Generational Shift in Parental Perceptions of Overweight Among School-Aged Children
Generational Shift in Parental Perceptions of Overweight Among School-Aged Children
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DOI：
10.1542/peds.2014-0012
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发表时间：
2014-09-01
期刊：
影响因子：
8
通讯作者：
Zhang, Jian
中科院分区：
文献类型：
--
作者：
Hansen, Andrew R.;Duncan, Dustin T.;Zhang, Jian
背景：父母对儿童体重状况的看法可能会影响家庭培养健康行为的意愿。本研究探讨了父母对儿童的weight.METHODS看法的代际转移：数据收集在NHANES 1988-1994（n = 2871）和2005-2010（n = 3202）。父母，主要是母亲，被问及他们是否认为他们的孩子，年龄在6至11岁，超重，体重不足，或只是正确的体重。疾病控制和预防中心2000年的增长图用于参考。我们运行泊松回归来估计在控制实际体重后，父母认为他们的孩子超重的两次调查之间的概率比。父母认为超重的儿童的BMI z评分的第10百分位数从早期调查的参考人群的第84百分位数移动到最近调查的参考人群的第91百分位数，具有统计学意义（P < .05）。父母认为超重的儿童的平均z评分在两次调查之间也有所增加，其中来自贫困家庭的儿童增加最多（从1.60 [SE：0.20]到1.98 [0.08]，P <0.05），其次是非洲裔美国人（从1.65 [0.09]到2.02 [0.05]，P <0.05）。超重/肥胖儿童被父母正确感知为超重的概率在两次调查之间下降了24%（概率比= 0.76 [95%置信区间：0.67-0.87]）。结论：超重/肥胖儿童在最近的调查中与10年前调查的体重相似的同龄人相比，不太可能被认为超重。父母对超重儿童的正确看法的下降趋势可能表明与体重有关的社会规范发生了代际转变。
BACKGROUND: Parental perceptions of child's weight status may influence family readiness to foster healthy behaviors. This study investigated the generational shifting of parental perceptions about children's weight.METHODS: Data were collected in the NHANES 1988-1994 (n = 2871) and 2005-2010 (n = 3202). Parents, mainly mothers, were asked whether they considered their child, ages 6 to 11 years, to be overweight, underweight, or just about the right weight. The Centers for Disease Control and Prevention 2000 growth chart was used for reference. We ran Poisson regression to estimate the probability ratio between the 2 surveys for parents perceiving their child as overweight after controlling for actual weight.RESULTS: The 10th percentile of BMI z scores for children who were parentally perceived as overweight shifted with statistical significance from 84th percentile of reference population in the early survey to 91st percentile of reference population in the recent survey (P < .05). The mean z score of children parentally perceived as overweight also increased between surveys with the largest increase among children from poor families (from 1.60 [SE: 0.20] to 1.98 [0.08], P < .05), followed by African Americans (from 1.65 [0.09] to 2.02 [0.05], P < .05). The probability of overweight/obese children being correctly perceived as overweight by the parents declined by 24% between surveys (probability ratio = 0.76 [95% confidence interval: 0.67-0.87]).CONCLUSIONS: Overweight/obese children were less likely to be perceived as overweight in the recent survey compared with peers of similar weight but surveyed 10+ years earlier. The declining tendency among parents to perceive overweight children appropriately may indicate a generational shift in social norms related to body weight.