Parental perceptions of weight status in children: the Gateshead Millennium Study
Parental perceptions of weight status in children: the Gateshead Millennium Study
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DOI：
10.1038/ijo.2011.106
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发表时间：
2011-07-01
影响因子：
4.9
通讯作者：
Adamson, A. J.
中科院分区：
文献类型：
--
作者：
Jones, A. R.;Parkinson, K. N.;Adamson, A. J.
目的：调查父母对儿童体重状况的看法，并探讨父母对儿童超重的理解和态度。设计：在一项纵向研究中的问卷和焦点小组。受试者：536名盖茨黑德千禧年研究儿童的父母，其中27人参加了6个焦点小组。主要结果测量：根据国际肥胖工作组（IOTF）临界值定义的实际体重状况，父母对孩子体重状况的看法。焦点小组的结果包括家长的认识，儿童超重的国家和家长的方法来确定超重children.Results：父母认识到，如果他们的孩子超重的敏感性为0.31。儿童超重的患病率被低估：7.3%的儿童被父母认为是“超重”或“非常超重”，23.7%的儿童被IOTF标准确定为超重或肥胖。69.3%的超重或肥胖儿童的父母认为他们的孩子是“正常”的体重。在焦点小组中，家长们表现出对儿童超重是一个全国性问题的认识，但他们对如何定义儿童超重的理解有限。父母在确定儿童超重时使用了客观措施的替代方法，如视觉评估和与其他儿童的比较。这些办法在很大程度上依赖极端和例外情况作为参照点。明显缺乏儿童超重的相关性，他们的孩子的学校或自己的社区沿着与怀疑对媒体的消息和临床措施通常出现的理由，未能从事与这个问题在个人level.Conclusion：父母的能力，以确定当他们的孩子超重，根据标准的标准是有限的。父母不理解，使用或信任临床措施，并使用主要依赖于极端情况的替代方法。这种做法支持了他们对这一问题保持超然态度的理由。这项研究强调，需要确定的方法，提高家长的认识和参与的问题，儿童超重。International Journal of Obesity（2011）35，953-962; doi：10.1038/ijo.2011.106; 2011年6月14日在线发表
Objectives: To investigate parents' perceptions of weight status in children and to explore parental understanding of and attitudes to childhood overweight.Design: Questionnaires and focus groups within a longitudinal study.Subjects: 536 parents of Gateshead Millennium Study children, of which 27 attended six focus groups.Main outcome measures: Parents' perception of their child's weight status according to actual weight status as defined by International Obesity Taskforce (IOTF) cutoffs. Focus group outcomes included parental awareness of childhood overweight nationally and parental approaches to identifying overweight children.Results: The sensitivity of parents recognising if their child was overweight was 0.31. Prevalence of child overweight was underestimated: 7.3% of children were perceived as 'overweight' or 'very overweight' by their parents, 23.7% were identified as overweight or obese using IOTF criteria. 69.3% of parents of overweight or obese children identified their child as being of 'normal' weight. During focus groups parents demonstrated an awareness of childhood overweight being a problem nationally but their understanding of how it is defined was limited. Parents used alternative approaches to objective measures when identifying overweight in children such as visual assessments and comparisons with other children. Such approaches relied heavily on extreme and exceptional cases as a reference point. The apparent lack of relevance of childhood overweight to their child's school or own community along with scepticism towards both media messages and clinical measures commonly emerged as grounds for failing to engage with the issue at a personal level.Conclusion: Parents' ability to identify when their child was overweight according to standard criteria was limited. Parents did not understand, use or trust clinical measures and used alternative approaches primarily reliant on extreme cases. Such approaches underpinned their reasoning for remaining detached from the issue. This study highlights the need to identify methods of improving parental recognition of and engagement with the problem of childhood overweight. International Journal of Obesity (2011) 35, 953-962; doi: 10.1038/ijo.2011.106; published online 14 June 2011