Caregiver perceptions of childhood weight: demographic moderators and correlates

Miller, Daniel P.; Johnson, William; Miller, Maria Elisa Peinado; Miller, Javier; Sutin, Angelina R.

doi:10.1111/cch.12318

Cited by 7 publications

(5 citation statements)

References 18 publications

(16 reference statements)

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“…These factors have previously been found to impact parents' perceptions of their child's weight status 5,19,37,42,43 and were not measured in this study.…”

Section: Limitations and Strengthsmentioning

confidence: 80%

Effect of children’s BMI on the association between parents’ socio-demographic and economic characteristics, and Parental perceptions of their child’s weight status in South-western Sydney: The Growing Healthy Kids Survey, Australia

Kovai,

Chong,

Jalaludin

et al. 2024

Preprint

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Background: Parents’ perception of children’s weight status has been recognised as one of the influencing factors when planning childhood overweight and obesity prevention programs. We aimed to examine whether children’s BMI modified the association between parents’ socio-demographic and economic characteristics and their perceptions of their children’s weight status in South Western Sydney Local Health District. Methods: We analysed 1,353 parents’ perceptions of their child’s weight status using the ‘Growing Healthy Kids-Population Health Survey’ baseline data. Generalised linear multinomial mixed models were used to determine the associations. Results are presented as odds ratio and associated 95% confidence intervals by BMI. Results: This study found that the weight status of about 23% of healthy-weight children, 65% of overweight children and 55% of obese children was incorrectly perceived by parents. Father as the primary parent and parents who completed <=12 years of school education were less likely to perceive their overweight or obese children as overweight. Parents who lived in more disadvantaged areas were more likely to perceive their obese children as overweight. Parents who lived in moderate disadvantaged areas were less likely to perceive their overweight children as overweight. Parents who had reported an annual household income between $52,000-$103,999 were more likely to perceive their overweight children as of healthy weight and parents who reported an annual household income below $103,999 were twice as likely to perceive their obese children as having a healthy weight. Conclusion: The findings suggest that there may be benefit in designing interventions that focus on improving parents’ misperception of children’s weight status. The groups of parents who should be prioritised for preventive public health interventions to modify the parental misperceptions of their child’s weight status include a) fathers, b) parents who completed <=12 years of school education and parents who had Trade, TAFE or Diploma as educational qualification, c) parents living in moderately disadvantaged areas and d) parents with low and high household-income.

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“…These factors have previously been found to impact parents' perceptions of their child's weight status 5,19,37,42,43 and were not measured in this study.…”

Section: Limitations and Strengthsmentioning

confidence: 80%

Effect of children’s BMI on the association between parents’ socio-demographic and economic characteristics, and Parental perceptions of their child’s weight status in South-western Sydney: The Growing Healthy Kids Survey, Australia

Kovai,

Chong,

Jalaludin

et al. 2024

Preprint

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show abstract

“…Noteworthy, two studies reported fair agreement between parent perception of their child weight status and the actual weight status (kappa statistics = 0.214, 0.28 respectively) 6,36 . Another study reported a significant association between parents' misperception and obesity status of their children (OR =1.76, 95% CI= 1.32-2.34 P<0.05) 22 . Furthermore, a couple of studies reported a significant relationship between accurate parental perceptions of their child's weight status and the child's actual weight status (p <.001) 47…”

Section: Parents' Perception Of Their Child's Weight Statusmentioning

confidence: 96%

Parents’ Perception of Child Weight Status, Risk Factors and Health Concern of Childhood Obesity: A Systematic Review

