Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers
V Kaufman-Shriqui1, D Fraser, Y Novack
1The S. Daniel Abraham International Center for Health and Nutrition, Department of Epidemiology and Health Evaluation Ben-Gurion University of the Negev, Beer-Sheva, Israel. veredks@bgu.ac.il
Insights
Maternal underestimation of child weight and parental smoking are key risk factors for childhood obesity in low socioeconomic status (LSES) families. Interventions targeting maternal perception can help identify and manage obesity risks in children.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Background:
- Childhood obesity is a significant public health concern, particularly in low socioeconomic status (LSES) populations.
- Identifying modifiable risk factors is crucial for developing effective prevention and intervention strategies.
Purpose of the Study:
- To identify modifiable risk factors for overweight and obesity (OWOB) among children from LSES backgrounds.
- To explore the association between maternal perception of child weight status and child OWOB.
Main Methods:
- Cross-sectional study involving 238 children (4-7 years) and 224 mothers from LSES preschools.
- Data collection included anthropometric measurements and maternal interviews on sociodemographic factors, health behaviors, and perceptions.
- Multivariable logistic regression analysis was used to identify significant risk factors for OWOB.
Main Results:
- The prevalence of overweight and obesity (OWOB) was 29.8% in children and 51.8% in mothers.
- Over 82% of mothers underestimated their child's weight status, with significant misperceptions in both OWOB and normal weight children.
- Maternal underestimation of child's weight status (OR=7.33) and parental smoking (OR=3.25) were significantly associated with child OWOB.
Conclusions:
- Maternal perception of child's weight status and parental smoking are significant risk factors for childhood OWOB in LSES children.
- These factors can aid in identifying children at risk for obesity.
- Maternal perception of weight status presents a potential target for intervention programs.
Objectives:
To identify modifiable risk factors for obesity among low socioeconomic status (LSES) children.
Methods:
Cross-sectional data were obtained from 238 4-7-year-old children and 224 mothers from LSES preschools. Anthropometric measurements were obtained; mothers were interviewed about sociodemographic characteristics, health behaviors, perceptions and beliefs.
Results:
The combined prevalence of overweight and obesity (OWOB) among children was 29.8% based on the new World Health Organization (WHO) growth standard. Prevalence of OWOB (body mass index ≥25) among mothers was 51.8%. Mean age, sleeping hours, gender distribution and poverty level were similar between normal and OWOB children. Over 82% of mothers underestimated their child's weight status. Of the 62 OWOB children, 74.2% were perceived by their mothers as having 'normal weight' (NW) and 8% were perceived as 'thin'. Mothers perceived 67 out of 158 NW children (42.4%) as 'thin' (P<0.001). Mediation analysis indicated that 10% of the effect of maternal underestimation on child's OWOB may be mediated through child's daily sedentary hours (P=0.06). In a multivariable logistic-regression analysis controlling for maternal obesity, knowledge regarding breakfast's importance and child's daily sedentary hours, maternal underestimation of the child's weight status (odds ratio=7.33; 95% confidence interval (CI):2.41-22.37; P<0.0001) and parental smoking (odds ratio=3.25; 95% CI: 1.26-8.40; P=0.015) were the only significant factors associated with OWOB in LSES children.
Conclusions:
Maternal perception of child's weight status and parental smoking are associated with childhood OWOB among LSES children. These parameters can help identify children at risk for obesity. Maternal perception may be amenable to intervention.
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