Parental recognition of overweight in school-age children
Parental recognition of overweight in school-age children
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DOI：
10.1038/oby.2007.108
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发表时间：
2008-03-01
期刊：
影响因子：
6.9
通讯作者：
Montgomery, Brooke E. E.
中科院分区：
文献类型：
--
作者：
West, Delia S.;Raczynski, James M.;Montgomery, Brooke E. E.
目的：探讨儿童肥胖立法实施前后包括BMI筛查和反馈在内的超重儿童父母体重认知的准确性。方法和步骤：对阿肯色州公立学校儿童超重（BMI >= 85百分位）的家长在政策实施前（n = 1551, 15%非裔美国人）和政策实施后（n = 2508, 15%非裔美国人）进行全州范围的电话调查，以检验家长对儿童体重认知与客观分类之间的对应关系。结果：大多数（60%）超重儿童的父母低估了基线体重。年幼儿童的父母（65%）比青少年的父母（51%）更容易低估。超重的父母不太可能低估，也不与父母的教育或社会经济地位有关。非裔美国父母低估孩子的可能性是白人父母的两倍。实施BMI筛查和反馈一年后，超重儿童分类的准确性有所提高（低估53%）。非裔美国人父母比白人父母改善显著（P < 0.0001）。讨论：父母对儿童超重的认识可以通过BMI筛查和反馈得到改善，非裔美国父母可能特别受益。尽管如此，对超重的低估很常见，可能对公共卫生干预产生影响。
Objective: Examine the accuracy of parental weight perceptions of overweight children before and after the implementation of childhood obesity legislation that included BMI screening and feedback.Methods and Procedures: Statewide telephone surveys of parents of overweight (BMI >= 85th percentile) Arkansas public school children before (n = 1,551; 15% African American) and after (n = 2,508; 15% African American) policy implementation were examined for correspondence between parental perception of child's weight and objective classification.Results: Most (60%) parents of overweight children underestimated weight at baseline. Parents of younger children were significantly more likely to underestimate (65%) than parents of adolescents (51%). Overweight parents were not more likely to underestimate, nor was inaccuracy associated with parental education or socioeconomic status. African-American parents were twice as likely to underestimate as whites. One year after BMI screening and feedback was implemented, the accuracy of classification of overweight children improved (53% underestimation). African-American parents had significantly greater improvements than white parents (P < 0.0001).Discussion: Parental recognition of childhood overweight may be improved with BMI screening and feedback, and African-American parents may specifically benefit. Nonetheless, underestimation of overweight is common and may have implications for public health interventions.