{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T02:42:45Z","timestamp":1775097765986,"version":"3.50.1"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Childhood and adolescent obesity is an increasing public health concern. The effectiveness of overweight treatment in this population depends on multiple factors, including the level of motivation, emotions associated with behavioral change, and family support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to analyze the levels of motivation, emotions, and self-esteem among overweight and obese children and adolescents, and to identify the potential role of family support in the process of changing dietary habits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>The study involved 100 participants aged 10 to 18, recruited from three settings: school, hospital, and rehabilitation health resort environments (sanatoria). Inclusion criteria comprised overweight or obesity (BMI\u202f\u2265\u202f85th percentile), regular school attendance, and parental consent. Exclusion criteria included chronic illness, metabolic or genetic disorders, and pharmacotherapy affecting body weight. A custom-designed questionnaire was used, along with elements of individual interviews. We hypothesized that higher levels of family support would be associated with greater motivation and longer maintenance of healthy lifestyle changes. The analysis focused on the duration of maintaining healthy habits, eating control, self-esteem, and emotions accompanying weight loss. Statistical analysis included significance tests and group comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most participants reported short-term attempts to change habits (1\u20135\u202fdays), and only 16% maintained a diet for 28\u202fdays. A significant portion experienced negative emotions such as anxiety, shame, or guilt, particularly among high school students. Additionally, 67% of respondents stated that their body weight influenced their self-perception. A statistically significant relationship was found between BMI category and dissatisfaction with one\u2019s weight (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.0261). The interviews revealed the critical role of parental attitudes in sustaining the child\u2019s motivation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight the need to include emotional and family-related components in overweight and obesity treatment programs for children. A comprehensive, individualized approach increases the likelihood of lasting lifestyle changes and improved psychological well-being in young patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2025.1618016","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:19:26Z","timestamp":1761542366000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Family support and motivational factors in weight loss among children and adolescents\u2014a cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Ma\u0142gorzata","family":"W\u0105sacz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danuta","family":"Ochojska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabela","family":"Sarzy\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliwia","family":"Bartkowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szymon","family":"Sta\u0144czyk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"B\u0142ajda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"Frej","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Kopa\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"ref1","volume-title":"Report of the commission on ending childhood obesity","year":"2016"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/S0140-6736(25)00397-6","article-title":"Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990\u20132021, with forecasts to 2050: a forecasting study for the global burden of disease study 2021","volume":"405","year":"","journal-title":"Lancet"},{"key":"ref3","first-page":"2016","volume-title":"The nutritional status of children and adolescents in Poland \u2013 PITNUTS 2016 report","year":"2016"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1161521","DOI":"10.3389\/fendo.2023.1161521","article-title":"Obesity and type 2 diabetes mellitus: connections in epidemiology, pathogenesis, and treatments","volume":"14","author":"Ruze","year":"2023","journal-title":"Front Endocrinol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"111315","DOI":"10.1016\/j.biopha.2021.111315","article-title":"Adipose tissue and insulin resistance in obese","volume":"137","author":"Ahmed","year":"2021","journal-title":"Biomed Pharmacother"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1161\/CIRCRESAHA.119.312321","article-title":"Obesity, hypertension, and cardiac dysfunction: novel roles of immunometabolism in macrophage activation and inflammation","volume":"126","author":"Mouton","year":"2020","journal-title":"Circ Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1159\/000441375","article-title":"The impact of familial predisposition to obesity and cardiovascular disease on childhood obesity","volume":"8","author":"Nielsen","year":"2015","journal-title":"Obes Facts"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"129","DOI":"10.4274\/Jcrpe.1471","article-title":"Overweight and obesity in children and adolescents","volume":"6","author":"G\u00fcng\u00f6r","year":"2014","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"187","DOI":"10.4103\/2249-4863.154628","article-title":"Childhood obesity: causes and consequences","volume":"4","author":"Sahoo","year":"2015","journal-title":"J Family Med Prim Care"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"125","DOI":"10.2147\/AHMT.S101631","article-title":"Psychological consequences of childhood obesity: psychiatric comorbidity and prevention","volume":"7","author":"Rankin","year":"2016","journal-title":"Adolesc Health Med Ther"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1136\/archdischild-2017-314608","article-title":"Is obesity associated with depression in children? 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