Maternal-child overweight relationship, assessment of maternal perception of child weight status and feeding behaviours (original) (raw)
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Journal of Pediatric Endocrinology and Metabolism, 2000
Objective: The aim of this study was to determine the association between overweight (OW) in children and: a) maternal BMI, HDL-C, triglycerides, glucose, HOMA-IR, blood pressure (BP); b) maternal perception of children's OW. Research Design and Methods: 620 children, (297M) aged 9+2 y and their mothers aged 37.7 + 7 y were examined between April and August 2006. BMI, BP, Tanner stage, fasting glucose and lipids were determined. Questionnaires about mothers' perceptions of their children's eating habits (EH) and of their children's shape were asked. Results: Ninety five (17.4%) of the children were obese (OB), 108 (15.3%) OW and 418 (67.3%) normal. One hundred and twelve (18.1%) of the mothers were OB and 183 (29.5%) OW. Mean values for measures in mothers differed between normal vs OW/OB children. : z-BMI (-0.19 vs 0.42), triglycerides (84 vs 105 mg/dl)), cholesterol (147 vs 157 mg/dl) ), glucose (78 vs 82 mg/dl)) and HOMA-IR (1.34 vs 1.72 ). There were significant differences in the proportion with distorted perception of shape (2.2% vs 47.5%) and EH (11.2% vs 37%) between mothers of normal vs OW/OB children. Logistic regression analysis using BMI >85%ile as the dependent variable showed that mothers' perceptions of children's shape (OR: 18.84; 95% CI, 5.0-69.6), EH (OR: 3.82; 95% CI, 1.5-9.5) and mother's BMI (OR: 2.1; 95% CI, 1.3-3.4) were associated with children's OW. Conclusions: There was an association between mother's distorted perception of their children's shape and EH and mother's OB and her child's OW. This observation provides clues for future OB prevention programs.
International Journal of Public Health and Clinical Sciences, 2019
Background: Prevalence of overweight and obesity are increasing among preschool children. The aim of this study was to evaluate the relationship between a child's body mass index (BMI) with maternal perception towards the child's weight and type of parental feeding style. Methodology: A cross-sectional study was conducted from June 2017 until November 2018 in kindergartens from Ipoh and Cheras. Self-administered validated questionnaires were distributed to parents. Data on child's BMI, maternal perception to their child's BMI, perception towards childhood obesity and parental feeding style were obtained and analysed using SPSS version 21. Results: A total of 483 children were recruited. The prevalence of overweight children was 6.8% (BMI ≥ 85 th to < 95 th percentile) whereas the prevalence of obesity was 8.1% (BMI ≥ 95 th percentile). When comparing the group of children with BMI ≥ 85 th percentile (n= 72) to those with BMI<85 th percentile (n= 411), we found that parents of overweight/obese children differed significantly in the accuracy of their judgment about their child's weight. Only 12.5% in the former group accurately perceived their child's weight compared to 76.9% in the latter group (p<0.01). Majority of parents (34%) in our community had indulgent feeding style, followed by authoritarian (31%), authoritative (18%) and uninvolved (16%). There was however no statistical significance in terms of parental feeding style in both groups of children. Conclusion: A significant proportion of parents failed to recognise that their children were overweight. Public health programmes are thus required to raise parental awareness of childhood overweight and obesity.
Parental Perception of Weight and Feeding Practices in SchoolChildren: A Cross-Sectional Study
International Journal of Environmental Research and Public Health, 2021
Childhood obesity has become a public health problem. Parents play an important role in the transmission of feeding habits and the detection of their child′s weight status. The aim was to analyse the prevalence of overweight/obesity and to determine the relationship between children′s weight status, different feeding practices and weight misperception. A cross-sectional study was conducted in randomly selected schools. The children’s weight status was measured, and a questionnaire was used to identify the feeding practices applied by parents and their perception of their children′s weight. The sample comprised 127 children aged 4 and 5 years and 189 aged 10 and 11. Differences were observed between parental feeding practices and weight status, monitoring being the most used practice. Parents use less pressure to eat and more restriction if their children have overweight or obesity. Misperception of weight was 39.6%, being higher in overweight children, who were perceived as normal w...
Eating Behaviors in Relation to Child Weight Status and Maternal Education
Children, 2021
Background: The eating behavior of children is important to maintain a healthy weight. This current study explored the differences in children’s eating behaviors and their relation to weight status and maternal education level, using the child eating behavior questionnaire (CEBQ). Methods: The study recruited 169 participants aged between six and ten years. Multinomial logistic regression was conducted to examine the association between the CEBQ factors and children’s body weight status. The association between the CEBQ scores and maternal educational levels was examined using a one-way analysis of variance (ANOVA). Results: The multinomial logistic regression findings indicate that children in the obese group exhibited a significant increase in food responsiveness, enjoyment of food, emotional overeating, and a decrease in satiety responsiveness compared to normal weight children. The one-way ANOVA showed a significant difference in subscales under the food approach (food responsiv...
