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Updated: Mar 10, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental perception and child's nutritional status
S Songül Yalçın1, Esra Serdaroğlu2, O Tolga İnce1
1Unit of Social Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Insights
Mothers accurately perceived their preschooler's weight status, with correct estimation linked to the child's body mass index-for-age z-score (BAZ). This accurate perception is crucial for addressing childhood obesity during early developmental stages.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Childhood obesity presents a growing global health challenge.
- The preschool years are critical for early detection and intervention of overweight conditions.
- Parental perception of a child's weight status significantly influences health-related behaviors.
Purpose of the Study:
- To investigate factors influencing parental estimation of preschool children's weight status.
- To determine the accuracy of maternal weight perception in relation to objective measures.
- To explore the correlation between parental perception and child's anthropometric data.
Main Methods:
- A cross-sectional study involving 367 mothers and their preschool children.
- Data collection included anthropometric measurements, parental weight status assessment, lifestyle information, and visual estimation using child drawings.
- Analysis correlated child's body mass index-for-age z-score (BAZ) with parental perceptions and other variables.
Main Results:
- Child's BAZ was associated with birth weight and appetite, but not gender, chronic disease, family structure, or parental demographics.
- 43.1% of mothers accurately assessed their child's BAZ verbally.
- Maternal verbal and visual estimations correlated with paternal verbal estimation and the child's BAZ.
Conclusions:
- Maternal perception of a child's weight status is often accurate and aligns with objective measurements.
- Accurate parental perception is linked to the child's actual weight status (BAZ).
- Early and accurate parental assessment is vital for managing childhood obesity risk.
Abstract:
Childhood obesity is a health hazard increasing worldwide. Preschool period which is under supervision of parents is a critical period to detect overweight and take precautions. We studied the factors affecting parental estimation of their preschool child's weight. Three hundred sixty seven mothers completed questionnaires consisting of child's and parents' anthropometric measurements, parents' assessment of their child's and their own weight status, and general information about their lifestyle. Mothers also chose their wish for current and future body image of their child from child drawings representing percentiles. Child body mass index-for-age z score (BAZ) was related to birth weight and child's appetite. BAZ was not related to child's gender, presence of chronic disease, family pattern, parental age, education or income. 43.1 % of mothers correctly assessed child's BAZ verbally. Maternal verbal estimation was correlated with maternal visual estimation, paternal verbal estimation and child's BAZ. Mothers' wish for future figure of the child was not related to child's BAZ, but showed correlation with mothers' wish for current figure of the child. Mother's correct perception of her child's weight was found to be high, consistent with her spouse and related to child's BAZ.
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