Parental Perception of Body Weight Status of Their 8-year-old Children: Findings from the European CHOP Study
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Published:2022-01-01
Issue:6
Volume:26
Page:1274-1282
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ISSN:1092-7875
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Container-title:Maternal and Child Health Journal
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language:en
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Short-container-title:Matern Child Health J
Author:
Xhonneux AnnickORCID, Langhendries Jean-Paul, Martin Françoise, Seidel Laurence, Albert Adelin, Dain Elena, Totzauer Martina, Grote Veit, Luque Veronica, Closa-Monasterolo Ricardo, Dionigi Alice Re, Verduci Elvira, Gruszfeld Darius, Socha Piotr, Koletzko Berthold,
Abstract
Abstract
Background
Maternal perception of child weight status in children with overweight or obesity has received a lot of attention but data on paternal perception of children from presumably healthy cohorts are lacking.
Objective
We aimed to investigate paternal and maternal perception of child weight status at the age of 8 years in a cohort of 591 children from 5 European countries.
Material and Methods
Included were 8-year-old children and their parents participating in the European Childhood Obesity Project (EU CHOP). Weight and height of children and parents were measured and Body Mass Index (BMI, kg/m2) was calculated. Both parents were asked to assess their perception of child weight status using Eckstein scales and their concern about child overweight. The agreement between mother and father perceptions was assessed by Cohen kappa coefficient and their relationship was analyzed by linear mixed effects models based on ordinal logistic regression, accounting for country, child gender and BMI, parental BMI, level of education, concern and type of feeding during first year of life.
Results
Data from children and both parents were available for 432 girls and boys. Mean BMI was comparable in boys and girls (16.7 ± 2.31 vs. 16.9 ± 2.87 kg/m2, P = 0.55). In total, 172 children (29.3%) were overweight or obese. There was a high degree of agreement between mother and father perceptions of their child’s weight status (Cohen kappa 0.77). Multivariate modelling showed that perception levels significantly increased with child BMI but were globally lower than assessed. They differed between countries, gender and types of feeding during first year of life, were influenced by education level of the father but were not related to parental BMI and concern about childhood overweight.
Conclusions
The study showed no overall differences between mothers and fathers in rating their child’s weight status but both parents had a propensity to underestimate their child’s actual weight, particularly in boys.
The EU CHOP trial registered at clinicaltrials.gov as NCT00338689.
Funder
Sixth Framework Programme Seventh Framework Programme
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health,Epidemiology
Reference46 articles.
1. Baughcum, A. E., Chamberlin, L. A., Deeks, C. M., Powers, S. W., & Whitaker, R. C. (2000). Maternal perceptions of overweight preschool children. Pediatrics, 106(6), 1380–1386. https://doi.org/10.1542/peds.106.6.1380 2. Birch, L. L., & Davison, K. K. (2001). Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatric Clinics of North America, 48(4), 893–907. 3. Birch, L. L., Fisher, J. O., Grimm-Thomas, K., Markey, C. N., Sawyer, R., & Johnson, S. L. (2001). Confirmatory factor analysis of the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36(3), 201–210. https://doi.org/10.1006/appe.2001.0398 4. Blissett, J., Meyer, C., & Haycraft, E. (2006). Maternal and paternal controlling feeding practices with male and female children. Appetite, 47(2), 212–219. https://doi.org/10.1016/j.appet.2006.04.002 5. Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ (clinical Research Ed.), 320(7244), 1240–1243. https://doi.org/10.1136/bmj.320.7244.1240
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