Pathways to eating in children and adolescents with obesity.
Adolescent
Appetite
/ physiology
Canada
/ epidemiology
Child
Child, Preschool
Comorbidity
Cross-Sectional Studies
Diet
Energy Intake
Exercise
Feeding Behavior
/ psychology
Feeding and Eating Disorders
/ epidemiology
Female
Humans
Male
Pediatric Obesity
/ epidemiology
Phenotype
Satiation
/ physiology
Surveys and Questionnaires
Weight Reduction Programs
Journal
International journal of obesity (2005)
ISSN: 1476-5497
Titre abrégé: Int J Obes (Lond)
Pays: England
ID NLM: 101256108
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
18
03
2018
accepted:
19
09
2018
revised:
09
09
2018
pubmed:
21
12
2018
medline:
23
4
2020
entrez:
21
12
2018
Statut:
ppublish
Résumé
Paediatric obesity management remains generalised to dietary and exercise modifications with an underappreciation for the contributions of eating behaviours and appetitive traits in the development of obesity. To determine whether treatment-seeking children and adolescents with obesity cluster into phenotypes based on known eating behaviours and appetitive traits ("eating correlates") and how socio-demographic and clinical characteristics associate with different phenotypes. A cross-sectional, multi-centre questionnaire was administered between November 2015 and March 2017 examining correlates of eating in children and adolescents attending weight-management programmes in Canada. Latent profile analysis was used to cluster participants based on seven eating correlate scores obtained from questionnaires. Analysis of variance (ANOVA) was used to determine phenotype differences on socio-demographic and clinical characteristics. Multinomial logistic regression models assessed relative risk of specific characteristics associating with a disordered eating phenotype. Participants were 247 children and adolescents (45.3% male, mean BMI z-score = 3.4 ± 1.0 kg/m Distinct eating phenotypes were found in treatment-seeking children and adolescents with obesity. Empirical evidence is needed, but these data suggest that tailored treatment approaches could be informed by these classifications to improve weight-management outcomes.
Sections du résumé
BACKGROUND
Paediatric obesity management remains generalised to dietary and exercise modifications with an underappreciation for the contributions of eating behaviours and appetitive traits in the development of obesity.
OBJECTIVES
To determine whether treatment-seeking children and adolescents with obesity cluster into phenotypes based on known eating behaviours and appetitive traits ("eating correlates") and how socio-demographic and clinical characteristics associate with different phenotypes.
METHODS
A cross-sectional, multi-centre questionnaire was administered between November 2015 and March 2017 examining correlates of eating in children and adolescents attending weight-management programmes in Canada. Latent profile analysis was used to cluster participants based on seven eating correlate scores obtained from questionnaires. Analysis of variance (ANOVA) was used to determine phenotype differences on socio-demographic and clinical characteristics. Multinomial logistic regression models assessed relative risk of specific characteristics associating with a disordered eating phenotype.
RESULTS
Participants were 247 children and adolescents (45.3% male, mean BMI z-score = 3.4 ± 1.0 kg/m
CONCLUSIONS
Distinct eating phenotypes were found in treatment-seeking children and adolescents with obesity. Empirical evidence is needed, but these data suggest that tailored treatment approaches could be informed by these classifications to improve weight-management outcomes.
Identifiants
pubmed: 30568266
doi: 10.1038/s41366-018-0271-2
pii: 10.1038/s41366-018-0271-2
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1193-1201Subventions
Organisme : CIHR
ID : MOP = 123505
Pays : Canada
Commentaires et corrections
Type : ErratumIn
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