Sex disparity and perception of obesity/overweight by parents and grandparents

Li, Jiarong; Liu, Jun; Wen, Shi-Wu; Zhou, Leshan

doi:10.1093/pch/19.7.e113

Cited by 30 publications

(32 citation statements)

References 19 publications

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“…Parents of overweight/obese children reported less daily activity time and more time spent watching television. In addition, similar to other studies, we found that parents often underestimated their child’s weight, especially when children were overweight or obese [11, 21, 27, 30, 33], and that there were gender differences in parental perception of child weight, with a tendency for parents to underestimate weight more in boys than in girls [17, 20, 21, 33]. Interestingly, we found a larger difference between parent perception of child’s weight and measured weight status in obese children than in overweight children.…”

Section: Discussionsupporting

confidence: 89%

“…Parents often incorrectly categorize children as normal weight even when they are considered overweight/obese based on measured BMI [11, 15, 21, 27, 30, 33]. Such misperceptions are more common for younger children and boys, by an overweight or obese parent, and in families that are of minority race/ethnicity and lower socioeconomic status [8, 11–13, 17, 20–22, 30, 33]. Literature is limited regarding how overall perception of a child’s health or reported lifestyle behaviors relate to perception of weight.…”

Section: Introductionmentioning

confidence: 99%

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Are Parental Perceptions of Child Activity Levels and Overall Health More Important than Perceptions of Weight?

Vangeepuram

Ramos

Fei

et al. 2016

Matern Child Health J

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Objectives To examine relationships between parental perceptions of child weight and overall health, reported lifestyle behaviors and measured body mass index (BMI). Methods Using community-partnered methods, we surveyed families residing in a two census tract area identified for targeted interventions to decrease diabetes related disparities. The survey included demographics, child dietary and physical activity behaviors, and parental perception of child’s health and weight. We measured child BMI using a standardized protocol. Results We surveyed parents of 116 children with a mean age of 7 years (range 3–15) with 51 % boys, 74 % Hispanic, and 26 % Black. Over half of the children (55 %) were overweight or obese. Half (50 %) of the parents underestimated their children’s weight. Reported daily hours of walking and/or running trended higher (3.6 vs. 2.6 h, p = 0.08) for children perceived to be of normal weight. Parents who correctly estimated their child’s weight status reported more hours of daily walking/running than parents who underestimated child weight status, 4.5 versus 2.4 h, p = 0.0002. Parents of healthy weight children were more likely to report that children were in excellent or very good health compared to parents of overweight/obese children, 75 versus 56 % respectively (p = 0.04). We found significant racial/ethnic differences in reported diet and physical activity behaviors and perception of overall health. Conclusions for Practice Parental perceptions of child health and physical activity level may be related to perceptions of their child’s weight status. Study findings informed community-based initiatives for reducing diabetes risk among children.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Are Parental Perceptions of Child Activity Levels and Overall Health More Important than Perceptions of Weight?

Vangeepuram

Ramos

Fei

et al. 2016

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…30 -32 In this study, the progression to overweight or obese BMI among girls appeared to be less sensitive to the intervention measures, a finding which is somewhat consistent with other studies. [32][33][34] It is possible that sociocultural factors account for these observed sex differences.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Kindergarten-Based Intervention for Preventing Childhood Obesity

Liu

et al. 2017

Pediatrics

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“…Older people in China viewed being overweight as a sign of good health in children rather than as a negative condition (11). In Indonesia, it is not entirely understood why parents tend to have overweight children.…”

Section: Discussionmentioning

confidence: 99%

“…Some of these studies have focused on the factors associated with parental misperception. It has been reported that children's weight is more likely to be estimated incorrectly by their parents when the child is more overweight (8)(9)(10), male (9,11,12), or older (8,13). Furthermore, mothers with low levels of education or low body mass index (BMI) were found to have a poor ability to classify their children's weight status, correctly (10,14).…”

Section: Introductionmentioning

confidence: 99%

Parental Perception of the Children’s Weight Status in Indonesia

Syahrul¹,

Kimura²,

Tsuda³

et al. 2016

Nurs Midwifery Stud

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Background: The frequency of overweight among children in developing countries is increasing. Parents play a significant role in the successful prevention and treatment of overweight in their children. However, parents will be unable to take effective action against overweight if they cannot correctly perceive their children's weight status. Objectives: The aim of the study was to investigate parents' perceptions of their children's weight status and the factors associated with parental misperceptions about their children's weight status. Methods: In this cross-sectional study, a sample of 886 children aged 6-13 years and their fathers or mothers were selected using convenience sampling. Data were collected using a questionnaire about the subjects' sociodemographic characteristics and the parents' perceptions of their children's weight status. The children's anthropometric parameters were measured using standardized equipments. The chi-square test and logistic regression were used to analyze the data. Results: Approximately 50% of the parents misperceived their children's weight status,-4.29% overestimated, and 45.26% underestimated it. The frequency of weight status underestimation was high among the parents of overweight and normal weight children (47.65% and 55.08%, respectively). Logistic regression analysis revealed that the underestimation of weight status by parents was associated with the child's body mass index (BMI) (odds ratio [OR]: 0.93 and 95% confidence interval [CI]: 0.89-0.97), the younger children (OR: 1.5, 95% CI: 1.13-1.99), a higher parental educational level (OR: 1.54, 95%CI: 1.02-2.33), and irregular BMI screening (OR: 1.34, 95%CI: 1.01-1.77). Conclusions: Parents often have misperceptions about their children's weight status. Nurses should help parents to correctly perceive their children's weight status. This study also emphasizes on the need for periodic follow-up of BMI among children.

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Sex disparity and perception of obesity/overweight by parents and grandparents

Cited by 30 publications

References 19 publications

Are Parental Perceptions of Child Activity Levels and Overall Health More Important than Perceptions of Weight?

Are Parental Perceptions of Child Activity Levels and Overall Health More Important than Perceptions of Weight?

Effectiveness of a Kindergarten-Based Intervention for Preventing Childhood Obesity

Parental Perception of the Children’s Weight Status in Indonesia

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