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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The Correlation Between Parental Perceptions and Readiness to Change with Participation in a Pediatric Obesity
Sarita Dhuper1, Nagla Bayoumi2, Janhavi Dalvi3
1Department of Pediatrics, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Insights
Positive parental perceptions of weight correlate with better adherence to pediatric lifestyle programs. Lower maternal BMI also linked to improved self and child health perceptions, enhancing program compliance.
Area of Science:
- Pediatric Obesity Research
- Public Health Interventions
- Behavioral Science
Background:
- Assesses maternal factors influencing adherence to pediatric lifestyle modification programs in urban, high-obesity populations.
- Focuses on the correlation between maternal body mass index (BMI), weight perceptions, and readiness to change with program compliance.
Purpose of the Study:
- To determine if maternal BMI and perceptions of weight, alongside readiness to change, predict compliance in a pediatric obesity program.
- To identify key parental factors associated with successful engagement in lifestyle modification for children.
Main Methods:
- Utilized the Parental Readiness Questionnaire (PRQ) with 596 mothers at program entry.
- Collected data on demographics, health habits, attitudes, body image, and desire for change.
- Categorized compliance based on follow-up visit attendance.
Main Results:
- Significant differences in health and weight perceptions between short-term and long-term follow-up groups.
- Maternal BMI thresholds (<35 vs. ≥35) showed distinct differences in self/child health and body image perceptions.
- Lower maternal BMI correlated with more positive perceptions of personal and child health and body image.
Conclusions:
- Positive parental weight perceptions are linked to improved compliance in pediatric lifestyle modification programs.
- Maternal factors, including BMI and perceptions, play a crucial role in program adherence and success.
Background:
This study assessed whether maternal BMI and perceptions about weight and reported level of readiness to change was correlated with compliance to a pediatric lifestyle modification program targeting a hard-to-reach urban population with a high prevalence of severe obesity.
Methods:
The Parental Readiness Questionnaire (PRQ) was administered to the child's mother at program entry. The PRQ consisted of forty-seven multiple-choice and 10-point Likert scale questions regarding family demographics, exercise and eating habits, attitudes about health, body image, and weight, and the desire to improve nutrition and physical activity. Analysis was performed on PRQs of participants to compare parental perceptions and readiness for change with compliance to program requirements. Analysis was conducted on 596 questionnaires and compliance was categorized into three groups based on attendance to follow-up visits.
Results:
Significant differences were found between short-term and long-term follow-up groups in regards to parental perception of one's health as well as the health, weight, and body image of their child. Differences were found in perceptions of one's own weight and body image as well as the health of one's self and child between the group with a maternal BMI < 35 and the group with a maternal BMI ≥ 35. A lower maternal BMI was associated with a better perception of one's own weight, body image, and health, as well as the health of the child.
Conclusion:
Positive parental perceptions on weight were correlated with improved compliance to a pediatric lifestyle modification program.
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