Association of Children’s Obesity With the Quality of Parental-Child Attachment and Psychological Variables.

Association of children’s obesity with the quality of parental-child attachment and psychological variables.

Acta Paediatr. 2013 Apr 22;
Bahrami F, Kelishadi R, Jafari N, Kaveh Z, Isanejad O

AIM: This study aimed to investigate the association of children’s obesity with parental attachment and psychological variables as impulsivity, self-control and efficiency of eating control. METHODS: This cross-sectional study was conducted among 202 obese students aged 9-13 years selected by multistage cluster sampling from different areas of Isfahan, Iran. Three questionnaires were considered to be answered by the students and one for their parents. The students completed the following questionnaires: (i) Inventory of Parent and Peer Attachment-Revised version for Children (IPPA-R); (ii) Impulsivity Scale (IS); (iii) Efficiency of Eating Control; and (iv) Self-control Rating Scale (SCRS). RESULTS: The quality of children’s attachment had direct effects on self-efficacy of eating management and on obesity by mediating of self-efficacy of eating. Moreover, attachment had direct effect on self-control and impulsivity, and in turn through these psychological variables, it had indirect effects on self-efficacy of eating management. CONCLUSION: The findings of this study underscore the importance of parent-child attachment quality. It can be suggested that childhood obesity can be prevented and managed with creating a secure attachment bond between children and parents and increasing perceived self-efficacy eating management in children. HubMed – eating


Weight loss expectations and body dissatisfaction in young women attempting to lose weight.

J Hum Nutr Diet. 2013 Apr 19;
Siervo M, Montagnese C, Muscariello E, Evans E, Stephan BC, Nasti G, Papa A, Iannetti E, Colantuoni A

BACKGROUND: Unrealistic weight loss expectations (WLEs) and greater body dissatisfaction may be associated with the poor long-term outcomes of dietary and lifestyle weight loss treatments. We evaluated the association between body size, WLEs and body dissatisfaction in young women attempting to lose weight. METHODS: Forty-four young healthy women [age range 18-35 years, body mass index (BMI) range 23-40 kg/m(2) ] were recruited. Women were classified as obese (BMI ? 30.0 kg/m(2) ) and non-obese (BMI <30.0 kg/m(2) ). The Body Dissatisfaction scale of the Eating Disorder Inventory-2 and the Body Image Assessment for Obesity silhouette charts were used to assess body dissatisfaction. WLEs were categorised according to personal (ideal, happiness, satisfaction, weight history), lifestyle (fitness) and social (career, family acceptance, peer acceptance, mass media, social pressure) factors. Individual WLEs were compared with recommended clinical targets (5%, 10% and 20%) for weight loss. RESULTS: Body dissatisfaction was lower in non-obese subjects and was directly associated with BMI (P < 0.05). WLEs were directly associated with BMI and the obese group reported greater expectations. Five non-obese subjects (23%) desired to lose more than 20% of their body weight, whereas the proportion was significantly higher in the obese group (17 subjects; 74%). Subjects derived the greatest WLEs from mass media, whereas they perceived that family and friends were supportive of a lesser degree of weight loss. CONCLUSIONS: We observed a mismatch between clinical and personal expectations, and social pressure and interpersonal relationships appear to have a prominent role with respect to influencing the association. HubMed – eating


Decoding anorexia: how breakthroughs in science offer hope for eating disorders.

Eat Disord. 2013; 21(3): 285-6
Johnston J

HubMed – eating