Parental perception of child's weight status and subsequent BMIz change: the KOALA birth cohort study.
Parental perception of child's weight status and subsequent BMIz change: the KOALA birth cohort study.
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DOI：
10.1186/1471-2458-14-291
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发表时间：
2014-03-31
影响因子：
4.5
通讯作者：
Thijs C
中科院分区：
文献类型：
--
作者：
Gerards SM;Gubbels JS;Dagnelie PC;Kremers SP;Stafleu A;de Vries NK;Thijs C
父母往往不能正确地感知他们的孩子的体重状况，但没有研究已经检查了父母的体重状况感知和纵向BMIz变化（BMI标准化为参考人群）之间的关联在不同的年龄。我们调查了父母是否能够准确地感知孩子5岁时的体重状况。我们还调查了准确的体重状态感知的预测因素。最后，我们调查了准确的体重状态感知在解释儿童的纵向体重发展到9岁，在5岁超重的儿童的预测价值。我们使用了KOALA出生队列研究的纵向数据。在孩子5岁时，父母填写了一份关于孩子和父母特征以及他们对孩子体重状况的看法的问卷。我们根据父母在2岁、5岁、6岁、7岁、8岁和9岁时的体重和身高报告计算了儿童的实际体重状况。回归分析被用来确定预测哪些父母准确地感知他们的孩子的体重状况的因素。最后，回归分析用于预测超重儿童随后的纵向BMIz变化。85%的超重儿童的父母低估了他们孩子5岁时的体重状况。在正常体重和超重儿童中，2岁和5岁儿童的BMIz是准确体重状态感知（与低估相比）的显着正预测因子。准确的体重状态感知是超重儿童未来更高BMI的预测因子，根据基线时的实际BMI进行校正。随着时间的推移，准确感知孩子体重状况的父母的孩子的BMI更高，这可能使父母更容易正确感知孩子的超重。父母对孩子超重的意识可能不足以让父母随后进行体重管理，这意味着承认孩子超重的父母可能无法或不愿意充分管理超重。
Parents often fail to correctly perceive their children’s weight status, but no studies have examined the association between parental weight status perception and longitudinal BMIz change (BMI standardized to a reference population) at various ages. We investigated whether parents are able to accurately perceive their child’s weight status at age 5. We also investigated predictors of accurate weight status perception. Finally, we investigated the predictive value of accurate weight status perception in explaining children’s longitudinal weight development up to the age of 9, in children who were overweight at the age of 5. We used longitudinal data from the KOALA Birth Cohort Study. At the child’s age of 5 years, parents filled out a questionnaire regarding child and parent characteristics and their perception of their child’s weight status. We calculated the children’s actual weight status from parental reports of weight and height at ages 2, 5, 6, 7, 8, and 9 years. Regression analyses were used to identify factors predicting which parents accurately perceived their child’s weight status. Finally, regression analyses were used to predict subsequent longitudinal BMIz change in overweight children. Eighty-five percent of the parents of overweight children underestimated their child’s weight status at age 5. The child’s BMIz at age 2 and 5 were significant positive predictors of accurate weight status perception (vs. underestimation) in normal weight and overweight children. Accurate weight status perception was a predictor of higher future BMI in overweight children, corrected for actual BMI at baseline. Children of parents who accurately perceived their child’s weight status had a higher BMI over time, probably making it easier for parents to correctly perceive their child’s overweight. Parental awareness of the child’s overweight as such may not be sufficient for subsequent weight management by the parents, implying that parents who recognize their child’s overweight may not be able or willing to adequately manage the overweight.
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影响因子：
3.2
作者：
Manios, Yannis;Kondaki, Katerina;Grammatikaki, Evangelia
通讯作者：
Grammatikaki, Evangelia
影响因子：
8
作者：
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影响因子：
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通讯作者：
Kremers, Stef P. J.
影响因子：
3.6
作者：
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通讯作者：
Guenther, Anke L. B.
影响因子：
8
作者：
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通讯作者：
Binns, HJ