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Executive function phenotypes in pediatric obesity.
Gowey, Marissa; Redden, David; Lim, Crystal; Janicke, David; Dutton, Gareth.
Afiliação
  • Gowey M; University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Redden D; University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Lim C; University of Mississippi Medical Center, Jackson, Mississippi, USA.
  • Janicke D; University of Florida, Gainesville, Florida, USA.
  • Dutton G; University of Alabama at Birmingham, Birmingham, Alabama, USA.
Pediatr Obes ; 15(9): e12655, 2020 09.
Article em En | MEDLINE | ID: mdl-32506773
OBJECTIVE: To comprehensively examine the behavioral phenotypes of children with and without executive function (EF) impairments in a clinical sample of youth with obesity. METHODS: Youth aged 8 to 17 years (Mean age = 12.97) attending a medical clinic for obesity and their caregivers (N = 195 dyads) completed a battery of behavioral questionnaires. Caregiver-proxy report of EF was assessed using the Behavior Rating Inventory of Executive Function. Latent Class Analysis was conducted to identify EF groupings. Analysis of variance and chi-square tests were conducted to examine associations between EF groups and behavioral phenotypes. RESULTS: Four latent classes of EF impairment were identified (No/Low Impairment; Behavioral Regulation Impairment; Metacognition Impairment; Global Impairment). There was an overall positive pattern of associations between these EF groups and behavioral/emotional symptoms, such that behavioral/emotional symptoms tended to increase with EF impairment. CONCLUSIONS: Children with obesity and EF impairment demonstrate a dysregulated behavioral phenotype ranging from internalizing to externalizing behavioral and weight-related symptoms. This phenotype framework may be clinically beneficial for utilizing screening/assessment results to develop, tailor, and/or match treatment approaches in pediatric obesity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fenótipo / Função Executiva / Obesidade Infantil Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fenótipo / Função Executiva / Obesidade Infantil Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Ano de publicação: 2020 Tipo de documento: Article