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Parental motivation to change body weight in young overweight children
Rachael W Taylor1, Sheila M Williams2, Anna M Dawson3
11Department of Medicine,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
Insights
Parental motivation to change overweight children is low, with only 8% actively trying. Factors like child
Area of Science:
- Pediatric obesity research
- Public health interventions
- Child psychology
Background:
- Childhood obesity is a growing public health concern.
- Parental motivation is crucial for addressing childhood overweight.
- Understanding factors influencing parental motivation is key to effective interventions.
Purpose of the Study:
- To identify factors associated with parental motivation to change body weight in overweight children.
- To explore the relationship between parental perception, concern, and motivation regarding their child's weight.
- To investigate the influence of child's physical activity, diet, and behavior on parental motivation.
Main Methods:
- Cross-sectional study involving 271 overweight children (aged 4-8 years) and their parents in Dunedin, New Zealand.
- Parents completed questionnaires on demographics, motivation, weight perception, parenting, and social desirability before feedback on child's weight status.
- Objective measures of child's physical activity, dietary intake, and behavior were collected post-feedback.
Main Results:
- Only 42% of parents perceived their child as overweight, and 36% expressed concern; only 8% were actively trying to change weight.
- Parental motivation was higher for girls, heavier children, less physically active/more sedentary children, and in parents with greater concern or who used more food restriction.
- Motivation was not significantly associated with demographic variables, social desirability, dietary intake, parenting styles, or child behavior.
Conclusions:
- Low parental motivation to address childhood overweight highlights a significant barrier to intervention.
- Targeting parental concern and addressing factors like physical inactivity may be crucial for improving motivation.
- Further research is needed to develop effective strategies for enhancing parental motivation to initiate weight change in overweight children.
Objective:
To determine what factors are associated with parental motivation to change body weight in overweight children.
Design:
Cross-sectional study.
Setting:
Dunedin, New Zealand.
Subjects:
Two hundred and seventy-one children aged 4-8 years, recruited in primary and secondary care, were identified as overweight (BMI ≥ 85th percentile) after screening. Parents completed questionnaires on demographics; motivation to improve diet, physical activity and weight; perception and concern about weight; parenting; and social desirability, prior to being informed that their child was overweight. Additional measures of physical activity (accelerometry), dietary intake and child behaviour (questionnaire) were obtained after feedback.
Results:
Although all children were overweight, only 42% of parents perceived their child to be so, with 36% indicating any concern. Very few parents (n 25, 8%) were actively trying to change the child's weight. Greater motivation to change weight was observed for girls compared with boys (P = 0.001), despite no sex difference in BMI Z-score (P = 0.374). Motivation was not associated with most demographic variables, social desirability, dietary intake, parenting or child behaviour. Increased motivation to change the child's weight was observed for heavier children (P < 0.001), those who were less physically active (P = 0.002) and more sedentary (P < 0.001), and in parents who were more concerned about their child's weight (P < 0.001) or who used greater food restriction (P < 0.001).
Conclusions:
Low levels of parental motivation to change overweight in young children highlight the urgent need to determine how best to improve motivation to initiate change.
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