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Background Obesity is associated with poor asthma outcomes; weight loss improves such outcomes. Inaccurate recognition of obesity may impede weight control. Purpose We examined perception of weight by early adolescents with uncontrolled asthma and their caregivers, and tested the relationship between medical visit frequency and accuracy of perceived weight status. Methods 373 adolescents and their caregivers reported the adolescent’s height/weight and weight perception; caregivers reported healthcare utilization. We measured height/weight. Logistic regression modeled accuracy of weight perception. Results 43.7% of the overweight/obese adolescents and caregivers accurately perceived weight status. BMI percentile (OR=1.19, CI=1.10–1.28) and total medical visits (OR=1.18, CI=1.05–1.33) were associated with higher accuracy in caregivers. Total medical visits (OR=0.84, CI=0.74–0.96) was associated with lower accuracy in adolescents. Conclusions Accurate perception of weight status was poor for overweight adolescents with uncontrolled asthma and their caregivers. Frequent medical visits were associated with improved caregivers’ but not adolescents’ perceptions.

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