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Updated: Jan 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental Perception of Children's Weight Status: Love Overpasses Scientific Evidence! A Cross-Sectional Observational
Felice Sirico1,2, Fredrick Fernando1, Antonio Bianco1
1Med-Ex, Medicine & Exercise srl, Medical Partner Scuderia Ferrari, via Vittorio Veneto 108, 00187, Rome, Italy.
Insights
Parents often misperceive their children's weight status, especially for those with higher Body Mass Index (BMI) percentiles. This study highlights the need for better parental education on childhood obesity and healthy weight management.
Area of Science:
- Pediatric health
- Public health
- Nutrition science
Background:
- Childhood obesity is a growing public health concern.
- Accurate parental perception of children's weight status is crucial for early intervention.
- Factors like age, gender, BMI percentile, and diet adherence may influence perception.
Purpose of the Study:
- To evaluate how accurately parents perceive their children's weight status.
- To identify factors associated with parental misperception of childhood weight.
Main Methods:
- Cross-sectional observational study within a corporate wellness program.
- Children's weight status determined by Body Mass Index (BMI) percentiles.
- Parental perception of weight status compared against objective BMI data.
Main Results:
- Nearly half of parents (41%) misclassified their children's weight status.
- Overweight and obese children were frequently underestimated by parents.
- Increasing BMI percentiles significantly decreased the accuracy of parental perception (OR=0.96).
- Boys were less likely to be correctly classified by parents (OR=0.65).
Conclusions:
- A significant proportion of children are overweight or obese, with widespread parental underestimation.
- Parental perception accuracy declines as children's BMI percentiles increase.
- Targeted interventions are needed to improve parental awareness of childhood weight status.
Introduction:
Age, gender, body mass index percentiles and the adherence to Mediterranean diet were investigated as potential predictor factors in this assessment.
Aim:
To assess the parental perception of children's weight status.
Methods:
This cross-sectional observational study was carried out during a corporate wellness program (Ferrari Formula Benessere) implemented by Ferrari S.p.A. and managed by Med-Ex s.r.l. The children's real weight status was assessed through Body Mass Index percentiles (ArthroPlus software-WHO).
Results:
328 children (66.4%) were normal-weight, 10 were underweight (2%), 66 were overweight (13.4%) and 90 were obese (18.2%). 289 children (59%) were classified correctly by parents, while 205 children (41%) were not. 64 of 66 overweight children and 90 of 90 children with obesity have been completely underestimated (53 of 90 children with obesity were judged normal weight). The parents' probability to estimate children's weight status correctly decreased increasing body mass index percentiles paradoxically [OR = 0.96 (0.95-0.97)] and was lower in boys [OR = 0.65 (0.44-0.98)]. Although not statistically significant, children with higher adherence to Mediterranean diet seems to have higher probability to be correctly estimated [low adherence: reference, medium adherence: OR = 1.06 (0.61-1.85), high adherence: OR = 1.48 (0.81-2.75)].
Conclusions:
A high percentage of children is overweight or obese and almost half of parents classified their weight status incorrectly. Increasing children's body mass index percentiles decreases the probability to be correctly classified.
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