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Updated: Jan 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Child Body Fat and Body Mass Index: Which Determinants are Most Important?
Marilyn Frenn1, Astrida Kaugars2, Juanita Garcia1
1Marquette University College of Nursing, Milwaukee, WI, USA.
Insights
Parental concern about child weight influences children's body fat percentage (BF%) and body mass index percentile (BMIp). This is crucial for identifying at-risk children, especially those with overweight or obese parents.
Area of Science:
- Pediatrics
- Public Health
- Childhood Obesity Research
Background:
- Elevated child body fat percentage (BF%) and body mass index percentile (BMIp) are linked to lifelong health risks.
- Approximately one in five children are affected by these weight-related health concerns.
Purpose of the Study:
- To investigate child and parent factors influencing children's BF% and BMIp.
- To understand the relationship between parental perceptions and children's weight metrics.
Main Methods:
- Path analyses were performed on data from 135 children aged 9-15 years and their parents.
- Multiple imputation techniques were used to handle missing data.
- Analysis focused on child and parent determinants of children's BF% and BMIp.
Main Results:
- Children's BF% and BMIp were significantly associated with parental concern regarding overweight.
- Children's perception of parental concern also played a role in their weight metrics.
- Overweight and obese parents' concern levels are a high-priority assessment area.
Conclusions:
- Parental concern and children's perception of this concern are key determinants of childhood adiposity.
- Interventions should consider parental awareness and communication regarding weight.
- Prioritizing assessment of parental concern is vital for high-risk families.
Abstract:
The purpose of this study was to examine child and parent determinants of children's body fat percentage (BF%) along with their body mass index percentile (BMIp). Children's BF% and BMIp auger lifelong health risks when elevated, and one in five children are affected. Participants (N = 135) included 62% female children; 50.7% Caucasian, 31.7% Hispanic, and 8.5% African American. Children were aged 9-15 years (2% underweight, 47.9% normal weight, 19.7% overweight, and 24.6% obese). Parent BMI average was 30.67 (1.4% underweight, 20.4% normal weight, 23.9% overweight, 40% obese, and 7% extreme obesity); 77.5% of the participating parents were mothers. Following multiple imputations, path analyses were conducted of child and parent determinants of children's BF% and BMIp. Children's BF% and BMIp were related to parents' concern about overweight and children's perception of that concern. For children of overweight or obese parents, who are at highest risk for obesity, assessing the parents' concern is the highest priority.
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