Hernandez Raquel G, Cheng Tina L, Serwint Janet R
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Pediatr (Phila). 2010 Aug;49(8):790-8. doi: 10.1177/0009922810368288. Epub 2010 Jun 3.
To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences.
Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight preschooler, and (c) friend and family report of a healthy weight preschooler. Those indicating that their overweight or obese child resembled a healthy weight image were considered to misclassify child weight. Logistic regression was used to identify predictors of misclassification and card-sorting exercises explored weight-counseling preferences.
Of the 150 preschoolers in our sample, 32.7% (n = 49) were overweight or obese with misclassification occurring in 71.4% of parents (n = 35). Absence of pediatrician comment on child weight strongly predicted misclassification (odds ratio, 12.3; 95% confidence interval, 1.74-87.2). Pediatricians were highly valued weight advisors.
Weight-focused advice from pediatricians matters to parents and may promote parental identification of early childhood weight risks.
比较家长对学龄前儿童身体形象的报告与对健康体重身体形象的认知，并描述体重咨询偏好。
对寻求儿童健康护理的家长进行访谈，要求他们选择与以下情况相似的图片：(a) 自己孩子目前的体重，(b) 健康体重的学龄前儿童，以及 (c) 朋友和家人描述的健康体重的学龄前儿童。那些表示自己超重或肥胖的孩子看起来像健康体重形象的家长被认为对孩子的体重判断错误。使用逻辑回归来确定错误分类的预测因素，并通过卡片分类练习来探索体重咨询偏好。
在我们样本中的150名学龄前儿童中，32.7%（n = 49）超重或肥胖，71.4%（n = 35）的家长对孩子体重判断错误。儿科医生未对孩子体重发表评论是错误分类的强烈预测因素（优势比，12.3；95% 置信区间，1.74 - 87.2）。儿科医生是备受重视的体重顾问。
儿科医生提供的以体重为重点的建议对家长很重要，可能会促进家长识别幼儿期的体重风险。
