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Adolescents’ and Parents’ Perspectives of a Revised Protein-Sparing Modified Fast (rPSMF) for Severe Obesity

Author

Listed:
  • Keeley Pratt

    (Department of Human Sciences, The Ohio State University, 130 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210, USA
    Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH 43210, USA)

  • Jennifer Cotto

    (Department of Human Sciences, The Ohio State University, 130 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210, USA)

  • Jinyu Xu

    (Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, Columbus, OH 43210, USA)

  • Rosanna Watowicz

    (Department of Nutrition, Case Western University, Cleveland, OH 43210, USA)

  • Marnie Walston

    (Department of Pediatrics, Akron Children’s Hospital, Akron, OH 43210, USA)

  • Ihuoma Eneli

    (Department of Nutrition, Case Western University, Cleveland, OH 43210, USA
    Department of Pediatrics, The Ohio State University, Columbus, OH 43210, USA)

Abstract

The purpose of this pilot study was to assess the acceptability to adolescents (11–18 years old) and their parents using a revised protein-sparing modified fast (rPSMF) for 12 months as an intervention for severe obesity in a tertiary pediatric weight management clinic (PWMC). To assess acceptability (satisfaction, confidence) with the rPSMF protocol, surveys were completed by adolescents and parents at baseline, 1, 3, 6, and 12 months, with adolescent height and weight measured. Analyses were conducted to assess differences in satisfaction and confidence based on adolescent response (weight loss) and adherence to the rPSMF. Adolescents’ adherence with the rPSMF was close to 50% in the first 3 months, but dropped to 14.7% at 6 months. Adolescents were most confident with choosing low carbohydrate foods at baseline. Over 12 months, adolescents and parents reported weight loss as “the most liked” part of the rPSMF. Adolescents who were adherent were more satisfied with their weight loss than their non-adherent peers. Parents and adolescents reported lack of food variety and difficulty following the protocol as challenges with the rPSMF. Adolescents and their parents were able to follow the rPSMF protocol, with weight loss, but with decreased adherence over time.

Suggested Citation

  • Keeley Pratt & Jennifer Cotto & Jinyu Xu & Rosanna Watowicz & Marnie Walston & Ihuoma Eneli, 2019. "Adolescents’ and Parents’ Perspectives of a Revised Protein-Sparing Modified Fast (rPSMF) for Severe Obesity," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3385-:d:266835
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    Cited by:

    1. Roohi Kharofa & Robert Siegel & Kristin Stackpole, 2019. "What to Do about Childhood Obesity?," IJERPH, MDPI, vol. 16(20), pages 1-4, October.
    2. Ihuoma Eneli & Jinyu Xu & Alexis Tindall & Rosanna Watowicz & Jennifer Worthington & Kelly Tanner & Keeley Pratt & Marnie Walston, 2019. "Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity: A Pilot Study," IJERPH, MDPI, vol. 16(17), pages 1-12, August.

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