Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, Brasil.
Cad Saude Publica. 2009 Oct;25(10):2285-90. doi: 10.1590/s0102-311x2009001000018.
This study aimed to investigate the correspondence between the nutritional status of children aged 7-10 years and their mothers' perceptions of their children's weight. A cross-sectional survey was conducted among 1,282 children. Weight and height were measured and classified according to International Obesity Taskforce (IOTF) criteria. Mothers' perceptions were assessed based on four possible conditions. The Kappa test (k) was used to evaluate the correspondence between nutritional status and mothers' perceptions and followed by regression analyses. The prevalence of overweight and underweight was 23.2% and 5.7% respectively. Half of mothers reported that their children were 'underweight'; 61.2% said that their children were 'normal'; 11.8% said that their children were 'above normal weight'; and 1.1% referred to their offspring as 'very much above normal weight'. Highest and lowest correspondence between nutritional status and mother s perception were: underweight and much above normal weight, respectively (k = 0.217, p < 0.000). Gender and ethnicity showed significant association with the mother's perception, even after controlling for other variables. Low correspondence levels between nutritional status and mother's perception were observed, especially among obese children.
本研究旨在探讨 7-10 岁儿童的营养状况与其母亲对子女体重的认知之间的一致性。采用横断面调查方法,对 1282 名儿童进行研究。根据国际肥胖工作组(IOTF)标准测量并分类儿童的体重和身高,根据四种可能的情况评估母亲的认知。采用 Kappa 检验(k)评估营养状况与母亲认知之间的一致性,并进行回归分析。超重和消瘦的患病率分别为 23.2%和 5.7%。一半的母亲报告说她们的孩子“体重不足”;61.2%的母亲说她们的孩子“正常”;11.8%的母亲说她们的孩子“超重”;1.1%的母亲说她们的孩子“非常超重”。营养状况与母亲认知之间的一致性最高和最低的分别是:消瘦和非常超重(k=0.217,p<0.000)。性别和种族与母亲的认知显著相关,即使在控制其他变量后也是如此。营养状况与母亲认知之间的一致性水平较低,尤其是在肥胖儿童中。