesity?

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