Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017
Introduction: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child’s weight status. The purpose of this study was to measure parental perceptions of their child’s wei...
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2021
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childhood obesity parental perceptions weight world health organization/europe childhood obesity surveillance initiative Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 |
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childhood obesity parental perceptions weight world health organization/europe childhood obesity surveillance initiative Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 Ximena Ramos Salas Marta Buoncristiano Julianne Williams Maryam Kebbe Angela Spinelli Paola Nardone Ana Rito Vesselka Duleva Sanja Musić Milanović Marie Kunesova Radka Taxová Braunerová Tatjana Hejgaard Mette Rasmussen Lela Shengelia Shynar Abdrakhmanova Akbota Abildina Zhamyila Usuopva Jolanda Hyska Genc Burazeri Aušra Petrauskiene Iveta Pudule Victoria Farrugia Sant’Angelo Enisa Kujundzic Anna Fijałkowska Alexandra Cucu Lacramioara Aurelia Brinduse Valentina Peterkova Elena Bogova Andrea Gualtieri Marta García Solano Enrique Gutiérrez-González Sanavbar Rakhmatullaeva Maya Tanrygulyyeva Nazan Yardim Daniel Weghuber Päivi Mäki Kenisha Russell Jonsson Gregor Starc Petur Benedikt Juliusson Mirjam M. Heinen Cecily Kelleher Sergej Ostojic Stevo Popovic Viktoria Anna Kovacs Dilorom Akhmedova Nathalie J. Farpour-Lambert Harry Rutter Bai Li Khadichamo Boymatova Ivo Rakovac Kremlin Wickramasinghe Joao Breda Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
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Introduction: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child’s weight status. The purpose of this study was to measure parental perceptions of their child’s weight status and to identify predictors of potential parental misperceptions. Methods: We used data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative and 22 countries. Parents were asked to identify their perceptions of their children’s weight status as “underweight,” “normal weight,” “a little overweight,” or “extremely overweight.” We categorized children’s (6–9 years; n = 124,296) body mass index (BMI) as BMI-for-age Z-scores based on the 2007 WHO-recommended growth references. For each country included in the analysis and pooled estimates (country level), we calculated the distribution of children according to the WHO weight status classification, distribution by parental perception of child’s weight status, percentages of accurate, overestimating, or underestimating perceptions, misclassification levels, and predictors of parental misperceptions using a multilevel logistic regression analysis that included only children with overweight (including obesity). Statistical analyses were performed using Stata version 15 1. Results: Overall, 64.1% of parents categorized their child’s weight status accurately relative to the WHO growth charts. However, parents were more likely to underestimate their child’s weight if the child had overweight (82.3%) or obesity (93.8%). Parents were more likely to underestimate their child’s weight if the child was male (adjusted OR [adjOR]: 1.41; 95% confidence intervals [CI]: 1.28–1.55); the parent had a lower educational level (adjOR: 1.41; 95% CI: 1.26–1.57); the father was asked rather than the mother (adjOR: 1.14; 95% CI: 0.98–1.33); and the family lived in a rural area (adjOR: 1.10; 95% CI: 0.99–1.24). Overall, parents’ BMI was not strongly associated with the underestimation of children’s weight status, but there was a stronger association in some countries. Discussion/Conclusion: Our study supplements the current literature on factors that influence parental perceptions of their child’s weight status. Public health interventions aimed at promoting healthy childhood growth and development should consider parents’ knowledge and perceptions, as well as the sociocultural contexts in which children and families live. |
| format |
article |
| author |
Ximena Ramos Salas Marta Buoncristiano Julianne Williams Maryam Kebbe Angela Spinelli Paola Nardone Ana Rito Vesselka Duleva Sanja Musić Milanović Marie Kunesova Radka Taxová Braunerová Tatjana Hejgaard Mette Rasmussen Lela Shengelia Shynar Abdrakhmanova Akbota Abildina Zhamyila Usuopva Jolanda Hyska Genc Burazeri Aušra Petrauskiene Iveta Pudule Victoria Farrugia Sant’Angelo Enisa Kujundzic Anna Fijałkowska Alexandra Cucu Lacramioara Aurelia Brinduse Valentina Peterkova Elena Bogova Andrea Gualtieri Marta García Solano Enrique Gutiérrez-González Sanavbar Rakhmatullaeva Maya Tanrygulyyeva Nazan Yardim Daniel Weghuber Päivi Mäki Kenisha Russell Jonsson Gregor Starc Petur Benedikt Juliusson Mirjam M. Heinen Cecily Kelleher Sergej Ostojic Stevo Popovic Viktoria Anna Kovacs Dilorom Akhmedova Nathalie J. Farpour-Lambert Harry Rutter Bai Li Khadichamo Boymatova Ivo Rakovac Kremlin Wickramasinghe Joao Breda |
| author_facet |
