Counseling latina mothers of preschool children about weight issues: Suggestions for a new framework

Crawford, Patricia B.; Gosliner, Wendi; Anderson, Cindy M.; Strode, Poppy; Becerra-Jones, Yolanda; Samuels, Sarah E.; Carroll, Amy; Ritchie, Lorrene D.

doi:10.1016/j.jada.2003.12.018

Cited by 143 publications

(145 citation statements)

References 21 publications

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“…Similarly, in the Third National Health and Nutrition Examination Survey (34), and in a large study of WIC participants (35), there was a high degree of misclassification of child weight. In our study, less than one-tenth of mothers considered that their child's weight was too high, and further study is needed to understand how mothers and other family members form subjective impressions of children's health and body mass (36,37). Among AfricanAmerican and White mothers enrolled in WIC, mothers often focused on functional definitions of overweight rather than objective measures such as height and weight (38).…”

Section: Discussionmentioning

confidence: 87%

Overweight in Young Latino Children

Fuentes-Afflick

Hessol

2008

Archives of Medical Research

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Section: Discussionmentioning

confidence: 87%

Overweight in Young Latino Children

Fuentes-Afflick

Hessol

2008

Archives of Medical Research

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“…24 Both Crawford et al and Ariza et al found that parents expressed a preference for providers to tell them ''how'' to make changes and to tailor their advice for their family. 18,36 Thus, the one size fits all approach may not be suitable when working with families regarding obesity prevention and management.…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

et al. 2013

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Background: To prevent childhood obesity, parents and their children's healthcare providers need to engage in effective dialogue. We know much about mothers' experiences, but very little about fathers' experiences.Methods: We explored African-American, Caucasian, and Latino fathers' perceptions and experiences communicating with their children's provider during clinic visits regarding weight, diet, and physical activity. Focus groups (n = 3), grouped by race/ethnicity, including a total of 24 fathers, were conducted. The men were asked open-ended questions; responses were recorded and transcribed, and analyzed using ATLAS.ti.Results: Findings revealed that these fathers were involved in their children's healthcare and found providers to be helpful partners in keeping their children healthy, yet they generally felt ''left out'' during clinic appointments. The quality of the relationship with their children's provider influenced how receptive fathers were to discussing their children's weight, diet, and physical activity behaviors. Fathers made suggestions to help improve communication between providers and fathers, such as personalizing the discussion.Conclusions: These fathers expressed strong feelings about the provider-parent relationship when discussing weight, diet, and physical activity.

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“…Parents who operate under these biases will minimize the likelihood of their children being OWOB in their minds. Studies have shown that children were not considered overweight if they were active, ate a healthy diet, had a good appetite and were popular (Jain et al, 2001;Crawford et al, 2004). Qualitative studies who tried to understand the gap in maternal perception of obesity showed that LSES mothers tended to describe obese children as 'solid', having 'good appetite' and 'healthy', and did not relate body size using any negative terminology (Contento et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers

et al. 2011

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Objectives: To identify modifiable risk factors for obesity among low socioeconomic status (LSES) children. Methods: Cross-sectional data were obtained from 238 4-7-year-old children and 224 mothers from LSES preschools. Anthropometric measurements were obtained; mothers were interviewed about sociodemographic characteristics, health behaviors, perceptions and beliefs. Results: The combined prevalence of overweight and obesity (OWOB) among children was 29.8% based on the new World Health Organization (WHO) growth standard. Prevalence of OWOB (body mass index X25) among mothers was 51.8%. Mean age, sleeping hours, gender distribution and poverty level were similar between normal and OWOB children. Over 82% of mothers underestimated their child's weight status. Of the 62 OWOB children, 74.2% were perceived by their mothers as having 'normal weight' (NW) and 8% were perceived as 'thin'. Mothers perceived 67 out of 158 NW children (42.4%) as 'thin' (Po0.001). Mediation analysis indicated that 10% of the effect of maternal underestimation on child's OWOB may be mediated through child's daily sedentary hours (P ¼ 0.06). In a multivariable logistic-regression analysis controlling for maternal obesity, knowledge regarding breakfast's importance and child's daily sedentary hours, maternal underestimation of the child's weight status (odds ratio ¼ 7.33; 95% confidence interval (CI):2.41-22.37; Po0.0001) and parental smoking (odds ratio ¼ 3.25; 95% CI: 1.26-8.40; P ¼ 0.015) were the only significant factors associated with OWOB in LSES children. Conclusions: Maternal perception of child's weight status and parental smoking are associated with childhood OWOB among LSES children. These parameters can help identify children at risk for obesity. Maternal perception may be amenable to intervention.

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Counseling latina mothers of preschool children about weight issues: Suggestions for a new framework

Cited by 143 publications

References 21 publications

Overweight in Young Latino Children

Overweight in Young Latino Children

Childhood Obesity Prevention: Fathers' Reflections with Healthcare Providers

Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers

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