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8. Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery

Author

Doland, Faye, Morgenthal, Ashley, Howarth, Taylor, Comstock, Sara, Kirk, Shelley, Helmrath, Michael, Lee, Margaret Callie, Allen, David, Garland, Beth, Washington, Gia, Mikhail, Carmen, Brandt, Mary L., Blake, Ronette, El Nokali, Nermeen, Rofey, Dana, Arslanian, Silva, Courcoulas, Anita P., Desai, Krishna, Seay, Amy, Haynes, Beverly, Austin, Heather, Harmon, Carroll, Ginn, Melissa, Baughcum, Amy E., Michalsky, Marc P., Christian, Michelle Starkey, Andringa, Jennifer, Powers, Carolyn, Akers, Rachel, Zeller, Meg H., Brown, Jennifer L., Reiter-Purtill, Jennifer, Sarwer, David B., Black, Lora, Jenkins, Todd M., McCracken, Katherine A., Inge, Thomas H., and Noll, Jennie G.

Published
2019
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17. The Role of Social Support for Promoting Quality of Life among Persistently Obese Adolescents: Importance of Support in Schools

Author

Wu, Yelena P., Reiter-Purtill, Jennifer, and Zeller, Meg H.

Abstract

Background: Despite school-based and other interventions for pediatric obesity, many obese youth of the present generation will persist in their obesity into adolescence and adulthood. Thus, understanding not only how better to tailor weight interventions but how to promote overall adjustment for persistently obese youth is of utmost importance. This study examined the role of perceived social support in predicting later psychosocial status (ie, weight-related quality of life) for persistently obese adolescents. Methods: This study used a longitudinal design whereby persistently obese and nonoverweight comparison youth completed measures at 2 time points approximately 4 years apart. Results: Obese youth reported lower levels of social support than comparison youth. Among obese youth, classmate and teacher support predicted future weight-related quality of life. Conclusions: Social support, particularly from classmates, is an important predictor for the longitudinal psychosocial functioning of persistently obese youth. High levels of perceived teacher support may signal the presence of other psychosocial difficulties. Implications for school-based interventions are discussed.

Published
2014
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39. Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery

Author

Zeller, Meg H., primary, Brown, Jennifer L., additional, Reiter-Purtill, Jennifer, additional, Sarwer, David B., additional, Black, Lora, additional, Jenkins, Todd M., additional, McCracken, Katherine A., additional, Courcoulas, Anita P., additional, Inge, Thomas H., additional, Noll, Jennie G., additional, Doland, Faye, additional, Morgenthal, Ashley, additional, Howarth, Taylor, additional, Comstock, Sara, additional, Kirk, Shelley, additional, Helmrath, Michael, additional, Lee, Margaret Callie, additional, Allen, David, additional, Garland, Beth, additional, Washington, Gia, additional, Mikhail, Carmen, additional, Brandt, Mary L., additional, Blake, Ronette, additional, El Nokali, Nermeen, additional, Rofey, Dana, additional, Arslanian, Silva, additional, Desai, Krishna, additional, Seay, Amy, additional, Haynes, Beverly, additional, Austin, Heather, additional, Harmon, Carroll, additional, Ginn, Melissa, additional, Baughcum, Amy E., additional, Michalsky, Marc P., additional, Christian, Michelle Starkey, additional, Andringa, Jennifer, additional, Powers, Carolyn, additional, and Akers, Rachel, additional

Published
2019
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41. Alcohol use risk in adolescents 2 years after bariatric surgery

Author

Zeller, Meg H., primary, Washington, Gia A., additional, Mitchell, James E., additional, Sarwer, David B., additional, Reiter-Purtill, Jennifer, additional, Jenkins, Todd M., additional, Courcoulas, Anita P., additional, Peugh, James L., additional, Michalsky, Marc P., additional, and Inge, Thomas H., additional

Published
2017
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42. Change, predictors and correlates of weight- and health-related quality of life in adolescents 2-years following bariatric surgery

Author

Reiter-Purtill, Jennifer, Ley, Sanita, Kidwell, Katherine M., Mikhail, Carmen, Austin, Heather, Chaves, Eileen, Rofey, Dana L., Jenkins, Todd M., Inge, Thomas H., and Zeller, Meg H.

