title: The association between weight loss in caregivers and adolescents in a treatment trial of adolescents with obesity.
abstract: OBJECTIVE
  The relationship between weight change in caregivers and their adolescents was evaluated following a randomized trial of lifestyle modification for adolescents, which included either a conventional diet or meal replacements.
  
  
  METHODS
  Adolescents (N = 113) had an M ± SD age of 15.0 ± 1.3 years (62% African American; 26% Caucasian, 12% other; 81% female) and body mass index of 37.1 ± 5.1 kg/m(2).
  
  
  RESULTS
  Mixed effects models yielded a significant association between percentage change in body mass index of caregivers and adolescents from baseline to months 4 and 12 (p = .01). When caregivers lost above the median (-1.67%) at month 4, their adolescents achieved a significantly greater loss at month 12 (-9.1 ± 1.3%) compared with adolescents whose caregivers lost less than the median (-4.3 ± 1.3%) (p = .003).
  
  
  CONCLUSIONS
  Engaging caregivers in their own weight loss efforts during adolescent weight loss treatment may improve adolescent weight loss.
authors: Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. xanthop@email.chop.edu
authors: Melissa S
authors: MS
authors: Xanthopoulos
authors: Reneé H
authors: RH
authors: Moore
authors: Thomas A
authors: TA
authors: Wadden
authors: Chanelle T
authors: CT
authors: Bishop-Gilyard
authors: Christine A
authors: CA
authors: Gehrman
authors: Robert I
authors: RI
authors: Berkowitz
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy / Q000628:therapy*; D016896:Treatment Outcome; D015431:Weight Loss / Q000502:physiology*
keywords: adolescent; behavioral intervention; caregiver; weight loss
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