Barriers to lose weight from the perspective of children with overweight/obesity and their parents: a sociocultural approach.
BACKGROUND
There are not enough studies about the barriers to lose weight from the perspective of children and their parents.


METHODS
Children and adolescents diagnosed with overweight/obesity in the Department of Endocrinology and their parents were invited to participate in a series of focus group discussions (FGD). Twenty-nine children 10-16 years old and 22 parents participated in 7 focus groups; 2 mothers and 2 adolescents participated in depth interviews. All interviews were recorded, transcribed, and analyzed through grounded theory.


RESULTS
Parents went to the hospital only when their children presented any obesity complication; for them, overweight was not a health problem. Parents referred to lack of time to supervise about a healthy diet and exercise; besides, the same parents, relatives, friends, and the mass media encourage the consumption of junk food. Children accepted eating a lot, not doing exercise, skipping meals, and not understanding overweight consequences. Both, parents and children, demanded support to do the time recommended for exercise inside the schools. They also suggested getting information from schools and mass media (TV) about overweight consequences, exercise, and healthy food by health workers; they recommended prohibiting announcements about junk food and its sale.


CONCLUSIONS
The barriers detected were lack of perception of being overweight, its identification as a disease and its consequences, lack of time to supervise a healthy lifestyle, and a big social influence to eat junk food.
Departamento de Investigación en Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Piso 2, Torre de Investigación, Montes Urales 800, Colonia Lomas de Virreyes, 11000 Miguel Hidalgo, Mexico City, DF, Mexico ; Departamento de Endocrinología, Hospital Infantil de México Federico Gómez, Mexico City, DF, Mexico.
Ana Lilia
AL
Rodríguez-Ventura
Departamento de Reumatología, Antropología, Médica Hospital General de México, Mexico City, DF, Mexico.
Ingris
I
Pelaez-Ballestas
Departamento de Investigación en Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Piso 2, Torre de Investigación, Montes Urales 800, Colonia Lomas de Virreyes, 11000 Miguel Hidalgo, Mexico City, DF, Mexico.
Reyna
R
Sámano-Sámano
Departamento de Investigación en Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Piso 2, Torre de Investigación, Montes Urales 800, Colonia Lomas de Virreyes, 11000 Miguel Hidalgo, Mexico City, DF, Mexico.
Carlos
C
Jimenez-Gutierrez
Departamento de Endocrinología, Instituto Nacional de Ciencias Médicas y de la Nutrición Salvador Zubirán, Mexico City, DF, Mexico.
Carlos
C
Aguilar-Salinas
D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D002648:Child; D053198:Child Nutrition Sciences / Q000193:education; D002664:Child Nutritional Physiological Phenomena; D004032:Diet / Q000379:methods; D037001:Directive Counseling / Q000379:methods*; D015444:Exercise; D005192:Family Health; D005247:Feeding Behavior / Q000208:ethnology / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008800:Mexico / Q000453:epidemiology / Q000208:ethnology; D009042:Motivation; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000193:education / Q000523:psychology; D063766:Pediatric Obesity / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology*; D057185:Sedentary Behavior; D012649:Self Concept; D012931:Social Environment