Trends of Child's Weight Perception by Children, Parents, and Healthcare Professionals during the Time of Terminology Change in Childhood Obesity in the United States, 2005-2014

被引：13

作者：

Sugiyama, Takehiro ^{[1
,2
]}

Horino, Masako ^{[3
,4
]}

Inoue, Kaori ^{[5
]}

Kobayashi, Yasuki ^{[2
]}

Shapiro, Martin F. ^{[6
,7
]}

McCarthy, William J. ^{[3
,6
]}

机构：

[1] Natl Ctr Global Hlth & Med, Diabet & Metab Informat Ctr, Res Inst, Tokyo, Japan

[2] Univ Tokyo, Grad Sch Med, Dept Publ Hlth Hlth Policy, Tokyo, Japan

[3] UCLA, Ctr Canc Prevent & Control Res, Los Angeles, CA USA

[4] UCLA, Fielding Sch Publ Hlth, Dept Community Hlth Sci, Los Angeles, CA USA

[5] Asahi Life Fdn, Dept Endocrinol & Metab, Inst Adult Dis, Tokyo, Japan

[6] UCLA, Dept Hlth Policy & Management, Fielding Sch Publ Hlth, Los Angeles, CA USA

[7] UCLA, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA USA

来源：

CHILDHOOD OBESITY | 2016年 / 12卷 / 06期

基金：

美国国家卫生研究院;

关键词：

children; NHANES; obesity; overweight; perception; terminology change; BODY-MASS INDEX; GENERATIONAL SHIFT; OVERWEIGHT; ADOLESCENTS; PREVENTION; MISPERCEPTION; RECOMMENDATIONS; RECOGNITION; PREVALENCE; ADIPOSITY;

D O I：

10.1089/chi.2016.0128

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective: To investigate the changes on self- and parental weight perceptions and parental communication with healthcare professionals (HCPs) in the United States during the mid-2000s period when the terminology changed for classifications of childhood obesity/overweight. Methods: A repeated cross-sectional study was conducted with 6799 children aged 8-15 years with the National Health and Nutrition Examination Survey 2005-2014. BMI was calculated from objectively measured heights and weights, and children were classified as normal/underweight, overweight or obese, using the new terminology. Children reported their own weight status. Parents reported their child's weight status and reported how HCPs described their children's weight status. Logistic regressions were used to investigate changes in weight perceptions among overweight/obese children themselves and their parents and parental communication with HCPs about children's overweight/obesity status during the time of the terminology change. Results: The proportion of parents told by HCPs about children's weight status increased for overweight children [6.8% in 2005-2006 to 18.8% in 2013-2014, p for trend (p(trend) = 0.02)], and marginally increased between 2005-2006 (37.1%) and 2007-2008 (45.4%) for obese children (p = 0.09). However, parental perceptions for obese/overweight children did not change. Also, obese children's weight perception did not change, and the proportion of overweight children who perceived their weight status accurately declined in 2005-2012 (25.9%-16.4%, p(trend) = 0.02). Conclusions: Although the terminology change about childhood obesity/overweight was associated with increased communication about child's weight status by HCPs, the accuracy of weight perceptions among obese/overweight children or their parents did not improve or declined.

引用

页码：463 / 473

页数：11