{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:34:41Z","timestamp":1782214481243,"version":"3.54.5"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Novo Nordisk A\/G"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eat Weight Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>ACTION Teens (NCT05013359) was conducted in 10 countries to identify perceptions, attitudes, behaviors, and barriers to effective obesity care among adolescents living with obesity (ALwO), caregivers of ALwO, and healthcare professionals (HCPs). Here, we report data from participants in Italy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The ACTION Teens cross-sectional online survey was completed by 649 ALwO (aged 12\u2013\u2009&lt;\u200918\u00a0years), 455 caregivers, and 252 HCPs in Italy in 2021.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Most ALwO thought their weight was above normal (69%), worried about weight affecting their future health (87%), and reported making a weight-loss attempt in the past year (60%); fewer caregivers responded similarly regarding their child (46%, 72%, and 33%, respectively). In addition, 49% of caregivers believed their child would lose excess weight with age. ALwO (38%) and caregivers (30%) most often selected wanting to be more fit\/in better shape as a weight-loss motivator for ALwO; HCPs most often selected improved social life\/popularity (73%). ALwO (25%) and caregivers (22%) most frequently selected lack of hunger control and not liking exercise, respectively, as weight-loss barriers, while HCPs most often agreed that unhealthy eating habits were a barrier (93%). ALwO most often obtained weight-management information from family\/friends (25%) and search engines (24%); caregivers most often obtained information from doctors (29%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In Italy, the impact of obesity on ALwO was underestimated by caregivers, and ALwO and HCPs had different perceptions of key weight-loss motivators and barriers. Additionally, the internet was a key information source for ALwO, which suggests new education\/communication strategies are needed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>IV; Evidence obtained from multiple time series with\/without intervention, e.g. case studies.<\/jats:p>\n                <jats:p><jats:italic>Trial Registration:<\/jats:italic> ClinicalTrials.gov, NCT05013359.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s40519-024-01663-7","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T15:01:51Z","timestamp":1715180511000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Perceptions, attitudes, and behaviors among adolescents living with obesity, caregivers, and healthcare professionals in Italy: the ACTION Teens study"],"prefix":"10.1007","volume":"29","clinical-trial-number":[{"clinical-trial-number":"nct05013359","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3563-4404","authenticated-orcid":false,"given":"Claudio","family":"Maffeis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Busetto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malgorzata","family":"Wasniewska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Di Pauli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3384-6606","authenticated-orcid":false,"given":"Carla","family":"Maccora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lenzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"1663_CR1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13214","volume":"22","author":"A Spinelli","year":"2021","unstructured":"Spinelli A, Buoncristiano M, Nardone P et al (2021) Thinness, overweight, and obesity in 6- to 9-year-old children from 36 countries: the World Health Organization European Childhood Obesity Surveillance Initiative\u2014COSI 2015\u20132017. 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In Italy, approval was granted by the Ethics Committee for Clinical Trials at Integrated University Hospital Verona (Verona, Italy) on August 9, 2021 (Protocol number: 46600).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Respondents (plus parents\/legal guardians of ALwO) gave informed consent to participate.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Claudio Maffeis received consultancy fees from Novo Nordisk for his role as a member of the ACTION Teens Steering Committee during the conduct of the study; he also reports honoraria (for lectures) from Aboca, Eli Lilly, Novo Nordisk, Roche, and Sanofi, and participation in advisory boards for Abbott, Eli Lilly, Medtronic, and Sanofi outside the submitted work. Luca Busetto reports honoraria (for lectures) from PronoKal and Rhythm Pharmaceuticals, and participation in advisory boards for Bruno Farmaceutici, Eli Lilly, Novo Nordisk, and Pfizer outside the submitted work. Malgorzata Wasniewska is a consultant for Merck, Novo Nordisk, Pfizer, and Sandoz. Daniele Di Pauli and Andrea Lenzi have no relevant financial\/non-financial interests to disclose. Carla Maccora is a permanent employee of Novo Nordisk.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"35"}}