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Updated: Jun 22, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Do parents accurately perceive their child's weight status?
Angela De La O1, Kristine C Jordan, Karen Ortiz
1Department of Pedaitrics, Univeristy of Utah, Salt Lake City, UT, USA.
Most parents underestimate their child's weight status, especially for boys. This common misperception impacts accurate identification of childhood obesity and overweight conditions.
Area of Science:
- Pediatric Health
- Obesity Research
- Parental Perception Studies
Background:
- Limited research exists on the accuracy of parental perceptions of child weight status.
- Accurate assessment of child weight is crucial for early intervention and health management.
Purpose of the Study:
- To evaluate the accuracy of parental perceptions of their child's weight status.
- To identify factors associated with misclassification of child weight status by parents.
Main Methods:
- Cross-sectional study of 576 parent-child pairs (children aged 5-12).
- Objective measurement of child height and weight to determine body mass index (BMI) percentiles.
- Parents used Likert scales to classify their child's weight status, which was compared to measured BMI percentiles.
Main Results:
- Overall misclassification rate was 25%, with higher rates for boys (29%) versus girls (21%).
- Parents frequently underestimated the weight status of children with high BMI (≥95th percentile).
- 75% of children in the overweight range (85th to <95th percentile BMI) were misclassified as 'about right' or 'underweight'.
Conclusions:
- A significant majority of parents underestimate their child's weight status, particularly for children who are overweight or obese.
- Parental underestimation of weight status is more prevalent for boys.
- Inaccurate parental perception poses a challenge for addressing childhood obesity.
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