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Parent perception of healthy infant and toddler growth
Kelly A Laraway1, Leann L Birch, Michele L Shaffer
1Penn State College of Medicine, Hershey, 17033, USA.
Insights
Parents prefer higher infant weight percentiles and avoid lower ones. Many parents perceive low infant weight as "too low," while favoring higher percentiles, a concerning trend amid the childhood obesity epidemic.
Area of Science:
- Pediatrics
- Child Health
- Growth Monitoring
Background:
- Parental perceptions of infant growth are crucial for health outcomes.
- Understanding parental preferences regarding infant weight percentiles is essential.
Purpose of the Study:
- To investigate parental preferences and aversions concerning infant weight percentiles.
- To assess parental views on infant growth trajectories.
Main Methods:
- Survey of 279 parents regarding their infant's weight percentile.
- Presentation of hypothetical infant growth charts for health assessment.
- Analysis of parental preferences for weight growth patterns.
Main Results:
- Only 10% of parents desired their child in the lowest weight quartile.
- 57% of parents with infants in the lowest quartile felt their child was "too low."
- 66% of parents with infants in the top quartile preferred that weight; 47% deemed 10th percentile growth "least healthy."
Conclusions:
- Parents exhibit aversion to lower infant weight percentiles.
- Parents are more accepting of higher infant weight percentiles.
- These parental perceptions may exacerbate childhood obesity concerns.
Abstract:
We hypothesized that parents of infants prefer growth at higher percentiles and are averse to growth at lower percentiles. Of 279 participating parents, only 10% desired their child's weight to be in the lowest quartile. For children weighing in the lowest quartile, 57% of parents thought their child's weight was "too low." In contrast, 66% of parents whose child's weight was in the top quartile preferred their child weigh that much. When viewing hypothetical infant growth trajectories, 47% ranked a growth chart demonstrating growth along the 10th percentile for weight as "least healthy" of 6 growth patterns, and 29% chose charts showing an infant at the 90th percentile for weight at age 1 as "healthiest." In conclusion, parents are averse to growth at the bottom of the weight growth chart but are much less likely to feel negatively about growth at higher percentiles. This is troubling given the childhood obesity epidemic.
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