Parents' Healthy Weight Perceptions and Preferences Regarding Obesity Counseling in Preschoolers: Pediatricians Matter

被引：58

作者：

Hernandez, Raquel G. ^{[1
,2
]}

Cheng, Tina L. ^{[2
,3
]}

Serwint, Janet R. ^{[2
,3
]}

机构：

[1] Univ S Florida, Coll Med, Tampa, FL 33606 USA

[2] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[3] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA

来源：

CLINICAL PEDIATRICS | 2010年 / 49卷 / 08期

关键词：

obesity; preschoolers; perceptions; visual sketches; LOW-INCOME; CHILDREN; MOTHERS; OVERWEIGHT; PROFESSIONALS; ISSUES;

D O I：

10.1177/0009922810368288

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective: To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences. Methods: Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight preschooler, and (c) friend and family report of a healthy weight preschooler. Those indicating that their overweight or obese child resembled a healthy weight image were considered to misclassify child weight. Logistic regression was used to identify predictors of misclassification and card-sorting exercises explored weight-counseling preferences. Results: Of the 150 preschoolers in our sample, 32.7% (n = 49) were overweight or obese with misclassification occurring in 71.4% of parents (n = 35). Absence of pediatrician comment on child weight strongly predicted misclassification (odds ratio, 12.3; 95% confidence interval, 1.74-87.2). Pediatricians were highly valued weight advisors. Conclusions: Weight-focused advice from pediatricians matters to parents and may promote parental identification of early childhood weight risks.

引用

页码：790 / 798

页数：9

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