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Published on: February 2, 2017
Do Childcare Teachers Evaluate Children's Weight Status More Accurately Than Parents? A Brief Report
Ana I Gomes1, Rosa Lemos2, Milica Miočević3
1CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal.
Insights
Childcare teachers more accurately identified overweight children than parents, but both groups frequently misclassified children's weight status. Accurate weight perception is crucial for addressing childhood obesity.
Area of Science:
- Child Health
- Public Health
- Pediatrics
Background:
- Parental underestimation of a child's weight can impede efforts to modify diet and physical activity.
- Childcare teachers play a role in identifying at-risk children, but their accuracy in assessing weight status is critical.
Purpose of the Study:
- To compare the accuracy of weight perception between parents and childcare teachers.
- To identify predictors of accurate weight perception in caregivers and teachers.
Main Methods:
- A quantitative, cross-sectional study was conducted in 15 kindergartens near Lisbon, Portugal.
- 319 parents, 32 teachers, and 319 children participated.
- Caregivers classified children's weight status (underweight, healthy, overweight), and children's body mass index (BMI) percentile was assessed.
Main Results:
- Teachers correctly assessed 31.1% of overweight children, compared to 17.5% of parents (P = 0.004).
- The child's BMI percentile was a significant predictor of accurate weight perception for both parents and teachers.
- Despite higher accuracy, teachers still misclassified a substantial proportion of overweight children.
Conclusions:
- Childcare teachers demonstrated better accuracy than parents in identifying children's weight status.
- However, the high rate of misclassification by teachers highlights a need for improved training and tools to support accurate weight assessment in early childhood settings.
Purpose:
Parents' underestimation of young children's weight can reduce their engagement and readiness to implement changes in children's diet and physical activity. Childcare teachers can support parents' identification of children at risk for being overweight only if they can accurately do this themselves.
Design:
Quantitative, cross-sectional study.
Setting:
Fifteen kindergartens near Lisbon, Portugal.
Subjects:
319 parents, 32 teachers (47.5% and 100% response rate, respectively), and 319 children.
Measures:
Caregivers classified the children's weight, considering their height and age as underweight, healthy weight, or overweight; children's body mass index (BMI) status for age and sex was assessed.
Analysis:
Differences in caregivers' accuracy of children's weight perception were assessed. Multilevel multivariate logistic regression models were used to analyze the predictors of the accuracy of teachers' and parents' weight perception as a binary outcome.
Results:
The proportion of children with overweight correctly assessed differed significantly (P = 0.004) between teachers (31.1%) and parents (17.5%). The child's BMI percentile was the only significant positive predictor for both caregivers' weight perception accuracy (P < 0.001 and P = 0.004, for parents and teachers, respectively), holding the child's age and sex constant.
Conclusion:
Although childcare teachers were better raters than parents when evaluating children's weight status, the percentage of children with overweight that childcare teachers misclassified was still relatively high.
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