title: Targeting parents for the treatment of pediatric obesity in boys with Duchenne muscular dystrophy: a case series.
abstract: Obesity is a major public health concern in children. Obesity occurs frequently in boys with Duchenne muscular dystrophy (DMD), complicating treatment and impairing functioning. Parent-focused interventions to facilitate weight loss have been successful in other pediatric samples but have not been studied with this population. The current investigation examined the feasibility and potential efficacy of parent-focused treatment to improve healthy eating and physical activity of parents and eating and weight in their sons with DMD. Three families participated in this case series. Resulting changes in body weight among boys with DMD were an outcome variable. Findings indicate inconsistent changes in boys' weight, decreases in parent weight, increases in healthy foods available in the home, and increases in children's perceived quality of life. Participant ratings of treatment suitability and satisfaction were generally favorable. These preliminary findings support the use of parent-focused psychoeducation for the treatment of obesity in children with DMD.
authors.affiliation: Department of Psychiatry, University of Minnesota, 606 24th Ave. S., Suite 602, Minneapolis, MN 55454, USA. ariki002@umn.edu
authors.forename: A
authors.initials: A
authors.lastname: Arikian
authors.forename: K
authors.initials: K
authors.lastname: Boutelle
authors.forename: C B
authors.initials: CB
authors.lastname: Peterson
authors.forename: J
authors.initials: J
authors.lastname: Dalton
authors.forename: J W
authors.initials: JW
authors.lastname: Day
authors.forename: S J
authors.initials: SJ
authors.lastname: Crow
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight; D002648:Child; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000150:complications*; D009765:Obesity / Q000150:complications / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D010287:Parent-Child Relations; D010290:Parents; D010353:Patient Education as Topic; D011795:Surveys and Questionnaires; D015431:Weight Loss