{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:29:18Z","timestamp":1765888158191,"version":"3.41.2"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T00:00:00Z","timestamp":1558396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The purpose of this study is to examine the associations between family functioning and youth overweight and obesity in a sample of primary care paediatric patients. Specially, we hypothesize that caregivers of youth with an overweight\/obese weight status will report more impaired family functioning. A cross\u2010sectional descriptive study was conducted with 329 caregivers of youth ages 2 to 18 seen in paediatric primary care. Caregivers completed the Family Assessment Device General Functioning Scale and clinical demographics, including parent\u2010reported youth height and weight to calculate body mass index (BMI). Family functioning was used as a continuous total variable, and as a dichotomous variable based on clinically impaired or healthy family functioning. Analyses included descriptive statistics, Pearson's correlations, and independent <jats:italic>t<\/jats:italic> tests. Caregivers who reported impaired family functioning based on the clinical cutoff score were more likely to report that their youth had a higher BMI and BMI <jats:italic>z<\/jats:italic>\u2010score. Caregivers with impaired family functioning and who identified as being in two\u2010parent families, with at least a Bachelor's degree, and a moderate to high family income were more likely to report their youth was a higher weight status. Further screening and assessment of family functioning in combination with youth weight status among a larger diverse sample of primary care paediatric patients over time will provide insight into what aspects of family functioning may contribute to maintaining a healthy lifestyle or adopting new health behaviours to prevent and\/or treat obesity in youth.<\/jats:p>","DOI":"10.1111\/cob.12314","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T08:07:06Z","timestamp":1558512426000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Youth weight status and family functioning in paediatric primary care"],"prefix":"10.1111","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8800-4326","authenticated-orcid":false,"given":"Keeley J.","family":"Pratt","sequence":"first","affiliation":[{"name":"Department of Human Sciences, Human Development and Family Science Program, Couple and Family Therapy Specialization College of Education and Human Ecology, The Ohio State University  Columbus Ohio"},{"name":"Department of Surgery The Ohio State University Wexner Medical Center  Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine A.","family":"Van Fossen","sequence":"additional","affiliation":[{"name":"Department of Human Sciences, Human Development and Family Science Program, Couple and Family Therapy Specialization College of Education and Human Ecology, The Ohio State University  Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerica M.","family":"Berge","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health University of Minnesota Medical School  Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Murray","sequence":"additional","affiliation":[{"name":"Ohio Chapter of the American Academy of Pediatrics  Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2222-9570","authenticated-orcid":false,"given":"Joseph A.","family":"Skelton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Wake Forest School of Medicine  Winston\u2010Salem North Carolina"},{"name":"Brenner FIT (Families in Training) Program, Brenner Children's Hospital Wake Forest Baptist Health  Winston\u2010Salem North Carolina"},{"name":"Department of Epidemiology and Prevention Wake Forest School of Medicine  Winston\u2010Salem North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.732"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/10803-002"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2011.07.02.1004.berge"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-010-0073-0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941406415591209"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2018.04.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.56"},{"issue":"26","key":"e_1_2_8_10_1","first-page":"36","article-title":"Family functioning in the context of pediatric chronic conditions","volume":"31","author":"Herzer M","year":"2010","journal-title":"J Dev Behav Pediatr"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922818793347"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1515\/IJAMH.2009.21.4.457"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2013.213"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-016-0393-7"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.1978.tb00537.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-6427.00145"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21676"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.07.006"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2015.05.004"},{"key":"e_1_2_8_20_1","first-page":"2016","volume-title":"Basic Facts About Low\u2010Income Children: Children Under 9 Years","author":"Koball H","year":"2018"},{"volume-title":"A Simple Guide to Classifying Body Mass Index in Children","year":"2011","author":"Dinsdale H","key":"e_1_2_8_21_1"},{"key":"e_1_2_8_22_1","unstructured":"O'ConnorEA EvansCV BurdaBU WalshES EderM LozanoP. 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