Ximena Ramos Salas Marta Buoncristiano Julianne Williams Maryam Kebbe Angela Spinelli Paola Nardone Ana Rito Vesselka Duleva Sanja Musić Milanović Marie Kunesova Radka Taxová Braunerová Tatjana Hejgaard Mette Rasmussen Lela Shengelia Shynar Abdrakhmanova Akbota Abildina Zhamyila Usuopva Jolanda Hyska Genc Burazeri Aušra Petrauskiene Iveta Pudule Victoria Farrugia Sant’Angelo Enisa Kujundzic Anna Fijałkowska Alexandra Cucu Lacramioara Aurelia Brinduse Valentina Peterkova Elena Bogova Andrea Gualtieri Marta García Solano Enrique Gutiérrez-González Sanavbar Rakhmatullaeva Maya Tanrygulyyeva Nazan Yardim Daniel Weghuber Päivi Mäki Kenisha Russell Jonsson Gregor Starc Petur Benedikt Juliusson Mirjam M. Heinen Cecily Kelleher Sergej Ostojic Stevo Popovic Viktoria Anna Kovacs Dilorom Akhmedova Nathalie J. Farpour-Lambert Harry Rutter Bai Li Khadichamo Boymatova Ivo Rakovac Kremlin Wickramasinghe Joao Breda |
| author_sort |
Ximena Ramos Salas |
| title |
Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
| title_short |
Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
| title_full |
Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
| title_fullStr |
Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
| title_full_unstemmed |
Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017 |
| title_sort |
parental perceptions of children’s weight status in 22 countries: the who european childhood obesity surveillance initiative: cosi 2015/2017 |
| publisher |
Karger Publishers |
| publishDate |
2021 |
| url |
https://doaj.org/article/191c64fbaa5e459a8e317b1583b30cee |
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oai:doaj.org-article:191c64fbaa5e459a8e317b1583b30cee2021-12-02T12:40:22ZParental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/20171662-40251662-403310.1159/000517586https://doaj.org/article/191c64fbaa5e459a8e317b1583b30cee2021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/517586https://doaj.org/toc/1662-4025https://doaj.org/toc/1662-4033Introduction: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child’s weight status. The purpose of this study was to measure parental perceptions of their child’s weight status and to identify predictors of potential parental misperceptions. Methods: We used data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative and 22 countries. Parents were asked to identify their perceptions of their children’s weight status as “underweight,” “normal weight,” “a little overweight,” or “extremely overweight.” We categorized children’s (6–9 years; n = 124,296) body mass index (BMI) as BMI-for-age Z-scores based on the 2007 WHO-recommended growth references. For each country included in the analysis and pooled estimates (country level), we calculated the distribution of children according to the WHO weight status classification, distribution by parental perception of child’s weight status, percentages of accurate, overestimating, or underestimating perceptions, misclassification levels, and predictors of parental misperceptions using a multilevel logistic regression analysis that included only children with overweight (including obesity). Statistical analyses were performed using Stata version 15 1. Results: Overall, 64.1% of parents categorized their child’s weight status accurately relative to the WHO growth charts. However, parents were more likely to underestimate their child’s weight if the child had overweight (82.3%) or obesity (93.8%). Parents were more likely to underestimate their child’s weight if the child was male (adjusted OR [adjOR]: 1.41; 95% confidence intervals [CI]: 1.28–1.55); the parent had a lower educational level (adjOR: 1.41; 95% CI: 1.26–1.57); the father was asked rather than the mother (adjOR: 1.14; 95% CI: 0.98–1.33); and the family lived in a rural area (adjOR: 1.10; 95% CI: 0.99–1.24). Overall, parents’ BMI was not strongly associated with the underestimation of children’s weight status, but there was a stronger association in some countries. Discussion/Conclusion: Our study supplements the current literature on factors that influence parental perceptions of their child’s weight status. Public health interventions aimed at promoting healthy childhood growth and development should consider parents’ knowledge and perceptions, as well as the sociocultural contexts in which children and families live.Ximena Ramos SalasMarta BuoncristianoJulianne WilliamsMaryam KebbeAngela SpinelliPaola NardoneAna RitoVesselka DulevaSanja Musić MilanovićMarie KunesovaRadka Taxová BraunerováTatjana HejgaardMette RasmussenLela ShengeliaShynar AbdrakhmanovaAkbota AbildinaZhamyila UsuopvaJolanda HyskaGenc BurazeriAušra PetrauskieneIveta PuduleVictoria Farrugia Sant’AngeloEnisa KujundzicAnna FijałkowskaAlexandra CucuLacramioara Aurelia BrinduseValentina PeterkovaElena BogovaAndrea GualtieriMarta García SolanoEnrique Gutiérrez-GonzálezSanavbar RakhmatullaevaMaya TanrygulyyevaNazan YardimDaniel WeghuberPäivi MäkiKenisha Russell JonssonGregor StarcPetur Benedikt JuliussonMirjam M. HeinenCecily KelleherSergej OstojicStevo PopovicViktoria Anna KovacsDilorom AkhmedovaNathalie J. Farpour-LambertHarry RutterBai LiKhadichamo BoymatovaIvo RakovacKremlin WickramasingheJoao BredaKarger Publishersarticlechildhood obesityparental perceptionsweightworld health organization/europechildhood obesity surveillance initiativeNutrition. Foods and food supplyTX341-641Nutritional diseases. Deficiency diseasesRC620-627ENObesity Facts, Vol 14, Iss 6, Pp 658-674 (2021) |