Journal of The American Dietetic Association, 2010
Prevention of early childhood obesity requires a clear understanding of its determinants. This study examined perinatal, parental, and lifestyle determinants of childhood obesity and how these factors are associated with maternal misperceptions of their children's weight status. The current work presents a cross-sectional analysis of 2,374 children, age 1 to 5 years, living in Greece (April 2003 to July 2004). The 2000 Centers for Disease Control and Prevention growth charts were used to classify children as overweight (Ն85th and Ͻ95th body mass index [BMI]-for-age percentile for children older than 24 months) and obese (Ն95th weight-for-length percentile for children younger than 24 months and Ն95th BMI-for-age percentile for children older than 24 months). Maternal perceptions about their children's weight status were assessed via interviews with the mothers. Early infancy growth data were obtained from pediatric medical records. The present study showed that the prevalence of overweight and obesity was 16.2% and 17.5%, respectively. Each unit increase of maternal and paternal BMI significantly increased the likelihood of childhood obesity by a factor of 1.03 (95% confidence interval [CI]: 1.01 to 1.07) and 1.15 (95% CI: 1.10 to 1.20), respectively. Furthermore, children with a rapid weight gain in infancy were 1.9 (95% CI: 1.3 to 2.7) times more likely to be overweight and 1.5 (95% CI: 1.2 to 1.9) times more likely to have their weight status underestimated by their mother. In conclusion, rapid infancy weight gain and higher parental BMI were the main determinants of obesity in preschool years. Maternal underestimation of children's weight status was more likely for children with rapid weight gain in infancy.
Parental perception of overweight and underweight in children and adolescents
Acta Paediatrica, 2011
To compare the parental perception of overweight and underweight in their children to objective criteria, based on body mass index (BMI), waist circumference and triceps skinfold thickness, and to explore the effects of potential determinants. Logistic regression of anthropometric measurements, socio-demographic characteristics and self-reported parental height and weight on the parental perception of their child&amp;amp;amp;amp;amp;amp;amp;#39;s weight status in 3770 children aged 2-19. Seventy per cent of overweight/obese children and 40.8% of underweight children were perceived having normal weight by parents. In 2- to 5-year-old overweight children, 91.2% were considered to have normal weight. For a given BMI, primary school age children, adolescents and girls had a higher probability to be assigned as overweight, whereas adolescents and girls had a lower probability to be assigned as underweight. Overweight parents more readily assigned their children as underweight, but there was no effect of parental educational level or parental underweight. Parental ability to recognize overweight or underweight in their offspring was generally poor. The findings emphasize the need for objective criteria based on physical measurements in the routine follow up of children, as parental ability to recognize weight problems in their children is nonreliable.
Perceptions and Approaches of Mothers Towards the Weight of Their Overweight and Obese Child
Güncel Pediatri, 2021
Introduction:This study aimed to determine how mothers with overweight and obese child perceived their child’s weight and how they approached his/her weight problem. Materials and Methods: The study was carried out between April and December 2017 with 212 mothers who agreed to participate voluntarily in the study at a university hospital and a public hospital. The data that were collected using a questionnaire prepared by the researchers were gathered by face-to-face interview method. The questionnaire consists of four parts including demographic information about the mother and the child, mothers’ perceptions of their child’s weight, mothers’ applications for his/her weight and the methods used by mothers and the attitude they had in applying these methods respectively. Results: The mean age of the mothers was 35.75±5.56. 50% of them had secondary school or below education level. 52.4% of overweight or obese children were girls, and the mean age of the children was 7.94±2.91. Besid...
Asia Pacific journal of clinical nutrition, 2008
Worldwide the prevalence of overweight and obesity in children is escalating. Parents' recognition of overweight or obesity in their own children is very important for a successful intervention in these children. This study examined parental perception of their children's weight status, and its association with their knowledge on nutrition and obesity. This was a cross sectional study of parents with children aged 9 to 12 years, in a primary school of Kuala Lumpur. Parents responded to a self-administered questionnaire which contains parental perception of their child weight status as well as knowledge on nutrition and obesity. The parents' perception of the children's weight status was then compared with the actual measured weight status. There were 204 parents who participated in the study. Parents were found to underestimate their child weight status and 38.2% were inaccurate in their perception. The mean score of knowledge on nutrition and obesity was 78.5+/-14.4...
Maternal perceptions of children's weight status
Child: Care, Health and Development, 2012
Background Several studies have addressed mothers' perceptions of their children's weight status; however, there is no investigation on Portuguese children (a country with one of the highest levels of children's overweight and obesity in Europe). The aim of this study was to quantify maternal misclassification of child weight status in a sample of Portuguese children aged 9 to 12 years, according to gender, family income, and maternal weight status, education level and age. Methods Data were collected in a school-based study (school year 2009/2010) in northern Portugal with 499 urban children (236 girls; 47.3%). Body mass index was calculated from measurements of height and weight [body mass (kg)/height (m 2)]. Mothers' perceptions of child's weight status, age, height and weight were accessed by a questionnaire. Children's age, gender and socioeconomic status were extracted from the schools' administrative record systems. Cohen's Kappa was used to analyse the misperceptions and the agreement between children's objectively measured weight status and mothers' perception of their child's weight status. Results The prevalence of underweight, overweight and obesity in children was 4.6%, 25.5% and 6.4%, respectively. A proportion of 65.2% of underweight and 61.6% of overweight/obese children were misclassified by their mothers. For the majority of variables presented, the values of agreement were fair (k ranged from 0.257 to 0.486), but were statistically significant. Significant differences in the percentages of mothers who correctly classified their children's weight status were only found among the most educated in the overweight/obese group and among the normal-weight mothers in the underweight group. Conclusions Many mothers do not properly recognize their children's weight status and frequently underestimate their children's body size.