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Updated: Aug 14, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parents' perception of their own and their child's weight in relation to objectively measured body mass index
Mirela Lisičić-Konaković1, Nurka Pranjić2, Senka Mesihović-Dinarević3
1Paediatric Clinic, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Insights
Parental body mass index (BMI) is linked to child BMI. Many parents and children misperceive weight status, highlighting the need for better awareness and targeted interventions for childhood obesity prevention.
Area of Science:
- Pediatric Obesity Research
- Public Health Nutrition
- Family Health Studies
Background:
- Childhood obesity is a growing public health concern with complex contributing factors.
- Parental weight status and perceptions may influence child weight trajectories.
- Understanding these associations is crucial for effective prevention strategies.
Purpose of the Study:
- To investigate the relationship between parental and child body mass index (BMI).
- To assess parental perceptions of their own and their child's weight status compared to measured BMI.
- To identify potential discrepancies in weight perception for targeted interventions.
Main Methods:
- Cross-sectional study involving 1,343 children (3-6 years) and their parents in Sarajevo.
- Data collection included sociodemographic information, weight perceptions, and anthropometric measurements.
- Body mass index (BMI) calculated using standardized recommendations.
Main Results:
- Higher parental BMI correlated with increased risk of child overweight and obesity.
- Significant discrepancies were found between parental perceptions and measured BMI for both parents and children.
- A low sensitivity (10.5%) was observed in parental identification of child overweight/obesity.
Conclusions:
- Parental BMI is a significant predictor of child BMI.
- Widespread misperception of weight status among parents and children necessitates improved public health awareness.
- Targeted educational programs are recommended to address weight misperceptions and promote healthy weight management.
Aim:
To examine the association between parental and child body mass index (BMI), and parental perceptions of their own and their child's weight in relation to measured BMI.
Methods:
This cross-sectional study included 1,343 children aged 3-6 years and 1,343 parents from primary healthcare centres and preschool institutions in Sarajevo. Data on sociodemographic characteristics, parental weight perceptions, and anthropometric parameters were collected using a questionnaire. BMI was calculated according to the National Centre for Chronic Disease Prevention and Health Promotion recommendations.
Results:
The mean parental BMI was 25.1 ± 3.8. Overall, 460 (34.25%) parents were overweight and 140 (10.43%) were obese. Among children, 171 (12.7%) were underweight, 790 (58.8%) had normal weight, 159 (11.9%) were overweight, and 223 (16.6%) were obese. Higher parental BMI was associated with lower relative risk of underweight (RRR=0.94; 95%CI = 0.89-0.99; p = 0.021), slightly higher risk of overweight (RRR = 1.04; 95%CI = 1.00-1.09; p = 0.047), and higher risk of obesity (RRR = 1.09; 95% CI = 1.04-1.13; p < 0.001). Parental perception of child weight status differed significantly from measured BMI (p < 0.001), with very low sensitivity for child overweight and obesity of 10.5% (95%CI 7.8 - 13.9) and specificity of 99.2% (95% CI 98.4-99.6). Among parents, 100 overweight and 105 obese individuals perceived themselves as normal weight.
Conclusion:
Parental BMI was positively associated with child BMI. Misperception of parent and child weight was common, supporting improved awareness and targeted prevention.
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