Parental perception of weight and weight-related behaviour in 2- to 4-year-old children in the eastern part of the Netherlands

Bossink-Tuna, H.N.; L’Hoir, M.P.; Beltman, M.; Boere-Boonekamp, Magdalena M.

doi:10.1007/s00431-008-0787-x

Cited by 20 publications

(10 citation statements)

References 17 publications

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“…Our percentages of parents' underestimation of their overweight children's weight status are consistent with previous studies, which range from 50% to 85% [17,20,22,24,26]. Our finding that parental underestimation among overweight and obese children is higher in younger children is also consistent with previous studies [16-18, 20, 41-44].…”

Section: Comparison With Other Literaturesupporting

confidence: 92%

“…Moreover, insight into the change of the parents' perception of their child's weight status over time is missing. With the exception of age, no Dutch studies have found any clear moderating factors [22,[24][25][26]. Importantly, no Dutch study to date has examined parents' perception of their child's weight status with an age range of children 2 to 12 years of age.…”

Section: Introductionmentioning

confidence: 99%

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Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study

et al. 2020

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BackgroundParents' underestimation of their child's weight status can hinder active participation in overweight prevention programs. We examined the level of agreement between the parents' perception of their child's weight status and the child's actual weight status, moderating factors, and change over time. MethodsThis cross-sectional study used data collected in 2009 (n = 8105), 2013 (n = 8844) and 2017 (n = 11,022) from a community-based survey conducted among parents of children age 2-12 years in the Netherlands. Parents classified their perception of their child's weight status on a 5-point Likert scale. In 2009 and 2013, the child's BMI was calculated from selfreported data by parents. The level of agreement between the parent's perception of the weight status and the actual weight status was examined using Cohen's kappa. The role of demographic factors on parents' perception were examined using logistic regression.

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Section: Comparison With Other Literaturesupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study

et al. 2020

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“…A Dutch study showed that only 34% of the parents of young children had sufficient knowledge on causes of overweight, 61% on the consequences of overweight, and 49% on healthy food [36]. Other studies in the Netherlands found that 50% of the parents did not recognize overweight in their child and 87% of the parents with an overweight child did not worry about their child's weight [37], [38]. To tackle the overweight problem, intervention programs that lead to long-lasting lifestyle changes and reductions in the prevalence of overweight and obesity are needed.…”

Section: Discussionmentioning

confidence: 99%

Increase in Prevalence of Overweight in Dutch Children and Adolescents: A Comparison of Nationwide Growth Studies in 1980, 1997 and 2009

Schönbeck

Talma

Dommelen³

et al. 2011

PLoS ONE

304

332

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ObjectiveTo assess the prevalence of overweight and obesity among Dutch children and adolescents, to examine the 30-years trend, and to create new body mass index reference charts.DesignNationwide cross-sectional data collection by trained health care professionals.Participants: 10,129 children of Dutch origin aged 0–21 years.Main Outcome MeasuresOverweight (including obesity) and obesity prevalences for Dutch children, defined by the cut-off values on body mass index references according to the International Obesity Task Force.ResultsIn 2009, 12.8% of the Dutch boys and 14.8% of the Dutch girls aged 2–21 years were overweight and 1.8% of the boys and 2.2% of the girls were classified as obese. This is a two to three fold higher prevalence in overweight and four to six fold increase in obesity since 1980. Since 1997, a substantial rise took place, especially in obesity, which increased 1.4 times in girls and doubled in boys. There was no increase in mean BMI SDS in the major cities since 1997.ConclusionsOverweight and obesity prevalences in 2009 were substantially higher than in 1980 and 1997. However, the overweight prevalence stabilized in the major cities. This might be an indication that the rising trend in overweight in the Netherlands is starting to turn.

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“…Parents’ weight misperception seems to affect how worried they are about the weight status of their children [24]. More specifically, parents who underestimate the weight status of overweight children are less concerned with their weight than those who recognize their children as overweight [25].…”

Section: Introductionmentioning

confidence: 99%

In the parents’ view: weight perception accuracy, disturbed eating patterns and mental health problems among young adolescents

et al. 2014

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BackgroundAn accurate weight perception has been associated with motivation to change eating habits in the case of under- or overweight. However, recent studies have reported frequent misperceptions among parents and their offspring, both in the form of under- and overestimation of weight status. The aim of the present study was to investigate weight perception accuracy among parents of young adolescents in relation to reports on disturbed eating patterns and mental health problems.MethodsWeight perception accuracy was assessed among parents of young adolescents (N = 5,781, aged 11 - 13 years) who participated in the ongoing Bergen Child Study (BCS). Parental weight perception was classified in overestimation, underestimation and accurate. Other measures included demographic variables, the parents’ evaluations of disturbed eating patterns and mental health problems among their offspring as well as the adolescents’ own weight perception accuracy.ResultsThe parents accurately perceived more than 80% of normal weight adolescents, but nearly 60% of the underweight adolescents were overestimated, and a substantial proportion of overweight girls (34. 8%) and boys (12.8%) were underestimated. In general, parents who were aware of deviations from average weight in their child also reported higher levels of disturbed eating patterns, emotional problems, and behavioral problems. After controlling for demographic factors, the risk of parental over- and underestimation was significantly predicted by weight status, the adolescents’ weight perception accuracy as well as disturbed eating patterns reported by the parents (p < .05).ConclusionsAdolescents with under- or overweight proved most likely to be misperceived by their parents in this study. The pattern of perceptually correcting deviations from normal weight was interpreted as a positivity bias among the parents. These results suggest that weight perception accuracy should be targeted in family-focused interventions in order to strengthen adequate weight control among young adolescents.

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Parental perception of weight and weight-related behaviour in 2- to 4-year-old children in the eastern part of the Netherlands

Cited by 20 publications

References 17 publications

Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study

Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study

Increase in Prevalence of Overweight in Dutch Children and Adolescents: A Comparison of Nationwide Growth Studies in 1980, 1997 and 2009

In the parents’ view: weight perception accuracy, disturbed eating patterns and mental health problems among young adolescents

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