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Parental Perceptions of Children's Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017
X. Ramos Salas, M. Buoncristiano, J. Williams, M. Kebbe, A. Spinelli, P. Nardone, A. Rito, V. Duleva, S. Musić Milanović, M. Kunesova, RT. Braunerová, T. Hejgaard, M. Rasmussen, L. Shengelia, S. Abdrakhmanova, A. Abildina, Z. Usuopva, J. Hyska,...
Language English Country Switzerland
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
001
World Health Organization - International
NLK
Directory of Open Access Journals
from 2013
PubMed Central
from 2008
Europe PubMed Central
from 2008
ProQuest Central
from 2017-03-01
Open Access Digital Library
from 2013-01-01
Health & Medicine (ProQuest)
from 2017-03-01
Karger Open Access
from 2013-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2008
PubMed
34818257
DOI
10.1159/000517586
Knihovny.cz E-resources
- MeSH
- Child MeSH
- Body Mass Index MeSH
- Humans MeSH
- Overweight epidemiology MeSH
- Pediatric Obesity * diagnosis epidemiology MeSH
- Surveys and Questionnaires MeSH
- Parents MeSH
- World Health Organization MeSH
- Body Weight MeSH
- Health Knowledge, Attitudes, Practice MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
INTRODUCTION: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child's weight status. The purpose of this study was to measure parental perceptions of their child's weight status and to identify predictors of potential parental misperceptions. METHODS: We used data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative and 22 countries. Parents were asked to identify their perceptions of their children's weight status as "underweight," "normal weight," "a little overweight," or "extremely overweight." We categorized children's (6-9 years; n = 124,296) body mass index (BMI) as BMI-for-age Z-scores based on the 2007 WHO-recommended growth references. For each country included in the analysis and pooled estimates (country level), we calculated the distribution of children according to the WHO weight status classification, distribution by parental perception of child's weight status, percentages of accurate, overestimating, or underestimating perceptions, misclassification levels, and predictors of parental misperceptions using a multilevel logistic regression analysis that included only children with overweight (including obesity). Statistical analyses were performed using Stata version 15 1. RESULTS: Overall, 64.1% of parents categorized their child's weight status accurately relative to the WHO growth charts. However, parents were more likely to underestimate their child's weight if the child had overweight (82.3%) or obesity (93.8%). Parents were more likely to underestimate their child's weight if the child was male (adjusted OR [adjOR]: 1.41; 95% confidence intervals [CI]: 1.28-1.55); the parent had a lower educational level (adjOR: 1.41; 95% CI: 1.26-1.57); the father was asked rather than the mother (adjOR: 1.14; 95% CI: 0.98-1.33); and the family lived in a rural area (adjOR: 1.10; 95% CI: 0.99-1.24). Overall, parents' BMI was not strongly associated with the underestimation of children's weight status, but there was a stronger association in some countries. DISCUSSION/CONCLUSION: Our study supplements the current literature on factors that influence parental perceptions of their child's weight status. Public health interventions aimed at promoting healthy childhood growth and development should consider parents' knowledge and perceptions, as well as the sociocultural contexts in which children and families live.
Centre for Disease Prevention and Control Riga Latvia
Centre for Exercise Nutrition and Health Sciences University of Bristol Bristol United Kingdom
Centre for Health Promotion Bishkek Kyrgyzstan
Danish Health Authority Copenhagen Denmark
Department of Cardiology Institute of Mother and Child Warsaw Poland
Department of Pediatrics Paracelsus Medical University Salzburg Austria
Department of Preventive Medicine Lithuanian University of Health Sciences Kaunas Lithuania
Department of Social and Policy Sciences University of Bath Bath United Kingdom
European Association for the Study of Obesity Teddington United Kingdom
Faculty for Sport and Physical Education University of Montenegro Niksic Montenegro
Faculty of Sport and PE University of Novi Sad Novi Sad Serbia
Faculty of Sport University of Ljubjana Ljubjana Slovenia
Hungarian School Sport Federation Budapest Hungary
Institute of Pediatric Endocrinology Endocrine Research Centre Moscow Russian Federation
Institute of Public Health Podgorica Montenegro
Institute of Public Health Tirana Albania
Istituto per la Sicurezza Sociale Cailungo San Marino
Istituto Superiore di Sanità Rome Italy
Ministry of Health Public Health General Directorate Ankara Turkey
National Center for Disease Control and Public Health of Georgia Tbilisi Georgia
National Center of Public Health and Analyses Ministry of Health Sofia Bulgaria
National Institute for Health and Welfare Helsinki Finland
National Institute of Health Dr Ricardo Jorge 1 P Lisbon Portugal
National Institute of Public Health Oslo Norway
National Institute of Public Health University of Southern Denmark Odense Denmark
National Nutrition Surveillance Centre University College Dublin Dublin Ireland
Obesity Management Centre Institute of Endocrinology Prague Czechia
Pennington Biomedical Research Center Baton Rouge Louisiana USA
Primary Health Care Ministry of Health Floriana Malta
Public Health Agency of Sweden Solna Sweden
School for Health in Europé Ministry of Health Tashkent Uzbekistan
University of Zagreb School of Medicine Croatian Institute of Public Health Zagreb Croatia
World Health Organization Country Office Dushanbe Tajikistan
References provided by Crossref.org
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