Abstract

Background/Objectives: Weight-related quality of life (WRQOL) and generic health-related quality of life (HRQOL) have been identified as important patient-reported outcomes for obesity treatment and outcome research. This study evaluated patterns of WRQOL and HRQOL outcomes for adolescents at 24-months post-bariatric surgery relative to a nonsurgical comparator sample of youth with severe obesity, and examined potential weight-based (e.g., BMI, weight dissatisfaction) and psychosocial predictors and correlates of these outcomes. Subjects/Methods: Multi-site data from 139 adolescents undergoing bariatric surgery (Mage= 16.9; 79.9% female, 66.2% White; MBody Mass Index [BMI]= 51.5 kg/m2) and 83 comparators (Mage= 16.1; 81.9 % female, 54.2% White; MBMI= 46.9 kg/m2) were collected at pre-surgery/baseline, 6-, 12-, and 24-months post-surgery/baseline with high participation rates across time points (>85%). Self-reports with standardized measures of WRQOL/HRQOL as well as predictors/covariates (e.g., weight dissatisfaction, social support, peer victimization, family dysfunction, loss of control eating, self-worth, and internalizing symptoms) were obtained. Growth curve models using structural equation modeling examined WRQOL/HRQOL over time and linear regressions examined predictors and correlates of WRQOL/HRQOL outcomes. Results: Significant improvement in WRQOL and Physical HRQOL, particularly in the first postoperative year with a leveling off subsequently, was found for the surgical group relative to comparators, but with no significant Mental HRQOL change. At 24 months, the surgical group had significantly greater WRQOL/HRQOL across most subscales. Within the surgical group at 24 months, weight-based variables were significantly associated with WRQOL and Physical HRQOL, but not Mental HRQOL. Mental HRQOL was associated with greater internalizing symptoms and loss of control eating. Conclusions: For adolescents undergoing bariatric surgery, most clinically meaningful changes in WRQOL and Physical HRQOL occurred early postoperatively, with weight-based variables as the primary drivers of 24-month levels. In contrast, expectations for Mental HRQOL improvement following surgery should be tempered, with 24-month levels significantly associated with psychosocial rather than weight-based correlates.

Published
2020
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45. Peer Victimization in Adolescents With Severe Obesity: The Roles of Self-Worth and Social Support in Associations With Psychosocial Adjustment.

Author

Reiter-Purtill, Jennifer, Gowey, Marissa A., Austin, Heather, Smith, Kevin C., Rofey, Dana L., Jenkins, Todd M., Garland, Beth H., Zeller, Meg H., and TeenView Study Group and in cooperation with Teen-LABS Consortium

Subjects
PEER relations, OVERWEIGHT teenagers, SELF-esteem in adolescence, SOCIAL skills in adolescence, SOCIAL support, PSYCHOLOGICAL adaptation in adolescence, PSYCHOLOGY, MORBID obesity, ADAPTABILITY (Personality), BULLYING, COMPARATIVE studies, RESEARCH methodology, MEDICAL cooperation, RESEARCH, SELF-evaluation, SELF-perception, SOCIAL adjustment, TEENAGERS' conduct of life, PSYCHOLOGY of crime victims, AFFINITY groups, EVALUATION research, CROSS-sectional method
Abstract

Objective: To examine the associations of peer victimization with internalizing symptoms, externalizing symptoms, social competence, and academic performance in a clinical sample of adolescents with severe obesity, and whether self-worth and social support affect these associations.Methods: Multisite cross-sectional data from 139 adolescents before weight loss surgery ( M age = 16.9; 79.9% female, 66.2% White; M Body Mass Index [BMI] = 51.5 kg/m 2 ) and 83 nonsurgical comparisons ( M age = 16.1; 81.9% female, 54.2% White; M BMI = 46.9 kg/m 2 ) were collected using self-reports with standardized measures.Results: As a group, participants did not report high levels of victimization. Self-worth mediated the effects of victimization on a majority of measures of adjustment, and further analyses provided evidence of the buffering effect of social support for some mediational models.Conclusions: Self-worth and social support are important targets for prevention and intervention for both victimization and poor adjustment in adolescent severe obesity. [ABSTRACT FROM AUTHOR]

Published
2017
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46. Family factors that characterize adolescents with severe obesity and their role in weight loss surgery outcomes.

Author

Zeller, Meg H., Hunsaker, Sanita, Mikhail, Carmen, Reiter‐Purtill, Jennifer, McCullough, Mary Beth, Garland, Beth, Austin, Heather, Washington, Gia, Baughcum, Amy, Rofey, Dana, and Smith, Kevin

Subjects
ADOLESCENT obesity, BARIATRIC surgery, FAMILY history (Medicine), DYSFUNCTIONAL families, SOCIAL support, LONGITUDINAL method
Abstract

Objective: To comprehensively assess family characteristics of adolescents with severe obesity and whether family factors impact weight loss outcomes following weight loss surgery (WLS).Methods: Multisite prospective data from 138 adolescents undergoing WLS and primary caregivers (adolescent: Mage  = 16.9; MBMI = 51.5 kg/m2 ; caregiver: Mage  = 44.5; 93% female) and 83 nonsurgical comparators (NSComp: adolescent: Mage  = 16.1; MBMI = 46.9 kg/m2 ; caregiver: Mage  = 43.9; 94% female) were collected using standardized measures at presurgery/baseline and at 1 and 2 years.Results: The majority (77.3%) of caregivers had obesity, with rates of caregiver WLS significantly higher in the WLS (23.8%) versus NSComp group (3.7%, P < 0.001). Family dysfunction was prevalent (≈1 in every two to three families), with rates higher for NSComp than the WLS group. For the WLS group, preoperative family factors (i.e., caregiver BMI or WLS history, dysfunction, social support) were not significant predictors of adolescent weight loss at 1 and 2 years postoperatively, although change in family functioning over time emerged as a significant correlate of percent weight loss.Conclusions: Rates of severe obesity in caregivers as well as family dysfunction were clinically noteworthy, although not related to adolescent weight loss success following WLS. However, change in family communication and emotional climate over time emerged as potential targets to optimize weight loss outcomes. [ABSTRACT FROM AUTHOR]

Published
2016
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