Evaluating Changes in Family Functioning following the Shapedown Program

Abstract

Obesity is the scourge of a large percentage of American youths today imposing devastating health consequences. Poor family functioning has been associated with being overweight among adolescents. Family-based weight management programs that enhance family functioning while providing nutritional and exercise counseling may be beneficial. Improved family functioning (cohesion, conflict, moral religious emphasis) may be associated with lower familial stress which may improve lifestyle habits and thereby reduce obesity and its risk factors. Shapedown is an eight-week weight management program for overweight children and adolescents designed to help improve nutrition, physical activity habits and family functioning by incorporating cognitive, behavioral, affective, and relationship techniques. Previous research has not investigated whether changes in weight and other risk factors following participation in the program are related to any family function change. The current study assessed perceived family functioning among overweight adolescents and evaluated the Shapedown program to assess the relationship between changes in family functioning scores and in anthropometric measures (BMI and waist-hip ratio). Fifty-six, predominantly Hispanic overweight adolescents, aged 10–16 years, participated in Shapedown interventions in San Mateo County, California. This study uncovered differences in overweight adolescents’ perceived family functioning as it relates to parents marital status, age, family size, and race. The Shapedown intervention was associated with reduced BMI and decreased waist-hip-ratio among overweight adolescents, however, this study did not find a correlation between changes in BMI and changes in family functioning nor changes in waist-hip ratio and family functioning