Trends of Child's Weight Perception by Children, Parents, and Healthcare Professionals during the Time of Terminology Change in Childhood Obesity in the United States, 2005-2014
Trends of Child's Weight Perception by Children, Parents, and Healthcare Professionals during the Time of Terminology Change in Childhood Obesity in the United States, 2005-2014
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2005-2014 年美国儿童肥胖术语变化期间儿童、家长和医疗保健专业人员对儿童体重认知的趋势
DOI：
10.1089/chi.2016.0128
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发表时间：
2016
影响因子：
2.5
通讯作者：
William McCarthy
中科院分区：
文献类型：
--
作者：
Takehiro Sugiyama;Masako Horino;Kaori Inoue;Yasuki Kobayashi;Martin Shapiro;William McCarthy
目的：调查 2000 年代中期美国儿童肥胖/超重分类术语发生变化时，自我和父母的体重认知以及父母与医疗保健专业人员 (HCP) 沟通的变化。方法：通过 2005-2014 年国家健康和营养检查调查，对 6799 名 8-15 岁儿童进行了重复横断面研究。 BMI是根据客观测量的身高和体重计算得出的，并使用新术语将儿童分为正常/体重不足、超重或肥胖。孩子们报告了自己的体重状况。家长报告了孩子的体重状况，并报告了 HCP 如何描述孩子的体重状况。采用Logistic回归来调查超重/肥胖儿童本身及其父母的体重认知变化，以及在术语变更期间父母与HCP就儿童超重/肥胖状况进行的沟通。结果：超重儿童被HCP告知儿童体重状况的家长比例有所增加[2005-2006年的6.8%增加到2013-2014年的18.8%，pfor trend (ptrend= 0.02)]，并且肥胖儿童在 2005-2006 年 (37.1%) 和 2007-2008 年 (45.4%) 期间略有增加 (p= 0.09)。然而，家长对肥胖/超重儿童的看法并没有改变。此外，肥胖儿童的体重感知没有变化，准确感知体重状况的超重儿童比例在2005-2012年间有所下降（25.9%-16.4%，ptrend= 0.02）。结论：虽然儿童肥胖/超重术语的变化与卫生保健专业人员对儿童体重状况的沟通增多有关，但肥胖/超重儿童或其父母的体重感知准确性并没有提高或下降。拒绝了。
Objective:To investigate the changes on self- and parental weight perceptions and parental communication with healthcare professionals (HCPs) in the United States during the mid-2000s period when the terminology changed for classifications of childhood obesity/overweight.Methods:A repeated cross-sectional study was conducted with 6799 children aged 8–15 years with the National Health and Nutrition Examination Survey 2005–2014. BMI was calculated from objectively measured heights and weights, and children were classified as normal/underweight, overweight or obese, using the new terminology. Children reported their own weight status. Parents reported their child's weight status and reported how HCPs described their children's weight status. Logistic regressions were used to investigate changes in weight perceptions among overweight/obese children themselves and their parents and parental communication with HCPs about children's overweight/obesity status during the time of the terminology change.Results:The proportion of parents told by HCPs about children's weight status increased for overweight children [6.8% in 2005–2006 to 18.8% in 2013–2014,pfor trend (ptrend= 0.02)], and marginally increased between 2005–2006 (37.1%) and 2007–2008 (45.4%) for obese children (p= 0.09). However, parental perceptions for obese/overweight children did not change. Also, obese children's weight perception did not change, and the proportion of overweight children who perceived their weight status accurately declined in 2005–2012 (25.9%–16.4%,ptrend= 0.02).Conclusions:Although the terminology change about childhood obesity/overweight was associated with increased communication about child's weight status by HCPs, the accuracy of weight perceptions among obese/overweight children or their parents did not improve or declined.