Homogeneity of Maternal Perception of Her Child’s Weight in Northeastern Mexico

Flores-Peña, Yolanda; Alpirez, Hermelinda Ávila; Ortíz, Perla María Trejo; Esquivel, Alicia Ugarte; Cárdenas-Villarreal, Velia Margarita; Gallegos-Martínez, Josefina; Kshatriya, Gautam K.; Flores, Ricardo M. Cerda

doi:10.1080/09720073.2014.11891516

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…These findings suggest that parents of overweight and obese students were more likely to misclassify body weight status of their offspring. The findings of the current study add to the body of evidence regarding poor ability of parents in correct estimation of body weight status of overweight and obese children ( 28 , 29 , 36 , 37 ). Another study conducted on primary school children in Tehran also indicated that about one-third of mothers of obese children did not recognize obesity in their children ( 38 ).…”

Section: Discussionsupporting

confidence: 57%

Parental Correlates of Body Weight Status Among High School Students in Tehran

Jalali-Farahani¹,

Chin²,

Taib³

et al. 2017

Int J Endocrinol Metab

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This study aimed to determine the parental correlates of body weight status among adolescents in Tehran. The participants were 465 high school students and their parents who resided in Tehran. Body weight and height of the students were measured, and body mass index (BMI)-for-age and body weight status of the students were determined according to the world health organization growth reference (2007). Parents of the students completed a self-administered questionnaire including socio-demographic information, self-reported parental body weight and height, and parental perception of student’s body weight status. About half of the parents had an incorrect perception about body weight status of their children with higher rates of underestimation than overestimation. The percentage of parents who correctly perceived body weight status of the students decreased from 100.0% in severe thinness group to 14.0% in obese group. There were no significant associations between marital status, occupation, and education of parents and BMI-for-age of the students. While, both BMI of mother and BMI of father were significantly associated with students’ BMI-for-age (r = 0.29 and r = 0.27, respectively; P < 0.05). A great number of parents had incorrect perception regarding body weight status of their offspring; this was true specifically for parents of overweight and obese students. Both parental BMI and parental perception regarding students’ body weight status were associated with students’ BMI-for-age, indicating the need for parental involvement in weight management programs targeting adolescents.

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Section: Discussionsupporting

confidence: 57%

Parental Correlates of Body Weight Status Among High School Students in Tehran

Jalali-Farahani¹,

Chin²,

Taib³

et al. 2017

Int J Endocrinol Metab

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“…Instead, they prefer chubby children [ 12 , 13 ]. In Mexico, a study on mothers and children residing in 5 northeastern states found that 68% of mothers of overweight children and 75% of mothers of obese children underestimated their preschoolers’ body weight [ 14 ]. In addition, Mexican and Hispanic mothers exert control and discipline that could lead to over consumption of foods and increased obesity risk [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers

Flores-Peña

Sosa

et al. 2018

BMC Public Health

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BackgroundChildhood obesity is a public health issue negatively affecting children’s physical and psychosocial health. Mothers are children’s primary caregivers, thus key players in childhood obesity prevention. Studies have indicated that mothers underestimate their children’s weight. If mothers are unaware of their children’s weight problem, they are less likely to participate in activities preventing and treating excess weight. The “Healthy Change” intervention is designed to change maternal perception of child’s weight (MPCW) through peer-led group health education in childcare settings.Methods/DesignThe “Healthy Change” is a multicenter two-arm randomized trial in four centers. Three centers are in Mexican States (Nuevo Leon, Tamaulipas, and Zacatecas). The fourth center is in San Antonio, Texas, USA. A total of 360 mother-child pairs (90 pairs per center) are to be randomly and evenly allocated to either the intervention or the control group. Intervention group will receive four-session group obesity prevention education. Control group will receive a four-session personal and food hygiene education. The education is delivered by trained peer-mother promotoras. Data will be collected using questionnaires and focus groups. The primary outcome is a change in proportion of mothers with accurate MPCW. Secondary outcomes include change in maternal feeding styles and practices, maternal self-efficacy and actions for managing child excessive weight gain.McNemar’s Test will be used to test the primary outcome. The GLM Univariate procedure will be used to determine intervention effects on secondary outcomes. The models will include the secondary outcome measures as the dependent variables, treatment condition (intervention/control) as the fixed factor, and confounding factors (e.g., mother’s education, children’s gender and age) as covariates. Sub-analyses will be performed to compare intervention effects on primary and secondary outcomes between the samples from Mexico and Texas, USA. Qualitative data will be analyzed through analysis of inductive content. A combined coding model will be developed and used to code transcripts using the NVivo software.DiscussionHealthy Change intervention could help change MPCW, an initial step for obesity prevention among preschoolers. This study presents a first of its kind intervention available in Spanish and English targeting Mexican and Mexican-American mothers in Mexico and USA.Trial registration ISRCTN12281648

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