title: [Treatment of obesity in a hospital endocrinology clinic. Influence of parental body mass index].
abstract: BACKGROUND
  Parental obesity is a risk factor for childhood obesity. The aim of this study was to determine if parental obesity influences the adherence and success of obesity treatment in a hospital paediatric endocrinology clinic.
  
  
  METHODS
  An analytical, prospective, longitudinal study was conducted on obese children aged 4-14. An initial body mass index (BMI), and again at 6 months after receiving health, hygiene and dietary recommendations. Success was considered as a decrease of 0.5 in the BMI Z-score, and adherence to attending the 6-month review. Parental BMI was determined to identify overweight. The χ(2) test was used for qualitative variables and the T-Student test for quantitative (significance, p<<.05).
  
  
  RESULTS
  The study included 100 children (52 male), 9.9±2.7 years old, BMI 28.1± 4.5kg/m(2) and BMI Z-Score 3.11±0.98. (85% had a BMI Z-score>3). More than half (59%) of the children had one or both parents obese (41 fathers and 37 mothers were obese). Treatment was not adhered to by 25 children. Adherence was worse if both parents were obese OR 3.65 (1.3 to 10.5) (P<=.01) and adherence was better if the mother was not obese, although the father was (P=.01). The treatment had significant success in 40 patients. If the mother was the only obese one in the family, the possibility of treatment failure was greater OR 5.6 (1.4 to 22.4) (P<.01) CONCLUSIONS: A high percentage of children with severe obesity have obese parents. The mother has an important influence on adherence and response to treatment for the severely obese child.
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España. Electronic address: lregsan@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Regueras Santos
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España.
authors.forename: A
authors.initials: A
authors.lastname: Díaz Moro
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España.
authors.forename: C
authors.initials: C
authors.lastname: Iglesias Blázquez
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España.
authors.forename: C
authors.initials: C
authors.lastname: Rodríguez Fernández
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España.
authors.forename: R
authors.initials: R
authors.lastname: Quiroga González
authors.affiliation: Instituto de Biomedicina (IBIOMED), Universidad de León, León, España.
authors.forename: J A
authors.initials: JA
authors.lastname: de Paz Fernández
authors.affiliation: Complejo Asistencial Universitario de León (CAULE), León, España; Instituto de Biomedicina (IBIOMED), Universidad de León, León, España.
authors.forename: L M
authors.initials: LM
authors.lastname: Rodríguez Fernández
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004704:Endocrinology; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009765:Obesity / Q000628:therapy*; D010290:Parents; D011446:Prospective Studies
keywords: Childhood obesity; Educación; Family obesity; Obesidad familiar; Obesidad infantil; Obesity therapy; Parental behaviour control; Tratamiento de la obesidad