Factors associated with parental underestimation of child's weight status

Warkentin, Sarah; Mais, Laís Amaral; Latorre, Maria do Rosário Dias de Oliveira; Carnell, Susan; Taddei, José Augusto de Aguiar Carrazedo

doi:10.1016/j.jped.2017.05.010

Cited by 21 publications

(25 citation statements)

References 21 publications

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“…Because child weight data were not collected, there is also a possibility that children were not overweight or obese and the mothers would not be concerned about child weight. Further, it is well documented that parents tend to underestimate their child's own weight status, with parents of children that are overweight or obese commonly perceiving their child as normal weight ( 40 ). In older children it has been shown that parents who have multiple children have a lower chance of underestimation of child weight ( 41 ).…”

Section: Discussionmentioning

confidence: 99%

A Structural Equation Modelling Approach to Understanding Influences of Maternal and Family Characteristics on Feeding Practices in Young Children

Kracht

Swyden

Weedn

et al. 2018

Current Developments in Nutrition

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BackgroundThe family environment is influential for a child's healthy development through parent and sibling influences on feeding practices. Multiple-child households may protect against unhealthy feeding practices, but additional children contribute to higher maternal stress. Households of married parents may decrease maternal stress by sharing parental demands.ObjectiveWe aimed to evaluate the collective influence of maternal stress, marital status, and number of children on feeding practices.MethodsMothers of 2- to 5-y-old children (n = 278) were recruited mainly on a university campus and completed an online survey to examine associations between maternal stress (Depression, Anxiety, Stress Scale), number of children, marital status, and feeding practices (restriction and pressure to eat; Child Feeding Questionnaire). Relationships were examined through the use of multivariate regression and structural equation modelling.ResultsA mainly married (85%) and Caucasian (73%) sample participated, with most mothers reporting multiple children [2 children (45%) or ≥3 children (24%)]. Marital status was not associated with either feeding practice, i.e., restriction and pressure to eat (P < 0.05). In adjusted models, maternal stress (β = 0.04, SE = 0.01, P = 0.003) and number of children (β = 0.24, SE = 0.08, P = 0.003) in the household individually contributed to higher feeding restriction; their interaction resulted in lower feeding restriction (β = −0.01, SE = 0.05, P = 0.005). In stratified models, maternal stress was associated with restriction in single-child households (β = −0.03, SE = 0.009, P = 0.002), but not multiple-child households (β = −0.004, SE = 0.005, P = 0.40).ConclusionsNumber of children had no effect on feeding practices individually, but may contribute to a less restrictive feeding environment. Additional investigation into creating less stressful and more positive feeding environments for all mothers can lead to healthier mothers and families.

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Section: Discussionmentioning

confidence: 99%

A Structural Equation Modelling Approach to Understanding Influences of Maternal and Family Characteristics on Feeding Practices in Young Children

Kracht

Swyden

Weedn

et al. 2018

Current Developments in Nutrition

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“…20 Although Robinson 47 found that perceiving a child is 'fat', still tends to correlate with their future weight, Etelson et al, 48 suggested pediatricians should provide weight loss advice to parents, and focus on both the assessment of the parent's perceptions, as well as their understandings of this problem. Warkentin et al, 29 propose that since awareness of weight problems is essential for prevention and treatment, clinical practitioners can help parents at high risk of misperception to correctly evaluate their child's weight status. However, Pasch et al, 27 caution that attempts by pediatricians to correct parents' misperceptions about child weight may damage rapport and ultimately fail if the misperception is actually a reflection of parents' preferences, which may not be readily amenable to change.…”

Section: Resultsmentioning

confidence: 99%

Childhood Obesity and Parental Weight Perceptions: An Update

Marks¹

2017

AOWMC

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Recent data continue to reveal the persistence of high rates of childhood obesity in many regions of the world. This brief describes the most recent research on this topicfrom the perspective of the role played by parental weight perceptions, a variable that has been linked to the persistence of and apparent burgeoning of childhood obesity/ overweight prevalence rates, regardless of country of origin. To update the literature on this topic, English language peer-reviewed publications from 2016-2017 on the topics of overweight, obesity and parental health literacy were specifically reviewed. Findings from the available studies reveal many inaccurate parental perceptions have been observed among children at risk for childhood obesity, an ongoing widespread health concern. This epidemic also appears to be influenced by the accuracy of the perceptions of parents regarding their child's weight status. It is concluded that strategies to help parents detect and intervene upon any prevailing overweight risk for this oftentimes irreversible health condition are strongly indicated.

