Introduction.Many parents have a misperception of their children's body size; in general, they underestimate overweight and obesity. Objective. To identify the difference between parents' perception of their children's nutritional status and measured body mass index. Population and methods. An analytical, descriptive and cross-sectional study was conducted among parents of children aged 2 to 6 years old. Children's body mass index was measured, and parents' perception was assessed using a visual scale of body size pictograms (drawings of body figures equivalent to body mass index percentiles). Results. A total of 605 children and their parents were assessed. Seventy-four (12.2%) were overweight and 87 were obese (14.3%). There were 161 overweight or obese children, but 98.8% (159) of parents underestimated their children's nutritional status. Parents' underperception of their children's body size accounted for an OR= 2.1 ± 0.5, p = 0.002 (95% confidence interval [CI]: 1.32-3.32) for obesity and an OR = 4.42 ± 1.2, p < 0.001 (95% CI: 2.631-7.439) for overweight. Conclusions. Among parents of overweight and obese children, 98.8% (159) underestimated their children's weight status. Such underestimation by parents may be a significant risk factor for the development and/or persistence of overweight and obesity in their children.
La democracia la forman una ciudadanía participativa, conocedora de sus derechos y obligaciones en conjunto con los gobiernos que emanan de esa ciudadanía. Esta democracia ciudadanizada constituye un derecho y una obligación que puede ser aplicada a los sistemas de salud. Por tanto, el objetivo de esta revisión es mostrar como la cultura de la democracia podría impactar en la transformación de los sistemas de salud, estimular la participación ciudadana en el diseño de la política pública por medio de la participación activa de los usuarios. Se realizó una revisión bibliográfica crítica utilizando las palabras claves de democracia y salud. Una participación efectiva de los ciudadanos y los usuarios, donde se les considere como aliados y tengan una parte del liderazgo organizacional, puede llevar a la institución a tener mejor calidad en el cuidado clínico y en la investigación que lleva a cambios en la política pública Palabras clave: Sistema de salud; Democracia; Justicia social; Equidad.
Submission of an original paper with copyright agreement and authorship responsibility.I (corresponding author) certify that I have participated sufficiently in the conception and design of this work and the analysis of the data (wherever applicable), as well as the writing of the manuscript, to take public responsibility for it. I believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for publication. Neither has the manuscript nor one with substantially similar content under my authorship been published nor is being considered for publication elsewhere, except as described in an attachment. Furthermore I attest that I shall produce the data upon which the manuscript is based for examination by the editors or their assignees, if requested.Thanking you.
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