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Change in Children's Self-Concept, Body-Esteem, and Eating Attitudes Before and 4 Years After Maternal RYGB
Department of Public Health Sciences, Karolinska Institutet, Social Medicine, Stockholm, Sweden; Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
epartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-9567-0773
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden.
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2018 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 28, no 10, p. 3276-3283Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: The aim of the present study was to look at longitudinal changes in children's self-concept, body-esteem, and eating attitudes before and 4 years after maternal RYGB surgery.

METHODS: Sixty-nine women and 81 appurtenant children were recruited from RYGB waiting lists at 5 hospitals in Sweden. Families were visited at home pre-surgery, 9 months, and 4 years post-maternal RYGB to measure BMI. Furthermore, all participating family members completed questionnaires. Mothers' questionnaires measured eating behavior, depression, anxiety, and sleep quality, and children's questionnaires measured body-esteem, self-concept, and eating attitudes.

RESULTS: Thirty-five/sixty-nine mothers and 43/81 children participated in all 3 measurements. Mothers reduced their BMI from pre-surgery (39.2) to 9 months (27.0) and 4 years post-surgery (27.4). Children's prevalence of overweight/obesity was lower 9 months post-surgery (48.8%) but at the same levels again 4 years post-surgery (58.1%), compared to pre-surgery (58.1%). The same rebound pattern was seen among children's eating attitudes, mothers' symptoms of depression and anxiety, and sleep quality. We found no correlations between mothers' BMI or eating behavior and children's BMI or eating behavior.

CONCLUSION: Children's prevalence of overweight/obesity and eating attitudes improves soon after their mothers' RYGB, but then return to pre-surgery levels at 4 years post-surgery, as do mothers' sleep quality and symptoms of depression and anxiety, even though their weight loss was maintained.

Place, publisher, year, edition, pages
2018. Vol. 28, no 10, p. 3276-3283
Keywords [en]
Bariatric surgery, Children, Eating behavior, Longitudinal, Psychosocial functioning, Roux-en-Y gastric bypass
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hig:diva-27326DOI: 10.1007/s11695-018-3348-zISI: 000444768500039PubMedID: 29911273Scopus ID: 2-s2.0-85048618659OAI: oai:DiVA.org:hig-27326DiVA, id: diva2:1223170
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2008-0654
Note

Funders:

- Stockholm County Council (ALF)

- NovoNordisk fund

- National School in Caring Sciences at Karolinska Institutet (NFV) 

Available from: 2018-06-25 Created: 2018-06-25 Last updated: 2018-11-26Bibliographically approved

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Willmer, Mikaela

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