Related Experiment Video
Updated: Feb 21, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
AGREEMENT BETWEEN MEASURED AND PERCEIVED NUTRITIONAL STATUS REPORTED BY PRESCHOOL CHILDREN'S MOTHERS
Dixis Figueroa Pedraza1, Carolina Pereira da Cunha Sousa1, Ricardo Alves de Olinda1
1Universidade Estadual da Paraíba, Campina Grande, PB, Brasil.
Insights
Mothers often misperceive their preschool children's nutritional status, particularly underestimating overweight. This perception gap is more pronounced in younger boys, impacting accurate health assessments.
Area of Science:
- Pediatric Nutrition
- Maternal Health
- Child Development
Background:
- Accurate assessment of preschool children's nutritional status is crucial for early intervention.
- Maternal perception of a child's weight can influence health-related decisions.
- Discrepancies between perceived and actual nutritional status may lead to delayed or inappropriate care.
Purpose of the Study:
- To evaluate the concordance between mothers' perception of their preschool children's nutritional status and the clinically diagnosed status.
- To identify differences in this agreement based on children's sex and age.
Main Methods:
- A cohort study involving 269 preschool children from public daycare centers in Northeast Brazil.
- Data collected included children's date of birth, sex, and nutritional status (weight/stature Z-scores).
- Mothers' perception of their child's weight was recorded, and agreement was analyzed using the weighted Kappa test.
Main Results:
- A significant disagreement (32.7%) was found between perceived and diagnosed nutritional status, with an insignificant Kappa value (0.122).
- Mothers significantly underestimated overweight in their children (69.6%).
- Agreement was higher for girls and older children (36-59 months) regarding overweight perception.
Conclusions:
- Mothers face challenges in accurately recognizing their preschool children's nutritional status, especially underestimating overweight.
- Maternal perception of overweight is particularly inaccurate in younger children and boys.
- These findings highlight the need for improved maternal education on child nutrition and weight assessment.
Objective:
To verify the agreement between nutritional status perceived by mothers and that diagnosed in preschool children, by providing the differences according to children's sex and age.
Methods:
Study with data from a cohort of 269 preschool children assisted in public daycare centers of Campina Grande, Paraíba (Northeast Brazil). Children's information about their date of birth, sex and nutritional status (weight/stature Z scores) was collected. Furthermore, the mothers were asked about their perception of children's weight. The diagnostic agreement between the measured nutritional status and that perceived by mothers was assessed through the weighted Kappa test, with a 5% significance level.
Results:
The percentage of disagreement between the measured nutritional status and that perceived by mothers was 32.7%, with Kappa of 0.122, which is considered insignificant. There was a remarkable overweight underestimation (69.6%). Agreement between maternal perception of overweight and the diagnosed nutritional status was higher for older children (36-59 months versus 24-35 months) and for girls.
Conclusions:
The study regarding maternal perception of preschool children's nutritional status showed the difficulty that mothers face in recognizing the real nutritional status of their children, especially the underestimation of overweight. Maternal perception of overweight in children is misrepresented in boys and in younger children with more importance.
Related Concept Videos
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Regression Toward the Mean
Self-Schemas
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Self-Discrepancy and Its Effects

