182582 Examination of behaviors and perceptions of insulin resistant children and their parents: Who's motivated to change?

Tuesday, October 28, 2008: 4:50 PM

Juanita J. Cuffee, BA , Division of Pediatric Endocrinology, Duke University Medical Center, Durham, NC
Martha A. Faris, CPNP , Division of Pediatric Endocrinology, Duke University Medical Center, Durham, NC
Andrea M. Haqq, MD MHS , Division of Pediatric Endocrinology, Duke University Medical Center, Durham, NC

The prevalence of overweight among adolescents has more than tripled in the past 20 years. Insulin resistance and subsequent development of type 2 diabetes are serious co-morbidities associated with overweight status. Despite the morbidity and mortality associated with type 2 diabetes, parents and their insulin resistant children often have difficulty implementing changes to reduce weight and manage insulin resistance.


A semi-structured interview and eating behaviors questionnaire was administered to 25 parents and their insulin resistant children (ages 13-17) receiving care in a hospital-based insulin resistance clinic. The audio recorded interview assessed (a) perceptions about health and type 2 diabetes and (b) child and family health behaviors (food and drink consumption and physical activity levels) that may affect weight management. Interviews were transcribed and coded using content analysis. The typical participant was African American, 15.4 years (mean age) with a mean BMI (kg/m2) ≥ the 90th percentile for age and gender.


We anticipate that adolescents who exhibit lower readiness to change will have more difficulty adopting healthier lifestyles and exhibit riskier perceptions about their susceptibility for development of type 2 diabetes and the severity of type 2 diabetes. We also anticipate that parents will perceive less control over their child's food choices during later adolescent years.


Determination of readiness to change and risky heath perceptions can aid in development of more effective interventions to prevent the onset of type 2 diabetes in high-risk minority adolescent populations. The resulting work consequently has great public health implications.

Learning Objectives:
1. Identify three behaviors that influence the management of insulin resistance in overweight adolescents. 2. Describe parental perceptions of their child’s eating behaviors and perceptions of control over daily food choices.

Keywords: Obesity, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As first author, I conceptualized the study, the study design and am primarily responsible for all analyses. Additionally, I am an experienced member of my employer’s research team and have Master’s level training in Community Public Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.