Parental motivation to change body weight in young overweight children

Taylor, Rachael W.; Williams, Sheila; Dawson, A.; Haszard, Jillian J.; Brown, Deirdre A.

doi:10.1017/s1368980014002171

Cited by 8 publications

(6 citation statements)

References 42 publications

(59 reference statements)

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“…Our results are broadly consistent with other studies showing a mismatch between how parents perceive their child's weight and objective weight measures [14]. Studies from Portugal, the Netherlands and New Zealand have demonstrated similar disparities for young children; 17% of overweight Portuguese 2-6 year-olds, 15% of overweight Dutch 5-year-olds, and 42% of overweight 2-8 year-old New Zealanders, were perceived as overweight by their parents [27][28][29].…”

Section: Main Findingssupporting

confidence: 91%

Parents’ perceptions of their child’s weight among children in their first year of primary school: a mixed-methods analysis of an Australian cross-sectional (complete enumeration) study

et al. 2022

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Background/Objectives To describe trends in overweight/obesity in early childhood for all children and those whose parents are concerned about their weight. To describe parents’ perceptions of their child’s weight and differences by their child’s anthropometric and sociodemographic factors. Subjects/Methods Analysis of the Kindergarten Health Check, a survey of all children enrolled in their first year of primary education in the Australian Capital Territory. Analysis of detailed data for 2014–2017, including qualitative analysis of parents’ comments on weight, and trends for 2001–2017. Results 71,963 children participated in the survey between 2001 and 2017 (20,427 between 2014 and 2017). The average age of children (2001–2017) was 5 years and 9.6 months at the time of their physical health check. 2377 children (3.5%) were classified as obese based on measured body mass index (BMI) between 2001 and 2017, and a further 7766 (11.6%) overweight. Similar proportions were seen for 2014–2017. Among children with overweight/obesity in 2014–2017, 86.4% of parents (2479/2868) described their children’s weight as healthy and 13.3% (382/2868) as overweight/obese. Just 11.5% (339/2946) of parents whose children were later measured with overweight/obesity identified having a concern about their child’s weight. Parental comments varied widely and were often incongruent with the known health risks associated with their child’s measured BMI. Comments from parents whose children were measured as obese often were normalising e.g., “born big, always big. Definitely NOT overweight, just bigger all over”, whilst parents of children in the healthy range expressed concerns about underweight. Conclusion Parents do not accurately perceive their child’s weight and few document concerns, even among children measuring in the obese BMI category. This lack of concern makes early interventions challenging as parents are in the “pre-contemplative” stage of behaviour change and may see public health campaigns or clinicians’ attempts to address their child’s weight as irrelevant or unhelpful.

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Section: Main Findingssupporting

confidence: 91%

Parents’ perceptions of their child’s weight among children in their first year of primary school: a mixed-methods analysis of an Australian cross-sectional (complete enumeration) study

et al. 2022

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“…Another explanation for the differences between the weight categories could be that children with morbid obesity might be more aware of a healthy and active lifestyle than children with less severe obesity after being referred to the obesity center for treatment and might be more motivated to improve PA and reduce ST already before the start of the intervention. The results of the study from Taylor et al (2014) showed that motivation (to change body weight and PA habits) was higher among parents from children with more severe overweight [ 27 ]. For the present study, it could be that the children with morbid obesity (and their parents) were more concerned about their health and/or experienced already mental or physical problems after being referred by the youth healthcare division or general practitioners.…”

Section: Discussionmentioning

confidence: 99%

Objectively measured physical activity and sedentary time in children with overweight, obesity and morbid obesity: a cross-sectional analysis

