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Updated: Jun 29, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental perceptions of overweight during early childhood
L Suzanne Goodell1, Michelle B Pierce, Carolina M Bravo
1North Carolina State University, Raleigh, North Carolina, USA.
Insights
Parents of preschoolers in low-socioeconomic status communities perceive childhood overweight differently than clinicians. Focusing on overall health, not just weight, is key for effective prevention programs.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Childhood overweight is a growing public health concern.
- Understanding parental perceptions is crucial for effective intervention programs.
- Minority, low-socioeconomic status (SES) populations face unique challenges in addressing childhood overweight.
Purpose of the Study:
- To examine perceptions of overweight among minority, low-SES parents of preschoolers.
- To identify barriers in communicating about childhood overweight between parents and healthcare providers.
- To inform the development of effective overweight prevention programs for early childhood.
Main Methods:
- Qualitative study utilizing content analysis.
- Conducted 10 focus groups (average 7 participants each).
- Conducted 18 follow-up interviews with parents of preschoolers in Hartford, Connecticut.
Main Results:
- Parents demonstrated a distorted and detached view of clinically defined overweight preschoolers.
- Weight was not included in parents' definition of child health.
- A communication gap exists between parents and healthcare providers regarding childhood overweight.
Conclusions:
- Overweight intervention programs should prioritize parents' concern for good health over weight.
- New communication strategies are needed to explain the diagnosis and implications of childhood overweight.
- Collaborative approaches between healthcare providers and parents can improve prevention and treatment outcomes for childhood overweight.
Abstract:
Prior to developing an overweight prevention program, researchers examined perceptions of overweight during early childhood among minority, low-socioeconomic status (SES) parents of preschoolers living in Hartford, Connecticut (USA). Content analysis of 10 focus groups (average size = 7) and 18 follow-up interviews revealed parents have a distorted, detached view of clinically defined overweight preschoolers, and they do not include weight in their definition of health. The result is a disconnect in communicating with health care providers regarding overweight during early childhood. Findings suggest that overweight intervention programs will be more effective by focusing on the main concern of parents, which is good health rather than weight. By developing new approaches to communicating the diagnosis and implications of overweight during early childhood, health providers are more likely to be able to work collaboratively with parents to prevent and treat overweight during early childhood.
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