Prevalence of Obesity Among Children and/or Grandchildren of Adult Bariatric Surgery Patients |
| |
Authors: | Jean J Bao Vikas Desai Katherine Kaufer Christoffel Patrick Smith-Ray Alex P Nagle |
| |
Institution: | (1) Pritzker School of Medicine, University of Chicago, Chicago, IL, USA;(2) University of Illinois College of Medicine at Chicago, Chicago, IL, USA;(3) Mary Ann and J. Milburn Smith Child Health Research Program, Children’s Memorial Research Center, 2300 Children’s Plaza #157, Chicago, IL 60614, USA;(4) Departments of Pediatrics and Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;(5) Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; |
| |
Abstract: | Background Clinical experience suggests that some adults who undergo bariatric surgery have children who are obese. Childhood obesity
is associated with increased morbidity and mortality in later life. This study examined the prevalence of obesity among children
and grandchildren (≤12 years of age) of adult bariatric surgery patients.
Methods Patients in a prospective database of morbidly obese patients who underwent bariatric surgery between January 2004 and May
2007 were recruited by phone and in clinic. Patient demographics, body mass index (BMI) at surgery, and survey data were collected.
The survey included questions regarding their child/grandchild's body habitus, weight, and height. Child obesity was defined
as BMI percentile ≥95. Statistical significance was set at p < 0.05.
Results One hundred twenty-two patients were enrolled in this study (77% women, mean BMI 49 kg/m2). One hundred thirty-four out of 233 children/grandchildren identified had complete data; 41% had a BMI percentile ≥95. Only
29% of these obese children were so identified by the adult respondents. Significantly more biological children/grandchildren
were obese than nonbiological (p = 0.013), and significantly more biological children were obese than biological grandchildren (p = 0.027).
Conclusions This sample of bariatric surgery patients had a high proportion of obese preteen children/grandchildren. Obesity was most
prevalent among biological children (vs. biological grandchildren and nonbiological children). Patients often did not recognize
the degree of overweight in their children/grandchildren. Because families of bariatric surgery patients often include obese
children, interventions aimed at all family members merit consideration. |
| |
Keywords: | Bariatric surgery Childhood obesity Weight perception |
本文献已被 SpringerLink 等数据库收录! |
|