et al. 2021

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Background Limited physical activity (PA) and a high level of sedentary time (ST) are associated with childhood obesity and are a target for intervention. This study aimed to assess objectively measured PA and ST in Dutch children across weight categories, age groups and sex. Methods 202 children with overweight, obesity and morbid obesity (55% girls, 12 ± 3y of age, BMI z-score + 3.15 ± 0.73), referred to the Centre for Overweight Adolescents and Children’s Healthcare (COACH, Maastricht UMC+) were included. PA (total PA, light PA and moderate to vigorous PA (MVPA)) and ST were measured with the GT3X Actigraph accelerometer. Wear time validation was set to include at least four days, 480 min/day, including one weekend day. Results PA levels in children with morbid obesity were higher compared to children with obesity, also after correction for age and sex (corrected difference (B) 118 counts per minute (cpm), p = .006). ST was lower in children with morbid obesity compared to children with obesity (B − 51 min/day, p = .018). Girls performed significantly less MVPA than boys (B − 11 min/day, p < .001) and for each year increase of age, children performed less PA (B − 46 cpm, p < .001) and ST increased (B 18 min/day, p < .001). Conclusion PA and ST is different in subgroups of children with overweight, obesity and morbid obesity, depending on sex, age and overweight severity. In particular, children with obesity perform less PA and more ST compared to children with morbid obesity. Future research could explore the preferences and needs for PA and ST in children in the different weight categories. Trial registration The trial is registered with Clinicaltrials.govNCT02091544 at March 19, 2014.

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“…Amotivation describes an individual’s lack of any compelling reason for a behavior. In the clinical setting, a better understanding of motivational factors could potentially assist physicians who are aiming to promote healthy behaviors in their patients [ 15 – 17 ]. Motivation-based interventions, in complement to SDT, can then be employed to promote behavior change, with the potential to lead to weight loss [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Motivation and perceived competence for healthy eating and exercise among overweight/obese adolescents in comparison to normal weight adolescents

et al. 2017

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BackgroundThe current literature on determinants of behavior change in weight management lacks sufficient studies on type of motivation among children/adolescents, on perceived competence, and in relation to healthy eating. This study aimed to investigate type of motivation and levels of perceived competence for healthy diet and exercise, as well as general self efficacy among adolescents. We hypothesized that overweight/obese adolescents would demonstrate lower autonomous motivation and perceived competence regarding diet and exercise, and lower self-efficacy in general, and that the scores would be influenced by socioeconomic factors.MethodsNormal weight (n = 40, body mass index < 85% for age and gender) and overweight or obese adolescents (n = 60, body mass index ≥ 85% for age and gender) aged 13-18 years were recruited from pediatric ambulatory clinics. Information was collected about demographics, socioeconomic factors, and lifestyle behaviors. The study subjects completed a survey including the Treatment Self-Regulation Questionnaire (TSRQ) and the Perceived Competence Scale (PCS) for healthy eating and exercise, and the General Self-Efficacy Scale (GSES). Composite scores for the three scales were compared between the two groups using the using the two-sample t-test (for normal data) or the Mann-Whitney U test (for non-parametric data). Relationships between the composite scores and patient characteristics were determined using Pearson or Spearman’s correlations.ResultsThe average age of the total cohort was 15.9 ± 1.9 years. 54% were female, and 82% identified as Latino/Hispanic. In comparison to normal weight subjects, overweight/obese adolescents exhibited higher scores for controlled motivation (mean ± standard deviation 28.3 ± 9.3 vs 18.1 ± 8.1) and higher perceived competence [median and 25-75% interquartile range 22.5 (19.0-26.0) vs 20.0 (15.5-25.0)] in relation to eating a healthy diet. These differences persisted after adjustment for age, sex, paternal education, and family income.ConclusionsOverweight/obese adolescents did not lack autonomous motivation but demonstrated higher controlled motivation and perceived competence for healthy eating in comparison to normal weight adolescents, independent of socioeconomic factors. In the clinical practice of weight management, providers should carefully assess adolescents for type of motivation and perceived competence, while accounting for potential barriers to behavior change.

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Parental motivation to change body weight in young overweight children

Cited by 8 publications

References 42 publications

Parents’ perceptions of their child’s weight among children in their first year of primary school: a mixed-methods analysis of an Australian cross-sectional (complete enumeration) study

Parents’ perceptions of their child’s weight among children in their first year of primary school: a mixed-methods analysis of an Australian cross-sectional (complete enumeration) study

Objectively measured physical activity and sedentary time in children with overweight, obesity and morbid obesity: a cross-sectional analysis

Motivation and perceived competence for healthy eating and exercise among overweight/obese adolescents in comparison to normal weight adolescents

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