Assessment of Actual Weight, Perceived Weight and Desired Weight of Romanian School Children-Opinions and Practices of Children and Their Parents

Trandafir, Anda-Valentina; Fraseniuc, Maria; Lotrean, Lucia Maria

doi:10.3390/ijerph19063502

Cited by 3 publications

(4 citation statements)

References 69 publications

(84 reference statements)

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“…Significant gender and age differences have been reported for this discrepancy; males and younger individuals tend to underestimate their weight (and vice versa for females) (14-17). Studies have explored comprehensive lifestyle factors, ranging from health-related behaviors to socioeconomic status; however, most of this research used cross-sectional designs, highly selected cohorts, or populations with specific age groups (e.g., high school or university students, and young adults) (18)(19)(20)(21)(22). In addition, there is growing attention on how to identify the target populations with weight misperception, and only a few studies have performed predictive analytics based on the associated behavioral and social factors that lead to body weight misperception.…”

Section: Introductionmentioning

confidence: 99%

Misperception of body weight and associated socioeconomic and health-related factors among Korean female adults: A nationwide population-based study

et al. 2022

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BackgroundMisperception of body weight is associated with various psychological and health problems, including obesity, eating disorders, and mental problems. To date, female-specific risk factors, including socioeconomic or health-related lifestyle features, or their indicative performance for the misperception in Asian women according to age groups remain unknown.ObjectivesTo investigate the prevalence and associated risk factors for the mismatch in self-perceived body weight and evaluated the classification performance of the identified risk factors across age groups in female adults.MethodsWe analyzed data of 22,121 women (age 19–97 years) from the 7-year Korea National Health and Nutrition Examination Survey dataset (2010-2016). We evaluated self-perceived body weight of the participants with their actual weight using the body mass index cut-off and grouped them by age: early adulthood (19–45), middle adulthood (46–59), and late adulthood (≥60). Logistic regression was conducted in each age group based on their weight misperception. The classification performance of the identified risk factors was evaluated with a bagging tree ensemble model with 5-fold cross-validation.Results22.2% (n=4,916) of the study participants incorrectly perceived their body weight, of which 14.1% (n=3,110) and 8.2% (n=1,806) were in the underestimated and overestimated groups. Among the age groups, the proportion of participants who misperceived their body weight was highest in late adulthood (31.8%) and the rate of overestimation was highest in early adulthood (14.1%). We found that a lower education level, absence of menopause, perception of themselves as unhealthy, and efforts for weight management were significantly associated with the overall misperception (overestimation or underestimation) of body weight across age groups. Based on the identified risk factors, the highest area under the receiver operating curve (AUROC) and accuracy of the best classification model (weight overestimation in all participants) were 0.758 and 0.761, respectively. Adding various associated lifestyle factors to the baseline model resulted in an average increase of 0.159 and 0.135 in AUROC for classifying weight underestimation and overestimation, respectively.ConclusionsAge, education level, marital status, absence of menopause, amount of exercise, efforts for weight management (gain, loss, and maintenance), and self-perceived health status were significantly associated with the mismatch of body weight.

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Section: Introductionmentioning

confidence: 99%

Misperception of body weight and associated socioeconomic and health-related factors among Korean female adults: A nationwide population-based study

et al. 2022

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“…The rising prevalence of childhood obesity has desensitized society to excess weight, normalizing this condition to some extent. Furthermore, a lack of awareness may lead parents to base their perceptions on visual comparisons with other children, who may also be overweight ( 36 ). Parental perception is complex, influenced by various factors including the relationship between the observer and the observed, the individual characteristics of both, and the observer’s prior beliefs and experiences ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

“…These findings underscore the complexity of parental perception regarding their children's nutritional status. The discrepancies observed between different studies can be attributed to varied methodologies used to assess parental perception, whether verbal or visual (18,22,35). However, it's crucial to consider ongoing cultural and social changes.…”

Section: Discussionmentioning

confidence: 99%

Association between cardiovascular risk and maternal perception of BMI in Peruvian schoolchildren

