{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:58:57Z","timestamp":1791478737198,"version":"4.3.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of Florida College of Health and Human Performance"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>\n                    Parental behaviors shape children\u2019s obesity risk, yet little is known about family-level implications of caregiver glucagon-like peptide-1 (GLP-1) use. This cross-sectional study surveyed caregivers who started GLP-1 medication for weight management within the past 6 months and lived with at least one child aged \u226418 years (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 58). Guided by the Family Ecological Model, the survey assessed caregiver perceptions of family health behaviors since starting GLP-1 medication. Nearly half of caregivers reported offering healthier foods to children (46.6%) and increased focus on managing children\u2019s nutrition and physical activity (50.0%). About one-quarter of caregivers reported healthier child eating (27.6%) and physical activity (24.1%). Most caregivers reported no change in child eating (67.2%) and physical activity (72.4%). Caregivers were more likely to report healthier foods offered following GLP-1 initiation when concern about a child\u2019s weight had been raised by pediatrician (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.02). Caregiver GLP-1 initiation may provide an opportunity to support family-centered obesity prevention.\n                  <\/jats:p>","DOI":"10.1177\/21532176261467610","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:25:58Z","timestamp":1783578358000},"page":"409-414","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Beyond the Individual: Family-Level Impacts of Caregiver GLP-1 Use on Food Environments and Child Health Behaviors"],"prefix":"10.1177","volume":"22","author":[{"given":"Isa","family":"Granados","sequence":"first","affiliation":[{"name":"Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle E.","family":"Jake-Schoffman","sequence":"additional","affiliation":[{"name":"Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida, USA."},{"name":"Center for Integrative Cardiovascular and Metabolic Disease, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karyn M.","family":"Governale","sequence":"additional","affiliation":[{"name":"Department of Community Health and Family Medicine, UF Health, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Fedele","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Science, Nemours Children\u2019s Health, Jacksonville, Florida, USA."},{"name":"Department of Psychology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2583-4277","authenticated-orcid":false,"given":"Megan A.","family":"McVay","sequence":"additional","affiliation":[{"name":"Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida, USA."},{"name":"Center for Integrative Cardiovascular and Metabolic Disease, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3459"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12334"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12633"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4691-z"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2018.10.019"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10408398.2020.1823813"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2008.00475.x"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21782"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199709253371301"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0031-3955(05)70347-3"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1467-789x.2001.00036.x"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsu023"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1514009"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.4158\/ep161365.Gl"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102782"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980012004533"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1006\/appe.2001.0398"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12583"}],"container-title":["Childhood 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