Author:
Wu Yanting,Ma Xiaoying,Fraser William D.,Li Mu,Wang Wei,Huang Hefeng,Landry Myriam,Hao Yanhui,Liu Han,Semenic Sonia,Zhang Yan,Wang Haiqin,Zhang Jingya,Yu Jiale,La Xuena,Zhang Congcong,Marc Isabelle,Jiang Hong
Abstract
Abstract
Background
Childhood overweight and obesity (OWO) has become a major public concern worldwide including in Shanghai, one of the most developed areas of China. Understanding perceptions and challenges of tackling childhood OWO among caregivers of children is critical to provide services in need.
Methods
A qualitative descriptive study including in-depth interviews with seven parents and six focus group discussions with a total of 32 parents or grandparents of children zero to 6 years of age. Participants lived in three districts of Shanghai and indexed children included both those with OWO or non-OWO children. Data were analyzed using qualitative thematic analysis.
Results
Caregivers tended to underestimate children’s weight status, and to regard chubby children as a sign of good parental care. Some caregivers even suggested that there were positive effects of childhood overweight. Caregivers identified a number of challenges to prevention of OWO in children, including difficulties in controlling dietary intake or increasing children’s physical activities; discordant views between parents and grandparents, and barriers to accessing professional guidance. Caregivers desired more detailed advice regarding children’s nutrition intake and physical activity, and preferred online approaches.
Conclusions
Misconceptions regarding childhood overweight were found in caregivers of children in Shanghai. Professional guidance on childhood weight control for caregivers is desired via digital applications such as mobile phone applications and social media.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference35 articles.
1. World Health Organization. Obesity and overweight. 2019. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed 15 Jan 2020.
2. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: part of a bigger picture. Lancet. 2015;385(9986):2510–20. https://doi.org/10.1016/S0140-6736(14)61746-3.
3. Zhang N, Ma G. Interpretation of report on childhood obesity in China. Acta Nutrimenta Sinica. 2017;039(006):530–4.
4. Capital Institute of Pediatrics. A national epidemiological survey on obesity of children under seven years of age in nine cities of China in 2016. Zhonghua Er Ke Za Zhi. 2018;56(10):745–52.
5. Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891–8. https://doi.org/10.1038/ijo.2010.222.
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