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Are There Sex-Specific Differences in Obesity Treatment Outcomes in the Pediatric Population?
Are There Sex-Specific Differences in Obesity Treatment Outcomes in the Pediatric Populati...
Are There Sex-Specific Differences in Obesity Treatment Outcomes in the Pediatric Population?

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202105120
ISBN  
9798293866519
DDC  
614
저자명  
Jang, Su Bin.
서명/저자  
Are There Sex-Specific Differences in Obesity Treatment Outcomes in the Pediatric Population?
발행사항  
[Sl] : University of Minnesota, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
156 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
주기사항  
Advisor: Ryder, Justin R.;Sherwood, Nancy E.
학위논문주기  
Thesis (Ph.D.)--University of Minnesota, 2025.
초록/해제  
요약The rising prevalence of childhood obesity is a significant public health problem due to the increased risk of developing various comorbid conditions. Children with obesity are likely to still live with obesity in adulthood, which further increases the risk of comorbid conditions. There are several options for obesity interventions, including lifestyle modification, pharmacotherapy, and metabolic and bariatric surgery, with some interventions being very effective. With sex differences in physiological characteristics between males and females, it is possible that they respond differently to obesity interventions; however, the literature on this topic is limited. This dissertation examined sex differences in weight loss responses to lifestyle modification intervention, pharmacotherapy, and metabolic/bariatric surgery among the children and adolescent population. The following manuscripts are secondary data analyses.Manuscript 1 evaluated sex differences in response to lifestyle modification interventions. Two harmonized datasets (family-based intervention and nutrition-focused intervention) were used for the analyses. We found modest sex differences in the family-based intervention, and males lost more weight compared with females in the nutrition-focused intervention.Manuscript 2 assessed sex differences in response to obesity pharmacotherapy. Two high-quality randomized controlled trials (phentermine/topiramate and metformin) were utilized for the analyses. We found modest sex differences in response to either phentermine/topiramate or metformin. We further explored whether the pubertal stage modified the sex differences in response to each pharmacotherapy and observed that it modified the association in the metformin study.Manuscript 3 analyzed sex differences in response to metabolic and bariatric surgery. Four high-quality studies were harmonized into a single dataset. We found that males experienced greater weight loss compared to females.In summary, we found notable sex differences occur in some obesity interventions, but not in others. Understanding whether these sex differences are clinically meaningful in response to various obesity intervention types may guide obesity precision medicine.
일반주제명  
Public health
일반주제명  
Epidemiology
일반주제명  
Pediatrics
일반주제명  
Nutrition
키워드  
Obesity intervention
키워드  
Pediatric obesity
키워드  
Childhood obesity
키워드  
Pharmacotherapy
기타저자  
University of Minnesota Epidemiology
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
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MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a614
■1001  ▼aJang,  Su  Bin.
■24510▼aAre  There  Sex-Specific  Differences  in  Obesity  Treatment  Outcomes  in  the  Pediatric  Population?
■260    ▼a[Sl]▼bUniversity  of  Minnesota▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a156  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  B.
■500    ▼aAdvisor:  Ryder,  Justin  R.;Sherwood,  Nancy  E.
■5021  ▼aThesis  (Ph.D.)--University  of  Minnesota,  2025.
■520    ▼aThe  rising  prevalence  of  childhood  obesity  is  a  significant  public  health  problem  due  to  the  increased  risk  of  developing  various  comorbid  conditions.  Children  with  obesity  are  likely  to  still  live  with  obesity  in  adulthood,  which  further  increases  the  risk  of  comorbid  conditions.  There  are  several  options  for  obesity  interventions,  including  lifestyle  modification,  pharmacotherapy,  and  metabolic  and  bariatric  surgery,  with  some  interventions  being  very  effective.  With  sex  differences  in  physiological  characteristics  between  males  and  females,  it  is  possible  that  they  respond  differently  to  obesity  interventions;  however,  the  literature  on  this  topic  is  limited.  This  dissertation  examined  sex  differences  in  weight  loss  responses  to  lifestyle  modification  intervention,  pharmacotherapy,  and  metabolic/bariatric  surgery  among  the  children  and  adolescent  population.  The  following  manuscripts  are  secondary  data  analyses.Manuscript  1  evaluated  sex  differences  in  response  to  lifestyle  modification  interventions.  Two  harmonized  datasets  (family-based  intervention  and  nutrition-focused  intervention)  were  used  for  the  analyses.  We  found  modest  sex  differences  in  the  family-based  intervention,  and  males  lost  more  weight  compared  with  females  in  the  nutrition-focused  intervention.Manuscript  2  assessed  sex  differences  in  response  to  obesity  pharmacotherapy.  Two  high-quality  randomized  controlled  trials  (phentermine/topiramate  and  metformin)  were  utilized  for  the  analyses.  We  found  modest  sex  differences  in  response  to  either  phentermine/topiramate  or  metformin.  We  further  explored  whether  the  pubertal  stage  modified  the  sex  differences  in  response  to  each  pharmacotherapy  and  observed  that  it  modified  the  association  in  the  metformin  study.Manuscript  3  analyzed  sex  differences  in  response  to  metabolic  and  bariatric  surgery.  Four  high-quality  studies  were  harmonized  into  a  single  dataset.  We  found  that  males  experienced  greater  weight  loss  compared  to  females.In  summary,  we  found  notable  sex  differences  occur  in  some  obesity  interventions,  but  not  in  others.  Understanding  whether  these  sex  differences  are  clinically  meaningful  in  response  to  various  obesity  intervention  types  may  guide  obesity  precision  medicine.
■590    ▼aSchool  code:  0130.
■650  4▼aPublic  health
■650  4▼aEpidemiology
■650  4▼aPediatrics
■650  4▼aNutrition
■653    ▼aObesity  intervention
■653    ▼aPediatric  obesity
■653    ▼aChildhood  obesity
■653    ▼aPharmacotherapy
■690    ▼a0573
■690    ▼a0767
■690    ▼a0766
■690    ▼a0570
■71020▼aUniversity  of  Minnesota▼bEpidemiology.
■7730  ▼tDissertations  Abstracts  International▼g87-03B.
■790    ▼a0130
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359449▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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