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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks
Davene R Wright1, Paula Lozano2, Elizabeth Dawson-Hahn1
1Department of Pediatrics, University of Washington School of Medicine, Seattle, Wash; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Wash.
Insights
Parents unexpectedly perceive greater future health risks for overweight children, despite underestimating current weight status. Focusing communication on disease risk may aid in weight management engagement.
Area of Science:
- Pediatric Health
- Public Health
- Obesity Research
Background:
- Childhood obesity is a growing public health concern with long-term health implications.
- Parents play a crucial role in their child's health behaviors and perceptions.
- Understanding parental risk perception is vital for effective childhood obesity interventions.
Purpose of the Study:
- To assess parental perceptions of long-term risks for obesity-related chronic health conditions in children.
- To compare risk perceptions between parents of healthy-weight children and those with overweight or obesity.
Main Methods:
- A web-based survey was administered to 502 US parents of children aged 5-12 years.
- Parents reported their child's weight status and the probability of developing hypertension, heart disease, depression, or type 2 diabetes.
- Multivariate models compared risk perceptions between weight groups.
Main Results:
- Parents of children with obesity estimated a 5-6 percentage point greater risk for obesity-related conditions compared to parents of healthy-weight children.
- Despite underperceiving current body mass index (BMI) class, parents recognized increased future health risks.
- Family history of chronic disease, higher quality of care, and older parental age predicted higher risk estimations.
Conclusions:
- Parents, while potentially underestimating current weight status, do perceive increased future health risks for overweight children.
- Communication strategies focusing on screening and reducing risks of weight-related diseases may improve parental engagement in weight management.
- This highlights a potential avenue for intervention by leveraging parental concern about future health outcomes.
Objective:
To assess how parents perceive long-term risks for developing obesity-related chronic health conditions.
Methods:
A Web-based nationally representative survey was administered to 502 US parents with a 5- to 12-year-old child. Parents reported whether their child was most likely to be at a healthy weight or overweight, and the probability that their child would develop hypertension, heart disease, depression, or type 2 diabetes in adulthood. Responses of parents of children with overweight and obesity were compared to those of healthy-weight children using multivariate models.
Results:
The survey had an overall response rate of 39.2%. The mean (SD) unadjusted parent predicted health risks were 15.4% (17.7%), 11.2% (14.7%), 12.5% (16.2%), and 12.1% (16.1%) for hypertension, heart disease, depression, and diabetes, respectively. Despite underperceiving their child's current body mass index class, parents of children with obesity estimate their children to be at greater risk for obesity-related health conditions than parents of healthy-weight children by 5 to 6 percentage points. Having a family history of a chronic disease, higher quality of care, and older parent age were also significant predictors of estimating higher risk probabilities.
Conclusions:
Despite evidence that parents of children who are overweight may not perceive these children as being overweight, parents unexpectedly estimate greater future risk of weight-related health conditions for these children. Focusing communication about weight on screening for and reducing the risk of weight-related diseases may prove useful in engaging parents and children in weight management.
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