title: Overweight and obese children: mothers' strategies.
abstract: OBJECTIVE
  This paper reports a study exploring the strategies a group of mothers of overweight and obese children were using and planned to use in the future to assist their children to achieve a healthy weight.
  
  
  BACKGROUND
  Over the past two decades, the prevalence of childhood obesity has grown exponentially to become a major public health concern. Extant literature suggests that childhood obesity is associated with a range of physical, social and psychological effects, including poor self-esteem, depression, social isolation, and cardio-vascular and other morbidity. Parents are known to be important in determining early eating and exercise habits, and their involvement is crucial to achieving positive child health outcomes.
  
  
  METHODS
  An exploratory-descriptive design informed by feminist research principles shaped the study, which was carried out in 2003-2004. Eleven mothers meeting the inclusion criteria took part in in-depth interviews. These were transcribed, and qualitatively analysed.
  
  
  RESULTS
  Participants revealed sound understandings of the concept and ramifications of obesity. They had initiated a range of strategies including role modelling, developing opportunities for increased physical activity, reducing the use of junk food, and heightened awareness of how they used food. Participants viewed the problem as a family rather than an individual problem, and aimed many of the interventions at the entire family to avoid targeting the focus child.
  
  
  CONCLUSIONS
  Further research into how childhood obesity is managed within the context of family life is needed. Specifically, additional perspectives on how mothers from various socio-cultural groups address childhood obesity within family life, and longitudinal studies to explore the efficacy and sustainability of family-based lifestyle changes that are made in response to concerns about child weight issues. Additional research to explore the type and nature of family support that can best assist families to achieve sustainable lifestyle improvements is needed.
authors.affiliation: School of Nursing, Family and Community Health, University of Western Sydney, New South Wales, Australia. debra.jackson@uws.edu.au
authors.forename: Debra
authors.initials: D
authors.lastname: Jackson
authors.forename: Judy
authors.initials: J
authors.lastname: Mannix
authors.forename: Pat
authors.initials: P
authors.lastname: Faga
authors.forename: Glenda
authors.initials: G
authors.lastname: McDonald
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D001364:Awareness; D002648:Child; D002675:Child, Preschool; D004032:Diet; D005190:Family; D005247:Feeding Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000523:psychology; D009765:Obesity / Q000628:therapy*; D013177:Sports; D016138:Walking