Maternal perceptions of toddler body size: accuracy and satisfaction differ by toddler weight status.
Maternal perceptions of toddler body size: accuracy and satisfaction differ by toddler weight status.
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DOI：
10.1001/archpediatrics.2011.1900
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发表时间：
2012-05
影响因子：
--
通讯作者：
Black MM
中科院分区：
文献类型：
--
作者：
Hager ER;Candelaria M;Latta LW;Hurley KM;Wang Y;Caulfield LE;Black MM
检验(1)母亲对幼儿体型知觉的准确性；(2)影响幼儿体型准确性的因素；(3)母亲满意度与准确性/幼儿体型的关系。横截面。来自郊区妇女、婴儿和儿童特殊补充营养计划(WIC)/城市儿科诊所的低收入社区样本。281对母子（幼儿：54.1%男性；平均年龄20.2个月；70.8%非裔美国人；8.5%体重不足[<15个体重长度百分位数]；29.2%超重[≥85个体重长度百分位数]）。测量人体测量（母亲/幼儿）和人口统计学。验证幼儿轮廓量表（准确性和满意度）。近70%的母亲在评估孩子的体型时是不准确的。与健康体重幼儿的母亲相比，体重不足幼儿的母亲准确的可能性高出9.13倍（95% CI, 2.94-28.36），超重幼儿的母亲准确的可能性低87% (95% CI, 0.05-0.33)；准确性不受幼儿年龄、性别、种族、母亲教育程度或体重状况的影响。超过70%的母亲和81.7%的超重孩子的母亲对孩子的体型感到满意。体重过轻幼儿的准妈妈比体重正常幼儿的准妈妈满意度低（30.0% vs 76.8%； P< .001）。超重幼童的母亲对自己幼童的体型有不准确的认知，并且非常满意，这表明超重幼童的观点是正常的。体重过轻幼童的母亲有准确的认知，但却不满意，这表明她们认为自己的孩子是不正常的。因为不准确的认知在幼儿时期就开始了，儿科医生应该帮助提高家庭对健康体型的理解。未来的研究应该考察满意度和准确性与养育行为之间的关系。
To examine (1) accuracy of maternal perceptions of toddler body size; (2) factors associated with accuracy of toddler body size; and (3) how maternal satisfaction relates to accuracy/toddler body size. Cross-sectional. Low-income community sample from suburban Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)/urban pediatric clinics. Two hundred eighty-one mother-toddler dyads (toddlers: 54.1% male; mean age, 20.2 months; 70.8% African American; 8.5% underweight [<15th weight-for-length percentile]; and 29.2% overweight [≥85th weight-for-length percentile]). Measured anthropometry (mother/toddler) and demographics. Validated toddler silhouette scale (accuracy and satisfaction). Nearly 70% of mothers were inaccurate in assessing their toddler’s body size. Compared with mothers of healthy-weight toddlers, mothers of underweight toddlers were 9.13 times more likely to be accurate (95% CI, 2.94-28.36) and mothers of overweight toddlers were 87% less likely to be accurate (95% CI, 0.05-0.33); accuracy did not differ by toddler age, sex, or race or mother’s education or weight status. More than 70% of all mothers and 81.7% of mothers of overweight toddlers were satisfied with their toddler’s body size. Accurate mothers of underweight toddlers were less likely to be satisfied than accurate mothers of healthy-weight toddlers (30.0% vs 76.8%; P< .001). Mothers of overweight toddlers had inaccurate perceptions of their toddler’s body size and were highly satisfied, suggesting a view of heavy toddlers as normative. Mothers of underweight toddlers had accurate perceptions yet were dissatisfied, suggesting recognition of their child as outside the norm. Because inaccurate perceptions begin early in toddlerhood, pediatric providers should help improve families’ understanding of healthy body size. Future studies should examine how satisfaction and accuracy relate to parenting behaviors.
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影响因子：
3.2
作者：
Akerman, Anna;Williams, Marsha E.;Meunier, John
通讯作者：
Meunier, John
DOI：
10.1016/j.pedn.2008.02.032
发表时间：
2009-04-01
期刊：
Journal of pediatric nursing
影响因子：
--
作者：
Towns, Nichole;D'Auria, Jennifer
通讯作者：
D'Auria, Jennifer
影响因子：
4.9
作者：
Carnell, S;Edwards, C;Wardle, J
通讯作者：
Wardle, J
影响因子：
8
作者：
Eckstein, KC;Mikhail, LM;Binns, HJ
通讯作者：
Binns, HJ
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.