Carnell S, Edwards C, Croker H, Boniface D, Wardle J
Cancer Research UK Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK.
Int J Obes (Lond). 2005 Apr;29(4):353-5. doi: 10.1038/sj.ijo.0802889.
To assess the accuracy of parents' perceptions of their 3 to 5 y old children's weight status in a large UK sample.
Parental perception and concern about child weight, demographic variables, and children's height and weight were obtained for 564 parent-child dyads.
Only 1.9% of parents of overweight children and 17.1% of parents of obese children described their child as overweight. The odds of parents perceiving the child as overweight were increased for overweight (2.7; 95% CI 0.4, 16.5) and obese (28.5; 7.1, 115.4) compared with normal weight children, but were not associated with parental weight or with any demographic factors. Although few parents perceived their overweight children as overweight, more (66.2%) expressed concern about their overweight child becoming overweight in the future. Odds of concern were progressively higher for overweight (2.5; 1.6, 3.9) and obese children (4.6; 2.2, 9.7), and were also higher for parents who were themselves overweight (1.9; 1.2, 2.9) or obese (2.5; 1.3, 4.8).
These findings suggest that parents of 3-5 y olds show poor awareness of their child's current weight status. Reframing discussions in terms of preventing future overweight may be an effective way to engage parents.
在一个大型英国样本中评估父母对其3至5岁孩子体重状况认知的准确性。
获取了564对亲子的父母对孩子体重的认知与担忧、人口统计学变量以及孩子的身高和体重数据。
超重孩子的父母中只有1.9%、肥胖孩子的父母中只有17.1%认为自己的孩子超重。与体重正常的孩子相比，超重（比值比2.7；95%置信区间0.4，16.5）和肥胖（比值比28.5；7.1，115.4）孩子的父母认为孩子超重的几率增加，但这与父母体重或任何人口统计学因素无关。尽管很少有父母认为自己超重的孩子超重，但更多父母（66.2%）表示担心自己超重的孩子未来会变得更胖。超重（比值比2.5；1.6，3.9）和肥胖孩子（比值比4.6；2.2，9.7）父母表示担心的几率逐渐升高，而且父母自身超重（比值比1.9；1.2，2.9）或肥胖（比值比2.5；1.3，4.8）时，这种担心的几率也更高。
这些发现表明，3至5岁孩子的父母对孩子当前的体重状况认识不足。从预防孩子未来超重的角度重新展开讨论可能是促使父母参与的有效方式。
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