Parents' perceptions of their child's weight and health
Parents' perceptions of their child's weight and health
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DOI：
10.1542/peds.2005-0910
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发表时间：
2006-03-01
期刊：
影响因子：
8
通讯作者：
Binns, HJ
中科院分区：
文献类型：
--
作者：
Eckstein, KC;Mikhail, LM;Binns, HJ
目标。这项研究探讨了父母对孩子外表和健康的看法，并评估了一种确定父母对孩子体重的视觉感知的工具。方法：对2-17岁儿童的父母进行了关于孩子外表和健康的调查，以及对儿童超重的看法。他们还从7个选项中选择了与他们孩子的身体形象最接近的素描，使用了8个性别和年龄范围特定的素描小组中的1个。测量了儿童的身高和体重。受访者按儿童身体质量指数(BMI)百分位数(第5、5-84、85-94[超重风险(AROW)]和>；=95[超重])分组。对那些BMI和Gt；=5百分位数的人进行分析。结果：在223名儿童中，60%是6岁，42%是男性，17%是黑人，35%是西班牙裔，42%是白人，7%是其他人，19%是AROW，20%是超重。很少有父母(36%)会用词来辨认自己超重或超重的孩子，但更多的父母(70%)会选择中等或较重的素描。在超重和AROW儿童的父母中，18%的人回忆起医生的担忧，26%的人担心孩子的体重。如果超重或AROW的孩子年龄=6岁，父母更有可能用词来识别他们的孩子是“超重”或“有点超重”，选择一个中等或更重的素描，并感到担忧。年龄较大的孩子的父母如果认为他们的孩子比其他孩子更不活跃/更慢，或者回忆起医生的担忧，他们更有可能担心。结论：超重和AROW儿童的父母很少认识到他们的孩子超重或担心。认识到身体活动的局限性和医生的担忧可能会增加父母的担忧程度。当没有测量数据时，素描可能是识别超重儿童的有用工具。
OBJECTIVE. This study explored parents' perceptions about their child's appearance and health and evaluated a tool to determine parents' visual perception of their child's weight.METHODS. Parents of children aged 2 to 17 years were surveyed concerning their child's appearance and health and opinions about childhood overweight. They also selected the sketch (from 7 choices) that most closely matched the body image of their child using 1 of 8 gender - and age- range - specific panels of sketches. Children's height and weight were measured. Respondents were grouped by child body mass index (BMI) percentile (< 5th, 5-84th, 85-94th [at risk for overweight (AROW)], and >= 95th [overweight]). Those with BMI >= 5th percentile were analyzed. Logistic regression was used to examine factors influencing parental perceptions and levels of worry about their overweight or AROW child.RESULTS. Of the 223 children, 60% were < 6 years old, 42% were male, 17% were black, 35% were Hispanic, 42% were white, and 7% were other; 19% were AROW, and 20% were overweight. Few parents (36%) identified their overweight or AROW child as '' overweight '' or '' a little overweight '' using words, but more (70%) selected a middle or heavier sketch. Among parents of overweight and AROW children, 18% recalled a doctor's concern and 26% were worried about their child's weight. If the overweight or AROW child was age >= 6 years, parents were more likely to identify their child as '' overweight '' or '' a little overweight '' using words, select a middle or heavier sketch, and to be worried. Parents of older children were more likely to be worried if they perceived their child as less active/slower than other children or recalled a doctor's concern.CONCLUSIONS. Few parents of overweight and AROW children recognized their child as overweight or were worried. Recognition of physical activity limitations and physicians' concerns may heighten the parent's level of concern. Sketches may be a useful tool to identify overweight children when measurements are not available.