Mamani,

Martínez,

Llico

et al. 2024

Front. Public Health

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IntroductionIn the modern era, the maternal perception of children’s nutritional status has emerged as a critical area of study, given its potential influence on nutritional interventions and long-term child health. The relationship between this perception and children’s Body Mass Index (BMI) by age is particularly intriguing, as it may reveal discrepancies between perception and reality.ObjectiveThe aim of this study was to evaluate Peruvian mothers’ perception of their children’s Body Mass Index (BMI) in relation to age and to determine how this perception associates with the children’s cardiovascular risk. The study also analyzed sociodemographic factors that might influence this perception.MethodsThe study included 130 mothers of schoolchildren aged 5 to 11 from a school in Lima. Mothers’ perceptions of their children’s weight were assessed using pictograms, and sociodemographic characteristics were collected through a questionnaire. Weight and height measurements were taken to calculate BMI, and waist circumference was measured to classify cardiovascular risk.ResultsA total of 57.4% of the schoolchildren presented with excess malnutrition, and 51.5% of the mothers incorrectly classified the actual BMI/Age of their children (kappa 0.11; p ≤ 0.05). Additionally, it was found that the schoolchild’s age is associated with the mother’s failure to accurately perceive her child’s weight (OR 1.59). Lastly, there was a significant association between maternal perception and cardiovascular risk (p ≤ 0.05).ConclusionThere is a significant discrepancy between maternal perception and the actual nutritional status of children, which can increase cardiovascular risk. It is necessary to implement intervention and education strategies targeted at parents to enhance the recognition and management of childhood overweight and obesity.

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“…Misperceptions about children's actual weight by both children and parents potentially impact their current lifestyle and delay intervention in weight management. Factors contributing to misperceptions include body mass index, gender, weight-related behaviours, parents' estimations, family discussions, bullying, online bullying, and exclusion from groups [35]. There is a need for education for both parents and children to correctly identify and manage children's body weight [38].…”

Section: Eating Habits and Nutritional Statusmentioning

confidence: 99%

Status of Healthy Choices, Attitudes and Health Education of Children and Young People in Romania—A Literature Review

Roșioară,

Năsui,

Ciuciuc

et al. 2024

Medicina

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Background and Objectives: This study aims to assess the health status and factors influencing healthy choices among children and young people in Romania, as well as the efficacy of related health education programs. Through understanding these dynamics, the study seeks to provide insights that can shape targeted interventions, policies, and educational strategies to improve this demographic’s overall health and well-being. Materials and Methods: For this study, we performed a literature review of original published papers on the health status, healthy habits, health education, predisposition to making healthy choices in the future, and accessibility to the paediatric health system of Romanian children and young people, as well as the effects of different types of educational interventions on this demographic in Romania. Results: The prevalence of dental caries is high in Romania. In terms of eating habits and nutritional status, a worrying proportion of children are overweight or obese, which can lead to a variety of future physical and psychological problems. In terms of physical activity, few adolescents demonstrate regular fitness practices. Romania presents an increase in alcohol and tobacco consumption among adolescents. The mental health of students has become a pressing public health concern, exacerbated by the COVID-19 pandemic. The use of social networks is linked to mental health issues among young people. Romania still has one of the highest rates of sexually transmitted diseases and faces a high incidence of cervical cancer, with a mortality rate three times higher than the EU average. High rates of teenage pregnancies are linked to limited information about sexuality and a lack of access to family planning at a young age. There are large discrepancies in the accessibility of medical services between urban and rural areas. Conclusions: Romania faces significant obstacles to providing high-quality healthcare to children and young people. Improving nutrition, immunisation rates, and access to medical services represent essential areas for enhancing the health of children and young people in Romania.

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Assessment of Actual Weight, Perceived Weight and Desired Weight of Romanian School Children-Opinions and Practices of Children and Their Parents

Cited by 3 publications

References 69 publications

Misperception of body weight and associated socioeconomic and health-related factors among Korean female adults: A nationwide population-based study

Misperception of body weight and associated socioeconomic and health-related factors among Korean female adults: A nationwide population-based study

Association between cardiovascular risk and maternal perception of BMI in Peruvian schoolchildren

Status of Healthy Choices, Attitudes and Health Education of Children and Young People in Romania—A Literature Review

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