Parental perception of children's weight in a paediatric primary care setting
ABSTRACT To determine how parents of overweight children perceived their children's weight status compared with actual body mass index (BMI).
This descriptive, cross-sectional study assessed parental perception of and concern about weight, diet and physical activity of 3-12-year-olds. BMI values >or=85th and <95th percentile and >or=95th percentile were considered at risk for overweight and overweight respectively. Differences between groups were tested with chi-squared analyses or Fishers exact test as appropriate and further explored using logistic regression analysis.
Questionnaires were completed at 612 health maintenance visits (278 girls). Overall, 15% of both boys and girls were at risk for overweight and 22% of boys and 24% of girls were overweight. Forty-nine per cent of parents recognized their overweight children as overweight. Perceptions were more often correct for parents of girls than boys (63% versus 36%, P < 0.001) and for older compared with younger children (61.7% versus 17.5%, P < 0.001).
Parents of overweight children frequently did not perceive their children as exceeding healthy weight standards. Targeting parental perception as a point of intervention is necessary.
SourceAvailable from: Roberto Fernandes da Costa[Show abstract] [Hide abstract]
ABSTRACT: this systematic review aims to explore and describe the studies that have as a primary outcome the identification of mothers' perception of the nutritional status of their children. the PubMed, Embase, LILACS, and SciELO databases were researched, regardless of language or publication date. The terms used for the search, with its variants, were: Nutritional Status, Perception, Mother, Maternal, Parents, Parental. after screening of 167 articles, 41 were selected for full text reading, of which 17 were included in the review and involved the evaluation of the perception of mothers on the nutritional status of 57,700 children and adolescents. The methodological quality of the studies ranged from low to excellent. The proportion of mothers who inadequately perceived the nutritional status of their children was high, and was the most common underestimation for children with overweight or obesity. despite the increasing prevalence of obesity in pediatric age, mothers have difficulty in properly perceiving the nutritional status of their children, which may compromise referral to treatment programs.Jornal de pediatria 04/2014; 90(4). DOI:10.1016/j.jped.2014.01.009 · 0.94 Impact Factor
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ABSTRACT: BACKGROUND Whereas legislation for body mass index (BMI) surveillance and screening programs has passed in 25 states, the programs are often subject to ethical debates about confidentiality and privacy, school-to-parent communication, and safety and self-esteem issues for students. Despite this debate, no comprehensive analysis has been completed that compares and contrasts how these issues differentially affect schools, parents, and students.METHODSA keyword search from electronic databases a review of state legislation related to BMI surveillance screening was used to identify relevant literature data focused on surveillance screening policies, BMI report cards, parental perceptions of BMI screenings their child's weight status.RESULTSThis article addresses the gap of previous literature by outlining the ethical considerations and implications that BMI screening programs and report cards have for schools, parents, and students, and links these with outcome studies to address whether these controversies are supported by research.CONCLUSIONS Despite the controversies surrounding these programs, this review shows that they can be valuable for all parties and demonstrates BMI screening programs to be vital to the development of robust school-based obesity prevention programs and promotion of healthy lifestyles in schools.Journal of School Health 01/2015; 85(1). DOI:10.1111/josh.12222 · 1.66 Impact Factor
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ABSTRACT: If a parent does not accurately perceive their child’s overweight or obese status and potential health risk as a result of excess weight, they may be less inclined to encourage their child’s participation in healthy behaviors. This study systematically reviewed the past 5 years of literature regarding the accuracy of parental perception of their child’s weight status. PubMed, PsychInfo, and CINAHL databases from 2006 to 2012 were searched using key words related to parental perception and childhood overweight. Quantitative studies which assessed parental perception of their child’s body weight with height and weight measurements of the child (2–18 years of age) within the United States were included. Studies were excluded if the family was preparing to or currently receiving any kind of treatment or intervention for weight loss/management. Eligible articles which assessed and reported parental perception of their child’s body weight. Thirteen studies met the criteria for inclusion. Underestimation of obesity ranged from 13.3 to 100 % of parents of children with a BMI ≥95th percentile. In six of the studies, >70 % of parents of overweight children (≥85–Journal of Child and Family Studies 05/2014; 24(5). DOI:10.1007/s10826-014-9945-0 · 1.42 Impact Factor