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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental Perceptions of Preschool Children's Weight Status in China: A Cross-Sectional Study
Jingyun Yang1, Ludan Zhou2, Lingjiao Chen2
1Department of Pediatrics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China, 1592954680@qq.com.
Introduction:
Currently, overweight/obesity rates among children are increasing. Moreover, parents generally misunderstand their children's weight status. The correct perception of overweight/obesity in early childhood is very important for children's growth and development. The purpose of this study was to investigate parental perceptions of children's weight status.
Methods:
We analyzed data from a questionnaire study conducted among 1,971 preschool children in local kindergartens from December 1, 2021, to January 31, 2022, and classified the participants as having non-overweight and overweight/obesity according to the International Obesity Task Force (IOTF) criteria. Parents were asked whether they perceived their children to have non-overweight or overweight/obesity. We analyzed the related factors that parents underestimated or overestimated their children's weight status.
Results:
The rate of overweight/obesity in preschool children was 17.9%. Parental perceptions of children's weight status were inconsistent with children's real weight (kappa = 0.351, p < 0.001). The correctness of mother's perceptions of children's weight was higher than that of father's. Among children who were affected by overweight/obesity, 68.5% of parents underestimated their children's weights. Mothers with overweight/obesity had a 1.56 times greater risk of underestimating the children's weight than mothers who were affected by non-overweight (p = 0.010, odds ratio: 1.56, 95% confidence interval: 1.11-2.18). Children's sex and families with siblings were independent risk factors for parents to overestimate children's weight.
Conclusion:
Parents were highly likely to misinterpret the weight status of their children who were affected by overweight/obesity. Mothers with overweight/obesity were more likely to underestimate their children's weight.
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