Related Experiment Video
Updated: Mar 1, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental Perceptions of Obesity and Obesity Risk Associated With Childhood Acute Lymphoblastic Leukemia
Gary L Jones1, Wendy McClellan, Sripriya Raman
1Children's Mercy Hospital, Kansas City, MO.
Insights
Parents of childhood acute lymphoblastic leukemia (ALL) survivors often underestimate their child's obesity risk. Increased awareness and education are crucial for preventing obesity and related health issues in these young patients.
Area of Science:
- Pediatric Oncology
- Public Health
- Endocrinology
Background:
- Survivors of childhood acute lymphoblastic leukemia (ALL) face a high prevalence of obesity (29%-69%) and associated comorbidities.
- Parental awareness of obesity risks in pediatric ALL survivors is not well understood.
Purpose of the Study:
- To explore parental awareness of increased obesity risk in childhood acute lymphoblastic leukemia (ALL) survivors.
- To assess parental perceptions of their child's overall health and weight status post-treatment.
Main Methods:
- A survey was completed by 121 parents of 99 pediatric ALL survivors.
- The survey assessed parental perceptions of obesity risk and child's weight status.
Main Results:
- Eighty percent of parents accurately identified overweight or obese survivors as "a little overweight" or "overweight."
- Few parents recalled discussing weight gain (21%) or obesity risk (36%) with healthcare providers.
- Parents who discussed weight or noted decreased activity were more concerned about weight status.
Conclusions:
- Enhanced parental awareness and education on obesity risks and comorbidities are vital for prevention in pediatric ALL survivors.
- Routine patient visits should incorporate discussions about healthy lifestyles, including diet and exercise, for survivors.
Abstract:
The prevalence of obesity and related comorbidities in survivors of childhood acute lymphoblastic leukemia (ALL) is well established and ranges anywhere from 29% to 69% depending on the study. We sought to explore the awareness of parents of survivors of childhood ALL regarding the increased risk of obesity and their perceptions regarding the overall health of their child. One hundred twenty-one parents of 99 survivors of pediatric ALL completed surveys regarding perceptions of obesity risk in survivors. Eighty percent of parents of overweight and obese survivors correctly identified their child as "a little overweight" or "overweight." Few parents recalled discussing weight gain (21%) or obesity risk (36%) with their practitioner. Parents that did recall having these discussions and/or reported a decreased level of posttherapy activity in their child were more likely to be concerned about their child's weight status. Improved awareness and education regarding the risk of obesity and associated comorbid conditions may provide an avenue for future prevention of obesity in survivors of pediatric ALL. Discussion and education regarding a healthy lifestyle, including proper diet and exercise, should be incorporated early in routine patient visits.
Related Concept Videos
Obesity
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Drug Dosing: Obese Patients
Bulimia Nervosa
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Anorexia Nervosa
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...

