Preventing Chronic Disease | Joint Influence of Individual Choices, Parenting Practices, and Physician Advice on Adolescent Obesity, Nebraska, 2008 - CDC

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Preventing Chronic Disease | Joint Influence of Individual Choices, Parenting Practices, and Physician Advice on Adolescent Obesity, Nebraska, 2008 - CDC

Joint Influence of Individual Choices, Parenting Practices, and Physician Advice on Adolescent Obesity, Nebraska, 2008

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Hongmei Wang, PhD; Jungyoon Kim, PhD; Dejun Su, PhD; Liyan Xu, MD; Li-Wu Chen, PhD; Terry T-K. Huang, PhD

Suggested citation for this article: Wang H, Kim J, Su D, Xu L, Chen L, Huang TT. Joint Influence of Individual Choices, Parenting Practices, and Physician Advice on Adolescent Obesity, Nebraska, 2008. Prev Chronic Dis 2014;11:140210. DOI:http://dx.doi.org/10.5888/pcd11.140210.

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Abstract

Introduction

Reducing childhood obesity remains a public health priority given its high prevalence and its association with increased risk of adult obesity and chronic diseases. The objective of this study was to examine the joint influence of multiple risk factors on adolescent overweight status.

Methods

We conducted a random-digit-dialed telephone survey of adolescents aged 12 to 19 years in fall 2008 in a Midwestern city in Nebraska. On the basis of survey data for 791 youths aged 12 to 18 years, we conducted latent class analysis to group youths by the joint occurrence of dietary behavior, physical activity, parenting practices, and physician advice. We then examined the association between the groups and overweight status by using logistic regression, controlling for age, sex, race/ethnicity, and parent and family information.

Results

Youths were clustered into 3 groups. Group I (52%) were youths with healthy dietary behavior and physical activity, less permissive parenting practices, and physician advice; Group II (30%) were youths with moderately healthy dietary behavior and physical activity, less permissive parenting practices, and no physician advice; and Group III (18%) were youths with unhealthy dietary behavior and physical activity, permissive parenting practices, and physician advice. Youths in Groups I and II were less likely to be overweight than youths in Group III.

Conclusions

Youths with healthier behavior and less permissive parenting practices were less likely to be overweight. Study findings highlight the need to address obesity risk factors among youths with unhealthy dietary behavior, inadequate exercise, permissive parenting practices, and some physician advice. Tailored interventions should be used to target youths with different obesity risk factors.

Acknowledgments

This project was commissioned by Live Well Omaha Kids and funded by Alegent Health.

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Author Information

Corresponding Author: Hongmei Wang, PhD; Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE 68198-4350. Telephone: 402-559-9413. E-mail: hongmeiwang@unmc.edu.

Author Affiliations: Jungyoon Kim, Dejun Su, Li-Wu Chen, University of Nebraska Medical Center, Omaha, Nebraska; Liyan Xu, Creighton University, Omaha, Nebraska; Terry T-K Huang, City University of New York School of Public Health, New York, New York. At the time this article was written, Drs. Xu and Huang were affiliated with the University of Nebraska Medical Center, Omaha, Nebraska.

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