Friday, December 2, 2011

 

Acceptability of weight loss treatments among overweight adolescents a

Obesity is a growing epidemic in the United States and has been linked to impairments in physical and psychosocial functioning. Consequently, treatments for obesity have flourished and health care professionals have increasingly turned to more invasive forms of treatment (eg, bariatric surgery). In recent years, the availability of surgical obesity interventions has been extended from adults to adolescent populations. However, research examining the extent to which these procedures are acceptable to overweight adolescents and their parents is lacking. This study sought to examine the acceptability of adjustable gastric banding, a recently developed bariatric surgery procedure, in relation to four other common obesity treatments (ie, dietary therapy, exercise program, family behavior therapy, and weight loss pills). Participants were recruited from a hospital-based weight management clinic. Inasmuch as acceptance is the basis for effective intervention programs, an understanding of adolescent and parental perspectives about obesity treatments in required to inform future weight loss program strategies. Results indicated that across informants (parents and children, boys and girls) gastric banding surgery and weight loss pills were perceived as less acceptable forms of treatment than diet, exercise, and family behavior therapy. There was also no significant correlation between treatment acceptability ratings and body mass index (BMI), health-related quality of life, or number of previously attempted weight loss strategies. Thus, although the number of bariatric surgeries occurring in the United States is on the rise and although gastric banding surgery in particular is being touted as a safer form of bariatric surgery, parents and children perceive this form of treatment to be less acceptable than other weight loss treatments on the market. Further exploration of the factors that influence parents' and children's negative perceptions of gastric banding surgery is warranted because health professionals may have a difficult time encouraging even the most appropriate candidates to consider the surgery if acceptability for the procedure is low.

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