Objective: Assessing maternal perception of their children's nutritional status and identifying associated factors. Methods: A cross-sectional study conducted in a small municipality with 342 children less than 3 years of age treated in Basic Health Units of São Paulo. Nutritional status was classified in percentiles of body mass index for age and maternal perception was assessed using the scale of verbal descriptors (very thin, thin, healthy weight, fat, very fat). Logistic regression was used to identify the associated factors. Results: 44.7% of maternal perception was found to be inadequate. Mothers of overweight (OR = 11.8, 95% CI: 6.4-21.7) and underweight (OR = 5.5; 95% CI: 1.9-16.2) children had a higher chance of having inadequate perception, similar to mothers of children over 24 months of age (OR = 2.9; 95% CI: 1.4-6.0). Conclusion: For effective child care in primary care, healthcare professionals should consider maternal perception and help mothers to identify the nutritional status of children in childcare consultations and growth monitoring.
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