Do Parents Accurately Perceive Their Child's Weight Status?

Do Parents Accurately Perceive Their Child's Weight Status?
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DOI:
10.1016/j.pedhc.2007.12.014
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发表时间:
2009-07-01
影响因子:
2.8
通讯作者:
Mihalopoulos, Nicole L.
Mihalopoulos, Nicole L.
中科院分区:
医学4区
文献类型:
--
作者:
De La O, Angela;Jordan, Kristine C.;Mihalopoulos, Nicole L.

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简介:很少有研究评估父母的看法,他们的孩子的体重status.Methods的准确性:一个横断面样本的儿童年龄在5至12岁,他们的父母(n = 576亲子对)从四所学校入学。测量孩子的身高和体重。父母将他们的孩子按李克特量表分类,从“极度超重”到“极度体重不足”。父母的看法与他们孩子的体重状况根据体重指数(BMI)年龄性别比进行了比较。采用Fisher-Halton-Freeman检验、卡方检验(chi 2)和logistic回归分析比较父母对儿童体重状况估计不准确和准确的人口统计学因素。结果:25%的时间发生错误分类(95%置信区间:21.4-28.5)。所有BMI大于或等于第95百分位数的儿童的父母都将他们的孩子归类为“极度超重”,而BMI从第85百分位数到第95百分位数的儿童中有75%被错误地归类为“大约正确”或“体重不足”。男孩比女孩更容易被错误分类(29%比21%,P = 0.03)。结论:大多数肥胖和超重儿童的父母低估了他们孩子的体重状况。男孩的父母更有可能错误地看待孩子的体重。《儿科卫生保健杂志》(2009)23,216-221中所述。
Introduction: Few studies have evaluated the accuracy of parental perceptions of their child's weight status.Methods: A cross-sectional sample of children aged 5 to 12 years and their parents (n = 576 parent-child pairs) was enrolled from four schools. Child height and weight were measured. The parents classified their child on Likert scales ranging from "extremely overweight'' to "extremely underweight.'' Parental perceptions were compared with their child's weight status according to body mass index (BMI) age-gender percentiles. Fisher-Halton-Freeman tests, chi(2), and logistic regression were used to compare demographic factors between parents who inaccurately estimated and those who accurately estimated child weight status.Results: Misclassification occurred 25% of the time (95% confidence interval: 21.4-28.5). All parents of children with a BMI greater than or equal to the 95th percentile classified their child in a category other than "extremely overweight,'' and 75% of children with a BMI from the 85th to less than the 95th percentile were misclassified as "about right'' or "underweight.'' Boys were more likely to be misclassified than were girls (29% vs 21%, P = .03).Conclusions: The majority of parents of obese and overweight children underestimate their child's weight status. Parents of boys are more likely to perceive their child's weight incorrectly. J Pediatr Health Care. (2009) 23, 216-221.