KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Pediatric Obesity Consequences and Interventions: Characteristics Associated with Successful Weight Management in Children and Adolescents with Obesity

    Thumbnail
    View/Open
    Available after: 2023-05-31 (3.304Mb)
    Issue Date
    2021-05-31
    Author
    Alnaim, Lubna
    Publisher
    University of Kansas
    Format
    124 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Dietetics & Nutrition
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    Over the past three decades, pediatric obesity rates have tripled in the United States and affected 18.5% of children and adolescents. Obesity can affect all aspects of children and adolescents' life including their physical and psychological health. Lifestyle modification interventions that target behavior change for weight loss are effective treatments for obesity. Despite the effectiveness of these interventions, there is variability in weight loss among individuals, with some children being more successful with weight loss outcomes. There is a lack of consistent baseline factors to assist in identifying for whom these behavioral interventions may be most effective as a treatment for obesity. This dissertation is aimed to investigate the factors associated with better treatment outcomes and to create awareness among health care professionals regarding the need for individualized intervention for treating youth with severe obesity. The current series of studies were conducted to 1) investigate the impact of pediatric metabolic syndrome and obesity on the development of type 2 diabetes and cardiovascular diseases, 2) identify the factors that can influence weight management interventions for successful weight reduction among children and adolescents with obesity, and 3) examine the potential relation between executive function and obesity-related behaviors and the effect of executive function on the treatment outcomes among adolescent bariatric candidates. Results from Study 1 demonstrate that nearly 13% of children and adolescents with obesity and metabolic syndrome developed at least one of the associated diseases including hypertension, cardiovascular diseases, or type 2 diabetes later in their childhood or adolescence. The number of metabolic syndrome factors was significantly associated with the disease risk and the duration of being diagnosed with the diseases. The results from Study 2 showed that among all the potential factors, early weight loss response was the strongest predictor of treatment response for weight reduction at 6 months. These findings suggest that children and adolescents who lose more weight initially during treatment will continue to lose significantly more weight post-intervention. Findings from Study 3 revealed that executive function is associated with multiple obesity-related behaviors in adolescents with severe obesity during a bariatric preoperative intervention. Candidates with poorer executive function skills in daily life reported higher dysregulated eating behaviors, lower physical activity levels, and less confidence in resisting overeating. Overall, these findings highlight the importance of early evaluation of individual and treatment-level factors associated with weight loss, facilitating individualized intervention, and improved long-term outcomes.
    URI
    http://hdl.handle.net/1808/31763
    Collections
    • Dissertations [4321]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps