Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis

Abstract Background Perceptions of children's weight status may be important in obesity prevention and treatment. Aims This review identifies the prevalence of the underestimation of overweight status in children by parents/main carers, children, and healthcare professionals (HCP). The review c...

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Autores principales:	Abrar Alshahrani, Farag Shuweihdi, Judy Swift, Amanda Avery
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	child healthcare professionals overweight parents underestimation and perceptions weight Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/012a4202864b49fa948f463f5661c3b6
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spelling	oai:doaj.org-article:012a4202864b49fa948f463f5661c3b62021-12-01T08:57:17ZUnderestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis2055-223810.1002/osp4.531https://doaj.org/article/012a4202864b49fa948f463f5661c3b62021-12-01T00:00:00Zhttps://doi.org/10.1002/osp4.531https://doaj.org/toc/2055-2238Abstract Background Perceptions of children's weight status may be important in obesity prevention and treatment. Aims This review identifies the prevalence of the underestimation of overweight status in children by parents/main carers, children, and healthcare professionals (HCP). The review critically synthesized both quantitative and qualitative evidence to explore the factors associated with this underestimation. The diverse methods used to assess this phenomenon are reported. Methods Pooled effect sizes were calculated using random‐effects model. Published studies, up to 2020, were accessed using the following search engines: CINAHL, EMBASE, PUBMED, and Psych‐Info and including the “Cited by” and “Related Articles” functions. Hand‐searching was used to retrieve further articles. Publication language and location had no bearing on the nature of the included studies. Results A total of 91 articles were included. In the quantitative studies, 55% (95% CI 49%–61%) of caregivers underestimated their child's level of overweight and obesity using a verbal scale and 47% (95% CI 36%–55%) using visual scales. Of the children studied, 34% (95% CI 25%–43%) underestimated their own level of overweight and obesity using both scales. In (n = 3) articles, HCPs reflected this misperception, but limited studies prevented meta‐analysis. Underestimation was associated with the child's age, gender, BMI and parental weight status, ethnicity and education. In the qualitative studies, parents/main carers of children with overweight and obesity described their child's weight in terms other than overweight, for example, “big boned,” “thick,” and “solid.” Conclusion The results confirm the prevalence of underestimation of child overweight status across international studies. Understanding the factors which lead to this inaccuracy may help to improve communication within the therapeutic triad and facilitate the recognition and management of children's overweight status.Abrar AlshahraniFarag ShuweihdiJudy SwiftAmanda AveryWileyarticlechildhealthcare professionalsoverweightparentsunderestimation and perceptionsweightInternal medicineRC31-1245ENObesity Science & Practice, Vol 7, Iss 6, Pp 760-796 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child healthcare professionals overweight parents underestimation and perceptions weight Internal medicine RC31-1245
spellingShingle	child healthcare professionals overweight parents underestimation and perceptions weight Internal medicine RC31-1245 Abrar Alshahrani Farag Shuweihdi Judy Swift Amanda Avery Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
description	Abstract Background Perceptions of children's weight status may be important in obesity prevention and treatment. Aims This review identifies the prevalence of the underestimation of overweight status in children by parents/main carers, children, and healthcare professionals (HCP). The review critically synthesized both quantitative and qualitative evidence to explore the factors associated with this underestimation. The diverse methods used to assess this phenomenon are reported. Methods Pooled effect sizes were calculated using random‐effects model. Published studies, up to 2020, were accessed using the following search engines: CINAHL, EMBASE, PUBMED, and Psych‐Info and including the “Cited by” and “Related Articles” functions. Hand‐searching was used to retrieve further articles. Publication language and location had no bearing on the nature of the included studies. Results A total of 91 articles were included. In the quantitative studies, 55% (95% CI 49%–61%) of caregivers underestimated their child's level of overweight and obesity using a verbal scale and 47% (95% CI 36%–55%) using visual scales. Of the children studied, 34% (95% CI 25%–43%) underestimated their own level of overweight and obesity using both scales. In (n = 3) articles, HCPs reflected this misperception, but limited studies prevented meta‐analysis. Underestimation was associated with the child's age, gender, BMI and parental weight status, ethnicity and education. In the qualitative studies, parents/main carers of children with overweight and obesity described their child's weight in terms other than overweight, for example, “big boned,” “thick,” and “solid.” Conclusion The results confirm the prevalence of underestimation of child overweight status across international studies. Understanding the factors which lead to this inaccuracy may help to improve communication within the therapeutic triad and facilitate the recognition and management of children's overweight status.
format	article
author	Abrar Alshahrani Farag Shuweihdi Judy Swift Amanda Avery
author_facet	Abrar Alshahrani Farag Shuweihdi Judy Swift Amanda Avery
author_sort	Abrar Alshahrani
title	Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
title_short	Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
title_full	Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
title_fullStr	Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
title_full_unstemmed	Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis
title_sort	underestimation of overweight weight status in children and adolescents aged 0‐19 years: a systematic review and meta‐analysis
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/012a4202864b49fa948f463f5661c3b6
work_keys_str_mv	AT abraralshahrani underestimationofoverweightweightstatusinchildrenandadolescentsaged019yearsasystematicreviewandmetaanalysis AT faragshuweihdi underestimationofoverweightweightstatusinchildrenandadolescentsaged019yearsasystematicreviewandmetaanalysis AT judyswift underestimationofoverweightweightstatusinchildrenandadolescentsaged019yearsasystematicreviewandmetaanalysis AT amandaavery underestimationofoverweightweightstatusinchildrenandadolescentsaged019yearsasystematicreviewandmetaanalysis
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Underestimation of overweight weight status in children and adolescents aged 0‐19 years: A systematic review and meta‐analysis

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