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“…9 Hasil yang hampir sama juga dilaporkan pada satu penelitian di Brasil dimana 45% orang tua menganggap anaknya memiliki status gizi normal meskipun pemeriksaan antropometri menunjukkan anak termasuk dalam gizi lebih (under estimation). 10 Selain itu juga dilaporkan bahwa usia, pekerjaan, pendidikan, status perkawinan dan penghasilan keluarga memengaruhi penilaian orang tua tentang status gizi anak. 11,12 Meskipun gangguan gizi pada anak telah banyak diteliti di Indonesia namun penelitian faktor-faktor yang memengaruhi kesalahan persepsi ibu tentang status gizi anak belum pernah dilakukan.…”

Section: Pendahuluanunclassified

“…Orang tua memilih jawaban dari tiga pilihan yaitu kurus, normal atau obesitas. 10,15 Penentuan status gizi ibu diukur berdasarkan BB dan TB yang dilaporkan oleh ibu melalui pengisian kuesioner (self-reported). Status gizi ibu diklasifikasikan berdasarkan IMT menurut kriteria Asia-Pasifik menjadi obesitas (kombinasi gemuk dan obesitas) dan bukan obesitas (kombinasi kurus, sangat kurus dan normal).…”

Section: Bahan Dan Metodeunclassified

“…Nilai Kappa <0.8 merupakan indikasi bahwa persepsi ibu buruk sedangkan nilai ≥0.8 merupakan indikasi bahwa persepsi ibu baik. 10 Untuk menentukan faktor-faktor yang mempengaruhi ketepatan persepsi ibu tentang status gizi anak dilakukan analisis bivariat menggunakan uji Chisquare. Selanjutnya analisis multivariat dilakukan untuk mengetahui faktor yang paling dominan memengaruhi penilaian ibu menggunakan uji binary logistic regression terhadap variabel dengan nilai p<0,25 pada analisis bivariat.…”

Section: Bahan Dan Metodeunclassified

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Faktor yang Memengaruhi Kesalahan Persepsi Ibu tentang Status Gizi Anak

Arfianti

Kesuma

Septima

et al. 2019

MKMI

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Gangguan gizi merupakan masalah kesehatan yang serius pada anak di Indonesia. Ibu memainkan peranan yang penting dalam pencegahan gangguan gizi pada anak. Tujuan penelitian ini adalah membandingkan status gizi anak sekolah dasar berdasarkan penilaian ibu dan pengukuran antropometri serta menganalisis faktor-faktor yang memengaruhi kesalahan persepsi ibu tentang status gizi anak. Jenis penelitian adalah observasional analitik dengan desain cross-sectional. Sampel penelitian meliputi 250 ibu dari anak kelas 4 dan 5 di 6 (enam) sekolah dasar negeri di Kota Pekanbaru yang diperoleh dengan metode proportional quota sampling. Status gizi anak dikategorikan berdasarkan baku antropometri World Health Organization (WHO) 2006. Persepsi ibu tentang status gizi anak diukur menggunakan kuesioner. Berdasarkan pengukuran antropometri didapatkan 28% anak dengan status gizi lebih dan 10% anak dengan status gizi kurang, sedangkan bedasarkan persepsi ibu terdapat 4,8% anak dengan status gizi lebih dan 12,8% anak dengan status gizi kurang. Sebanyak 34,8% ibu salah dalam menilai status gizi anak dan kesesuaian terhadap pemeriksaan antropometri tergolong buruk (koefisien Kappa 0,02). Ibu yang bekerja lebih cenderung salah dalam menilai status gizi anak dibanding ibu yang tidak bekerja (p=0,004).

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Factors associated with parental underestimation of child's weight status

Abstract: Since awareness of weight problems is essential for prevention and treatment, clinical practitioners should help parents at high risk of misperception to correctly evaluate their child's weight status.

Cited by 21 publications

References 21 publications

A Structural Equation Modelling Approach to Understanding Influences of Maternal and Family Characteristics on Feeding Practices in Young Children

A Structural Equation Modelling Approach to Understanding Influences of Maternal and Family Characteristics on Feeding Practices in Young Children

Childhood Obesity and Parental Weight Perceptions: An Update

Faktor yang Memengaruhi Kesalahan Persepsi Ibu tentang Status Gizi Anak

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