Childhood Excess Weight in Spain From 2006 to 2012. Determinants and Parental Misperception

Ramiro-González, María D.; Sanz-Barbero, Belén; Royo-Bordonada, Miguel Ángel

doi:10.1016/j.rec.2017.02.026

Cited by 20 publications

(19 citation statements)

References 32 publications

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“…Thus, when the mother is not at home, the caretaker does not take as much responsibility of the child in all aspects including nutrition. Frequent snacking habits were also associated with adiposity, which was expected as it is consistent with several other studies in the literature (15,16). An interesting finding of our study was that more children born by C/S were obese/overweight than those born normally.…”

Section: Discussionsupporting

confidence: 93%

Work Patterns of Mothers Influence the Weights of Their Children

Mousa¹

2018

Turk J Endocrinol Metab

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Objective: Recent studies have reported a positive association between paid work hours of mothers and obesity in their children. Like most of other hospitals, nurses at our center work either on irregular shifts or on a regular basis. The aim of this study was to analyze factors affecting the weights of the children of female nurses. Material and Methods: We evaluated 100 children of female nurses on duty at our hospital. We prepared a questionnaire including details such as the gender of the child, birth-weight, education level and working status of both parents, duration of breastfeeding, age at which supplementary food was first introduced, exercise habits, snacking habits, and identity of caretakers while the mothers were at work. We calculated the body mass index percentiles using standard growth charts. Results: According to the standard body mass index percentiles, 13 children were underweight, 53 had normal weight, 14 were overweight, and 20 were obese. The weight patterns of children were positively associated with regular maternal workstyle (p=0.016), frequency of snacking habits (p=0.003), and caesarian birth (p=0.04). Children of nurses working on shifts were more likely to be underweight compared to those working on fixed schedules. There was no association between the weight patterns of children and education levels of parents, working status of fathers, duration of lactation, birth-weight, gender, order of birth, and supplementary food consumption patterns. Conclusion: Irregular working hours of mothers can cause irregular and insufficient nutrition for their children. The mother is generally unable to supervise the child during feeding hours. These findings need to be confirmed through more studies on a large scale.

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Section: Discussionsupporting

confidence: 93%

Work Patterns of Mothers Influence the Weights of Their Children

Mousa¹

2018

Turk J Endocrinol Metab

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“…In regard to parental misperception of the children's weight status, the proportion of parents of children with overweight or obesity who perceived them as having a normal or low weight was high, similarly to other studies (11,13,21,(33)(34)(35)(36)(37)(38) . In Spain, a study assessing the wrong perception of excess weight among parents of children between 5 and 9 years old using data from the 2011-2012 SNHS found that 79•7 % of parents of children with overweight and 70•3 % of parents of children with obesity (according to the IOTF classification) considered their children's weight as normal or lower than normal (13) . The use in the present study of reported measures to estimate the child's weight status could explain the higher misperception found among parents of children with obesity.…”

Section: Parental Misperceptionsupporting

confidence: 77%

“…Their inaccuracy could lead to biased results that even could affect some weight status categories more than others. In regard to parents' weight perception, up to 60•8 % failed to recognize excess weight in their children according to the 2006-2007 SNHS (using reported measures as reference, since objective height and weight are not collected in this survey), rising to 71•4 % in the 2011-2012 SNHS (13) . It would be necessary to compare parents' weight perception with the objective measures of the children to assess the accuracy of that appraisal and the extent of weight status misperception.…”

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confidence: 91%

Accuracy of anthropometric measurements and weight status perceptions reported by parents of 4-year-old children

Esteban-Vasallo

Galán

Ortiz-Pinto

et al. 2019

Public Health Nutr.

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Objective:To assess the validity of self-reported height and weight by parents of 4-year-old children and subjective weight perception.Design:Descriptive cross-sectional study.Setting:Paediatric population living in the Autonomous Community of Madrid.Participants:Children born in 2008–2009 examined at 47–59 months of age. Data were collected by paediatricians of the Madrid Primary Care Physicians Sentinel Network. Parents reported weight and height data. Prevalence of weight status categories was calculated using WHO and International Obesity Task Force (IOTF) reference criteria. Sensitivity, specificity and positive predictive value (PPV) were estimated. The appraisal of their child’s weight perception and parental misperception were assessed.Results:For 2914 children, reported height was underestimated by −1·38 cm, weight by −0·25 kg and BMI was overestimated by +0·41 kg/m2 on average. The prevalence of obesity estimated with reported data was 2·7 times higher than that calculated with measured data (16·2 v. 6·0 %) according to WHO classification, and 3·6 times higher with IOTF classification. Sensitivity to identify obesity was 70·5 %, specificity was 87·3 % and PPV was 26·2 % (WHO classification). Half of the parents of pre-schoolers with obesity failed to identify their child’s weight status. Parental misperception among children classified as having overweight or obesity reached 93·0 and 58·8 %, respectively.Conclusions:Parents underestimated children’s height and weight, leading to an overestimation of the prevalence of obesity. Small inaccuracies in reported measures have an important effect for the estimation of population prevalences. Parents’ report of child weight status is unreliable. Parental awareness and acknowledgement of child weight status should be improved.

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“… 4 In Spain from 2011 to 2012, the prevalence of childhood excess weight and obesity was 29.7% and 9%, respectively. 5 Obesity at an early age often continues into adulthood and confers a major risk for insulin resistance, impaired glucose tolerance, hypertension, dyslipidemia, cardiovascular disease, and cancer. 6–9 …”

Section: Introductionmentioning

confidence: 99%

Full Breastfeeding and Obesity in Children: A Prospective Study from Birth to 6 Years

et al. 2018

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Background: Obesity is a major public health crisis among both children and adults and contributes to significant physical, psychological, and economic burden. We aim to investigate the effect of duration of breastfeeding on excessive weight and obesity at 6 years of age.Subjects/Methods: Data on breastfeeding and child anthropometric measurements were collected in a birth-cohort study in Murcia, Spain (n = 350). Breastfeeding status and body mass index (BMI) were established according to WHO definitions. Other factors potentially related to children's weight were considered. Multiple log-linear and ordinal regressions were used to analyze the effects of breastfeeding on overweight and obesity when considering potential confounders.Results: 33% and 17.3% of children in the study were of excess weight and obesity, respectively. Univariate predictors of BMI in children aged 6 were as follows: pregestational maternal BMI (kg/m2) (R2 = 0.127, p < 0.01); full breastfeeding (weeks) R2 = −0.035, p < 0.01); infant weight gain (kg) (R2 = 0.348, p < 0.01); and maternal alcohol consumption during pregnancy (g/day) (R2 = 0.266, p < 0.01) at age 6. In the ordinal logistic regression, full breastfeeding was associated with a significant decrease in obesity −0.052 (95% CI, −0.10 to −0.003).Conclusions: The delay of bottle feeding introduction may have a protective effect against obesity at 6 years of age. Our findings reinforce the need for greater support of breastfeeding and to promote a healthy environment and antipoverty interventions during pregnancy and infancy, alongside other strategies for obesity prevention.

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Childhood Excess Weight in Spain From 2006 to 2012. Determinants and Parental Misperception

Cited by 20 publications

References 32 publications

Work Patterns of Mothers Influence the Weights of Their Children

Work Patterns of Mothers Influence the Weights of Their Children

Accuracy of anthropometric measurements and weight status perceptions reported by parents of 4-year-old children

Full Breastfeeding and Obesity in Children: A Prospective Study from Birth to 6 Years

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