Parental perceptions of and concerns about child's body weight in eight European countries - the IDEFICS study

被引:47
作者
Regber, S. [1 ]
Novak, M. [2 ]
Eiben, G. [3 ]
Bammann, K. [4 ,5 ]
De Henauw, S. [6 ]
Fernandez-Alvira, J. M. [7 ]
Gwozdz, W. [8 ]
Kourides, Y. [9 ]
Moreno, L. A. [7 ]
Molnar, D. [10 ]
Pigeot, I. [11 ]
Reisch, L. [8 ]
Russo, P. [12 ]
Veidebaum, T. [13 ]
Borup, I. [1 ]
Marild, S. [14 ]
机构
[1] Nord Sch Publ Hlth NHV, SE-40242 Gothenburg, Sweden
[2] Univ Gothenburg, Dept Emergency & Cardiovasc Med, Sahlgrenska Acad, Gothenburg, Sweden
[3] Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, Publ Hlth Epidemiol Unit, Gothenburg, Sweden
[4] Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany
[5] BIPS Inst Epidemiol & Prevent Res, Bremen, Germany
[6] Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium
[7] Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Univ Sch Hlth Sci EUCS, Zaragoza, Spain
[8] Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark
[9] Res & Educ Inst Child Hlth Strovolos, Strovolos, Cyprus
[10] Univ Pecs, Dept Pediat, Pecs, Hungary
[11] Univ Bremen, Dept Biometry & Data Management, BIPS Inst Epidemiol & Prevent Res, Fac Math & Comp Sci 03, D-28359 Bremen, Germany
[12] CNR, Inst Food Sci, Avellino, Italy
[13] Natl Inst Hlth Dev, Tallinn, Estonia
[14] Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Paediat, Gothenburg, Sweden
来源
PEDIATRIC OBESITY | 2013年 / 8卷 / 02期
关键词
Cohort of European children; obesity; parent; weight concern; weight perception; RISK-FACTORS; MASS INDEX; OVERWEIGHT; OBESITY; DEFINITION; DESIGN;
D O I
10.1111/j.2047-6310.2012.00093.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives To evaluate parental perceptions of and concern about child's body weight and general health in children in a European cohort. Design Cross-sectional multi-centre study in eight European countries. Participants 16220 children, ages 29 years. Methods Parents completed a questionnaire regarding children's health and weight and concern about overweight and underweight. Objective children's weight categories from the International Obesity Task Force were used. Logistic regression models were utilized to identify predictors of accurate weight perception. Results Parental weight perception corresponded overall to children's mean body mass index (BMI) z-scores, with important exceptions. About one-third of the total indicated concern about underweight, paradoxically most often parents of children in the overweight or obesity categories. In 63%, parents of children in the overweight category marked proper weight'. The strongest predictor for accurate parental weight perception for children with overweight and obesity was BMI z-score (odds ratio [OR]=7.2, 95% confidence interval [CI] 6.18.7). Compared to Southern Europe, ORs for accurate parental weight perception were 4.4 (95% CI 3.36.0) in Northern Europe and 3.4 (95% CI 2.74.2) in Central Europe. Conclusion Parents of children categorized as being overweight or obese systematically underestimated weight. Parents differed regionally regarding accurate weight perception and concern about overweight and underweight.
引用
收藏
页码:118 / 129
页数:12
相关论文
共 32 条
[11]   Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research [J].
Doolen, Jessica ;
Alpert, Patricia T. ;
Miller, Sally K. .
JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, 2009, 21 (03) :160-166
[12]   An ''ecological'' approach to the obesity pandemic [J].
Egger, G ;
Swinburn, B .
BRITISH MEDICAL JOURNAL, 1997, 315 (7106) :477-480
[13]   Parental Perception of Preschool Child Body Weight [J].
Garrett-Wright, Dawn .
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES, 2011, 26 (05) :435-445
[14]  
Golan M, 2004, NUTR REV, V62, P39, DOI [10.1301/nr.2004.jan.39-50, 10.1111/j.1753-4887.2004.tb00005.x]
[15]   Identifying the "Tipping Point" Age for Overweight Pediatric Patients [J].
Harrington, John W. ;
Nguyen, Vu Q. ;
Paulson, James F. ;
Garland, Ruth ;
Pasquinelli, Lawrence ;
Lewis, Donald .
CLINICAL PEDIATRICS, 2010, 49 (07) :638-643
[16]   Parents' awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21) [J].
Jeffery, AN ;
Voss, LD ;
Metcalf, BS ;
Alba, S ;
Wilkin, TJ .
BRITISH MEDICAL JOURNAL, 2005, 330 (7481) :23-24
[17]   Parental perception of overweight and underweight in children and adolescents [J].
Juliusson, Petur B. ;
Roelants, Mathieu ;
Markestad, Trond ;
Bjerknes, Robert .
ACTA PAEDIATRICA, 2011, 100 (02) :260-265
[18]   Obesity in children. Part 1: Epidemiology, measurement, risk factors, and screening [J].
Kipping, Ruth R. ;
Jago, Russell ;
Lawlor, Debbie A. .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 337 (7675) :922-927
[19]   Estimated burden of paediatric obesity and co-morbidities in Europe. Part 2. Numbers of children with indicators of obesity-related disease [J].
Lobstein, Tim ;
Jackson-Leach, Rachel .
INTERNATIONAL JOURNAL OF PEDIATRIC OBESITY, 2006, 1 (01) :33-41
[20]   How do parents of 4-to 5-year-old children perceive the weight of their children? [J].
Luttikhuis, H. G. M. Oude ;
Stolk, R. P. ;
Sauer, P. J. J. .
ACTA PAEDIATRICA, 2010, 99 (02) :263-267