TY - JOUR
T1 - Eating behaviors and quality of life in preadolescents at risk for obesity with and without abdominal pain
AU - Crowell, Michael D.
AU - Murphy, Tasha B.
AU - Levy, Rona L.
AU - Langer, Shelby L.
AU - Kunin-Batson, Alicia
AU - Seburg, Elisabeth M.
AU - Senso, Meghan
AU - Sherwood, Nancy E.
N1 - Publisher Copyright:
© 2015 by ESPGHAN and NASPGHAN.
PY - 2015/2/6
Y1 - 2015/2/6
N2 - OBJECTIVES:: We evaluated eating behaviors and quality of life (QOL) in preadolescent children at risk for obesity, with and without abdominal pain (AP). METHODS:: Participants were parent-child dyads enrolled in a randomized, controlled obesity prevention trial. The children were between 5 and 10 years of age and at risk for obesity (70th-95th percentile of body mass index, n=420). Parents completed measures of their child?s eating behaviors, QOL, AP, and bowel function and their own depression status, concern about child weight, and feeding practices. Children?s height and weight were also measured. RESULTS:: Children with frequent AP (≥2/month, n=103) were compared with children reporting infrequent AP (<2/month, n=312). Age and body mass index did not differ between groups, but AP was more prevalent in girls. Child emotional overeating and parental depression scores were higher in the frequent AP group (P<0.01), and child QOL was lower (P<0.01). In multivariable analysis, female gender (odds ratio [OR] 2.18, 95% confidence interval [CI] 1.20-3.97), emotional overeating (OR 2.28, 95% CI 1.37-3.81), and parental depression (OR 1.23, 95% CI 1.12-1.35) were associated with more frequent AP. Secondary analyses were completed for children who met Rome III criteria for irritable bowel syndrome. CONCLUSIONS:: Clinicians working with children with AP at risk for obesity should consider assessing for and, when appropriate, addressing parent and child factors that could exacerbate AP.
AB - OBJECTIVES:: We evaluated eating behaviors and quality of life (QOL) in preadolescent children at risk for obesity, with and without abdominal pain (AP). METHODS:: Participants were parent-child dyads enrolled in a randomized, controlled obesity prevention trial. The children were between 5 and 10 years of age and at risk for obesity (70th-95th percentile of body mass index, n=420). Parents completed measures of their child?s eating behaviors, QOL, AP, and bowel function and their own depression status, concern about child weight, and feeding practices. Children?s height and weight were also measured. RESULTS:: Children with frequent AP (≥2/month, n=103) were compared with children reporting infrequent AP (<2/month, n=312). Age and body mass index did not differ between groups, but AP was more prevalent in girls. Child emotional overeating and parental depression scores were higher in the frequent AP group (P<0.01), and child QOL was lower (P<0.01). In multivariable analysis, female gender (odds ratio [OR] 2.18, 95% confidence interval [CI] 1.20-3.97), emotional overeating (OR 2.28, 95% CI 1.37-3.81), and parental depression (OR 1.23, 95% CI 1.12-1.35) were associated with more frequent AP. Secondary analyses were completed for children who met Rome III criteria for irritable bowel syndrome. CONCLUSIONS:: Clinicians working with children with AP at risk for obesity should consider assessing for and, when appropriate, addressing parent and child factors that could exacerbate AP.
KW - abdominal pain
KW - adolescent
KW - eating behaviors
KW - obesity
KW - overweight
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U2 - 10.1097/MPG.0000000000000585
DO - 10.1097/MPG.0000000000000585
M3 - Article
C2 - 25272321
AN - SCOPUS:84922320283
SN - 0277-2116
VL - 60
SP - 217
EP - 223
JO - Journal of Pediatric Gastroenterology and Nutrition
JF - Journal of Pediatric Gastroenterology and Nutrition
IS - 2
ER -