Do Parents Accurately Perceive Their Child's Weight Status?

O, Angela De La; Jordan, Kristine C.; Ortiz, Karen; Moyer‐Mileur, Laurie J.; Stoddard, Greg; Friedrichs, Mike; Cox, Rachel; Carlson, Emily C.; Heap, Elizabeth; Mihalopoulos, Nicole L.

doi:10.1016/j.pedhc.2007.12.014

Cited by 85 publications

(58 citation statements)

References 19 publications

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“…[8][9][10] One way to inform parents of the child's weight status is the use of a report card. The use of a BMI report card is controversial and research to date has not proven its efficacy in changing weight-related behaviors.…”

Section: Discussionmentioning

confidence: 99%

Innovative Tools Help Counselors Discuss Childhood Obesity with Parents

et al. 2013

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Background: Childhood overweight and obesity pose potential health risks for many children under the age of 5 years. Women, Infants, and Children (WIC) nutritionists are in a unique position to help reduce this problem because of their frequent counseling contacts with clients during certification visits. Therefore, four new tools to facilitate nutritional counseling of parents of overweight children during certifications were developed and systematically evaluated.Methods: The Nutrition and Activity Self-History (NASH) form, Report Card/Action Plan (ReCAP), Talking Tips, and Healthy Weight Poster were evaluated by WIC nutritionists via an online survey. Anchors on the Likert scale were 0 for Strongly Disagree to 6 for Strongly Agree. Four regional focus groups were also conducted. Data were analyzed descriptively.Results: The response rate on the survey was 83% (n = 63). Focus groups were comprised of staff that volunteered to participate (n = 34). The NASH form, which replaces a food frequency questionnaire for identifying nutrition risk, had a mean rating of 5.20 as ''Helpful when counseling about weight.'' The ReCAP, Talking Tips, and Healthy Weight Poster achieved mean ratings of 5.70, 4.75, and 5.30, respectively, in this category. Focus group responses were very positive about the usefulness of the ReCAP and Healthy Weight Poster to visually convey the concept of BMI percentile for age using a green, yellow, and red color-coded ''traffic light'' approach to showing healthy versus unhealthy BMI values.Conclusions: WIC programs and other pediatric health care settings may want to consider adopting these innovative tools to better serve their clients and address pediatric overweight in the populations they serve.

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Section: Discussionmentioning

confidence: 99%

Innovative Tools Help Counselors Discuss Childhood Obesity with Parents

et al. 2013

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“…In order to see if a mother perceives her child's body weight accurately one must first determine the child's actual body size, by measuring the child's weight and height and then determining their BMI, Z-score or weight for height percentile (De La O et al, 2001;Olvera et al, 2005;Petti & Cowell, 2011). Two main methods are generally used to assess the parent's perception of their child's weight: verbal categorization and picture recognition (De La O et al, 2001;Olvera et al, 2005;Petti & Cowell, 2011). In the first method mothers are asked to verbally categorize their children into categories which include underweight, normal weight/"about right", at risk of overweight (AROW), overweight and obese.…”

Section: Maternal Perceptions Of Her Child's Body Weightmentioning

confidence: 99%

“…In the first method mothers are asked to verbally categorize their children into categories which include underweight, normal weight/"about right", at risk of overweight (AROW), overweight and obese. Their perceived verbal category is then compared with the child's actual weight category (Chaparro et al, 2011;De La O et al, 2001). The second method uses sketches of children at different ages, genders and sometime races.…”

Section: Maternal Perceptions Of Her Child's Body Weightmentioning

confidence: 99%

“…A commonly used image scale was developed by Stunkard et al and then adapted by Collins (M. E. Collins, 1991) but other scales have been made as well (Boyington & Johnson, 2004). An example of these sketches is found below in It has been demonstrated that parents often underestimate their child's actual weight especially when they have an overweight child (De La O et al, 2001;Eckstein et al, 2006;Olvera et al, 2005). Many factors influence maternal perceptions including culture.…”

Section: Maternal Perceptions Of Her Child's Body Weightmentioning

confidence: 99%

“…In a study of Hispanic mothers seen at a WIC clinic in Texas, 77.5% of mothers of obese children believed their child was at the right weight when in actuality, their child was obese compared with 28% of mothers of obese children in a mixed racial group (Chaparro et al, 2011;De La O et al, 2001). Ninety-two-point-six percent of Latina mothers of normal weight children, however, categorized them accurately as normal weight (Chaparro et al, 2011).…”

Section: Maternal Perceptions Of Her Child's Body Weightmentioning

confidence: 99%

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Maternal Acculturation Levels and Their Effect on Children's Food Intake, Maternal Perceptions of Body Size and Maternal Stress

Chavoor¹

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Parental perception of child's body mass index and health within primary care

Reyes

Higgins

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regards to weight status of children presenting for well child visits and to capture parental perception of the child's weight status in relation to child's age. Methods A consecutive sample of parents and caregivers with a child aged 2–18 completed the survey and consented for the study on the day of the survey during a well child visit. Conclusions Parents, regardless of culture and age tended to underestimate the weight of their child. These findings further support the literature in that the younger the child, the more likely it is that the parent underestimates their weight status. Implications for practice Interventions should include early education with parents on what a healthy weight is and how it can predict future health. Addressing and recognizing early concerns and assessing parental perception can be important if educational messages are delivered throughout the span of the early years.

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Do Parents Accurately Perceive Their Child's Weight Status?

Cited by 85 publications

References 19 publications

Innovative Tools Help Counselors Discuss Childhood Obesity with Parents

Innovative Tools Help Counselors Discuss Childhood Obesity with Parents

Maternal Acculturation Levels and Their Effect on Children's Food Intake, Maternal Perceptions of Body Size and Maternal Stress

Parental perception of child's body mass index and health within primary care

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