Lampard Amy M, Byrne Susan M, Zubrick Stephen R, Davis Elizabeth A
School of Psychology, University of Western Australia, Crawley, WA.
Int J Pediatr Obes. 2008;3(2):84-92. doi: 10.1080/17477160701832552.
Firstly, to investigate the degree of concern parents feel about their children's weight (parental concern). Secondly, to identify factors that influence this concern, and to test a model of parental concern using structural equation modeling.
A total of 347 non-overweight, overweight, and obese children (aged 6-13; Mean = 9.5, SD = 1.8) and their parents.
Children and their parents attended an assessment session during which they were weighed and measured. Parents were administered a structured interview, which included the Eating Disorder Examination, and completed the Pediatric Quality of Life Inventory (parent proxy), and the Children's Body Image Scale.
Eighty-two percent of parents of overweight children, and 18% of parents of obese children reported little parental concern. Higher parental concern was associated with higher child Body Mass Index, less parental underestimation of child body size, and lower child health-related quality of life.
Interventions targeting childhood obesity should aim to optimise parental concern by reducing parents' underestimation of child body size and increasing their awareness of the effects of overweight and obesity on children's health and quality of life.
首先，调查家长对孩子体重的关注程度（家长关注度）。其次，确定影响这种关注的因素，并使用结构方程模型检验家长关注度模型。
共有347名非超重、超重和肥胖儿童（年龄6 - 13岁；平均年龄 = 9.5，标准差 = 1.8）及其家长。
儿童及其家长参加了一次评估，期间对他们进行了称重和测量。对家长进行了结构化访谈，包括饮食失调检查，并完成了儿童生活质量量表（家长代理版）和儿童身体意象量表。
超重儿童的家长中有82%，肥胖儿童的家长中有18%表示家长关注度较低。较高的家长关注度与较高的儿童体重指数、家长对儿童体型的较少低估以及较低的儿童健康相关生活质量相关。
针对儿童肥胖的干预措施应旨在通过减少家长对儿童体型的低估并提高他们对超重和肥胖对儿童健康及生活质量影响的认识来优化家长关注度。
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