Tin

Daliana

et al. 2022

Int J Life Sci Pharm Res

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The increased prevalence of childhood obesity is becoming a public health concern as it is related to numerous health implications. Parental perception of child's weight status is an important factor for reducing childhood obesity burden. Parental perception of the risk factors and health outcomes of obesity are important in prevention and management of childhood obesity. However, previous reviews focused mainly on parental perceptions about healthy behaviors to reduce the burden of childhood obesity. Thus, this systematic review was carried out to investigate parental perceptions of their child weight status as well as risk factors and health concern of childhood obesity. A systematic review was conducted and was reported in accordance with PRISMA statement on studies between 2012 and 2017 through a variety of database like CINAHL, PubMed, Science Direct, Scopus and Cochrane Library. However, out of 2,334 articles identified, only 35 studies were included, which originate mostly from high-income countries. The results revealed that parents' misperception rate of their children's weight varies from 9.6% to 90%, while parents perceptive that only genetic factors, non-vegetable-consumption or low physical activity and environmental factors are the key risk factors of childhood obesity. Hence, parents' of obese children estimate their children to be at risk at having hypertension, heart disease, depression, and diabetes. In conclusion, parents have difficulty in correctly perceiving the obesity status of their children. Health care workers should be aware of the parents' wrong perception of their children's weight status. The result of this review may be used to develop an effective intervention programs aimed at reducing the burden of childhood obesity which focus on the parental perception of the risk factors contributing to childhood obesity.

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“…A normal weight percentile is between 5 and 85, while less than five is underweight, overweight is between 85 and 95, and obese is greater than or equal to 95. For analysis of the visual perception of child size, an artist rendering depicting weight as used [29].…”

Section: Research Questions and Statistical Analysis For Eachmentioning

confidence: 99%

Health belief model factors as predictors of parental misclassification of the weight of the preschool child

Woods¹,

Nies

2021

PLoS ONE

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Background Parental misperception and underestimation of their child’s weight are documented in studies. Demographic factors like age and gender have been linked to misclassification. However, modifiable factors that could potentially frame future intervention and prevention strategies have not been explored. This study aimed to assess factors that could predict parental misclassification of their preschool child’s weight. Methods This was a cross-sectional study with 198 parents and their 2- to 5-year-old children who attended standalone preschools or childcare centers with preschools. Parents completed a questionnaire that asked about demographic features, personal and family health, and the assessment of their child’s weight using the three most frequently utilized measures. Logistic regression was conducted to assess the association between parental factors and child weight classification status. Instruments included the Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children Scale (PSEPAD), the Obesity Risk Scale (ORK-10), and the Adolescent Obesity Risk Scale (AORK). Analyses included frequencies, chi-square tests, Kappa coefficients, and logistic regressions. Results Parents were least accurate (35.9%) identifying child weight when selecting a picture (κ = -.028, p = .42). The pictorial and Likert method (κ = -.032, p = .37) showed parental agreement with child weight was not significantly better than chance. Statistically, a significant agreement was found in the weight-reporting method (κ = .21). Two of the three HBM-related measures were significantly related to accurate classification. Logistic regression showed child sex, PSEPAD scores, and ORK-10 scores were statistically significant predictors in the Likert method. The model had no statistical significance for the pictorial or weight-reporting method. Conclusion Results indicate parents support intervening if aware of child weight problems. However, parents do not accurately recognize healthy versus unhealthy weights and report that health providers are not informing them of weight deviations. Further, important relationships between the HBM variables were identified. Results show barriers (self-efficacy) mediate the impact of perceived severity (knowledge) regarding the parental ability to assess child weight accurately. These relationships and incorporation of the HBM principles of barriers and severity into prevention/intervention strategies need further exploration.

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Caregiver perceptions of childhood weight: demographic moderators and correlates

Cited by 7 publications

References 18 publications

Effect of children’s BMI on the association between parents’ socio-demographic and economic characteristics, and Parental perceptions of their child’s weight status in South-western Sydney: The Growing Healthy Kids Survey, Australia

Effect of children’s BMI on the association between parents’ socio-demographic and economic characteristics, and Parental perceptions of their child’s weight status in South-western Sydney: The Growing Healthy Kids Survey, Australia

Parents’ Perception of Child Weight Status, Risk Factors and Health Concern of Childhood Obesity: A Systematic Review

Health belief model factors as predictors of parental misclassification of the weight of the preschool child

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