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3503 Restrictive feeding and excessive hunger in young children with obesity: A case series

OBJECTIVES/SPECIFIC AIMS: The purpose of this case series is to show how helping parents instill a non-restrictive, structure-based (i.e., authoritative) approach to feeding is useful in addressing family food conflicts in a clinical child obesity treatment program. METHODS/STUDY POPULATION: Case re...

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Autores principales: Eagleton, Sally Grace, Brown, Callie L., Moses, Melissa J., Skelton, Joseph A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799614/
http://dx.doi.org/10.1017/cts.2019.259
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author Eagleton, Sally Grace
Brown, Callie L.
Moses, Melissa J.
Skelton, Joseph A.
author_facet Eagleton, Sally Grace
Brown, Callie L.
Moses, Melissa J.
Skelton, Joseph A.
author_sort Eagleton, Sally Grace
collection PubMed
description OBJECTIVES/SPECIFIC AIMS: The purpose of this case series is to show how helping parents instill a non-restrictive, structure-based (i.e., authoritative) approach to feeding is useful in addressing family food conflicts in a clinical child obesity treatment program. METHODS/STUDY POPULATION: Case reports are presented for 3 young children (two 8-year-old males and one 7-year-old female) with obesity (BMI ≥ 95(th) percentile for age and sex). Patients underwent family-based treatment at Brenner FIT® (Families In Training), an interdisciplinary tertiary weight management clinic. RESULTS/ANTICIPATED RESULTS: All patients experienced a period of rapid weight gain and/or severe onset obesity. Parents reported a combination of problematic eating behaviors (e.g., sneaking food, frequent complaints of hunger, vomiting from rapid consumption). Families implemented structure-based feeding with a meal-snack schedule and allowed children to eat until they were full from the food provided at meal-snack times. BMI z-score decreased from 2.19 to 2.07 in patient 1 and from 2.43 to 2.09 in patient 2 (follow-up weight was not available for patient 3). DISCUSSION/SIGNIFICANCE OF IMPACT: The improvements observed by our clinical program after families lifted restriction and instituted authoritative feeding is anecdotal evidence for the ecological validity of existing empirical work. Randomized controlled trials are needed to examine causality.
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spelling pubmed-67996142019-10-28 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series Eagleton, Sally Grace Brown, Callie L. Moses, Melissa J. Skelton, Joseph A. J Clin Transl Sci Mechanistic Basic to Clinical OBJECTIVES/SPECIFIC AIMS: The purpose of this case series is to show how helping parents instill a non-restrictive, structure-based (i.e., authoritative) approach to feeding is useful in addressing family food conflicts in a clinical child obesity treatment program. METHODS/STUDY POPULATION: Case reports are presented for 3 young children (two 8-year-old males and one 7-year-old female) with obesity (BMI ≥ 95(th) percentile for age and sex). Patients underwent family-based treatment at Brenner FIT® (Families In Training), an interdisciplinary tertiary weight management clinic. RESULTS/ANTICIPATED RESULTS: All patients experienced a period of rapid weight gain and/or severe onset obesity. Parents reported a combination of problematic eating behaviors (e.g., sneaking food, frequent complaints of hunger, vomiting from rapid consumption). Families implemented structure-based feeding with a meal-snack schedule and allowed children to eat until they were full from the food provided at meal-snack times. BMI z-score decreased from 2.19 to 2.07 in patient 1 and from 2.43 to 2.09 in patient 2 (follow-up weight was not available for patient 3). DISCUSSION/SIGNIFICANCE OF IMPACT: The improvements observed by our clinical program after families lifted restriction and instituted authoritative feeding is anecdotal evidence for the ecological validity of existing empirical work. Randomized controlled trials are needed to examine causality. Cambridge University Press 2019-03-27 /pmc/articles/PMC6799614/ http://dx.doi.org/10.1017/cts.2019.259 Text en © The Association for Clinical and Translational Science 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Mechanistic Basic to Clinical
Eagleton, Sally Grace
Brown, Callie L.
Moses, Melissa J.
Skelton, Joseph A.
3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title_full 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title_fullStr 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title_full_unstemmed 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title_short 3503 Restrictive feeding and excessive hunger in young children with obesity: A case series
title_sort 3503 restrictive feeding and excessive hunger in young children with obesity: a case series
topic Mechanistic Basic to Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6799614/
http://dx.doi.org/10.1017/cts.2019.259
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