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.
Abstract

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