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Updated: May 29, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental perception of preschool child body weight
1School of Nursing, Western Kentucky University, Bowling Green, KY, USA. dawn.garrett@wku.edu
Insights
Parental health literacy significantly impacts their perception of preschooler obesity. Improving this understanding can lead to better interventions for child weight management.
Area of Science:
- Pediatrics
- Public Health
- Health Psychology
Background:
- Preschooler obesity rates have significantly increased over the past decade.
- Parental misperceptions of child body weight are common, yet associated factors are poorly understood.
- Accurate parental perception is crucial for addressing childhood obesity effectively.
Purpose of the Study:
- To investigate the relationship between parental psychosocial factors and their perceptions of preschool child body weight.
- To identify key factors influencing parental accuracy in assessing their child's weight status.
- To inform the development of targeted interventions for preschooler weight management.
Main Methods:
- Quantitative study utilizing descriptive statistics, correlation, and regression analyses.
- Involved a sample of preschoolers and their parents to assess body weight perceptions.
- Examined parental health literacy, concern regarding child weight, and perceived efficacy.
Main Results:
- Over one-third of preschoolers were overweight or at risk, but less than 6% of parents perceived this.
- Parental health literacy was a significant predictor of accurate child body weight perception (p < .05).
- Parental concern about child weight and perceived efficacy did not significantly predict perception accuracy.
Conclusions:
- Parental health literacy is a critical factor in accurately perceiving preschooler body weight.
- Assessing parental perceptions is vital for tailoring educational interventions and improving family-centered care.
- Findings underscore the importance of health literacy in addressing the rising rates of childhood obesity.
Abstract:
Obesity in preschoolers has risen dramatically in the last decade. Although studies have demonstrated that parents of preschoolers have incorrect perceptions of their child's body weight, little is known about the factors that may be associated with these perceptions. The purpose of this study was to examine the relationships between parental perceptions of preschool child body weight and parental psychosocial factors. Quantitative analyses included descriptive statistics, correlations, and regression analyses. More than one third of the children in the sample were at risk for being overweight or were already overweight. However, less than 6% of parents felt that their child had an elevated body weight. Results from univariate logistic regression analyses demonstrated that the parent's health literacy level was a significant predictor of the accuracy of their perceptions regarding their child's body weight (p < .05). Parental concern regarding child weight and perceived level of efficacy did not significantly predict the accuracy of their perceptions. Results from this study indicate that assessing parental perceptions of preschool child body weight can help providers accurately understand how parents view their children and lead to tailored educational interventions. In addition, the results support previous research suggesting that parental health literacy is a key to providing high-quality family-centered care.
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