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Updated: Jul 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parents' concern about their children's weight
Amy M Lampard1, Susan M Byrne, Stephen R Zubrick
1School of Psychology, University of Western Australia, Crawley, WA.
Insights
Parental concern about child weight is often low, even for overweight children. Higher concern correlates with child
Area of Science:
- Pediatric obesity
- Child psychology
- Public health
Background:
- Childhood obesity is a growing public health concern.
- Parental perception of child weight is crucial for intervention.
- Understanding factors influencing parental concern is vital.
Purpose of the Study:
- To investigate parental concern regarding children's weight.
- To identify factors influencing parental concern.
- To model parental concern using structural equation modeling.
Main Methods:
- 347 children (aged 6-13) and their parents participated.
- Children were weighed and measured; parents completed interviews and questionnaires.
- Assessed parental concern, child BMI, body size perception, and quality of life.
Main Results:
- Low parental concern reported by 82% of parents of overweight children and 18% of parents of obese children.
- Higher parental concern linked to higher child BMI and lower parental underestimation of child size.
- Parental concern associated with child's health-related quality of life.
Conclusions:
- Interventions for childhood obesity should optimize parental concern.
- Reducing parental underestimation of child body size is key.
- Increasing parental awareness of obesity's health impacts is recommended.
Objective:
Firstly, to investigate the degree of concern parents feel about their children's weight (parental concern). Secondly, to identify factors that influence this concern, and to test a model of parental concern using structural equation modeling.
Subjects:
A total of 347 non-overweight, overweight, and obese children (aged 6-13; Mean = 9.5, SD = 1.8) and their parents.
Methods:
Children and their parents attended an assessment session during which they were weighed and measured. Parents were administered a structured interview, which included the Eating Disorder Examination, and completed the Pediatric Quality of Life Inventory (parent proxy), and the Children's Body Image Scale.
Results:
Eighty-two percent of parents of overweight children, and 18% of parents of obese children reported little parental concern. Higher parental concern was associated with higher child Body Mass Index, less parental underestimation of child body size, and lower child health-related quality of life.
Conclusions:
Interventions targeting childhood obesity should aim to optimise parental concern by reducing parents' underestimation of child body size and increasing their awareness of the effects of overweight and obesity on children's health and quality of life.
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