Altenburg T M, Singh A S, Te Velde S, De Bourdeaudhuij I, Lien N, Bere E, Molnár D, Jan N, Fernández-Alvira J M, Manios Y, Bringolf-Isler B, Brug J, Chinapaw M J
EMGO Institute for Health and Care Research, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, The Netherlands.
EMGO Institut1e for Health and Care Research, Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
Pediatr Obes. 2017 Apr;12(2):137-145. doi: 10.1111/ijpo.12120. Epub 2016 Feb 24.
Both parents' and children's perception of children's weight status may be important predictors of slimming and energy-balance related behaviours, independent of children's actual weight status.
We examined the cross-sectional association of children's self-reported slimming and energy-balance related behaviours with children's (i) actual, (ii) self-perceived and (iii) parent-perceived weight status.
Data of 10- to 12-year-old European children and their parents were used. Multilevel logistic and linear regression analyses were performed, adjusting for age, gender, parental weight controlling behaviours, education, marital status and ethnicity.
Independent of their actual weight status, a higher proportion of children reported slimming when they or their parents perceived them as too fat. Children's self-perceived weight status was more strongly associated with slimming than their parents' perception or their actual weight status. Moreover, children who perceive themselves as overweight reported less physical activity and more screen time. Children whose parents perceive them as overweight reported less physical activity.
Children's own perception of their weight status appears to be more important for their self-reported slimming than their actual or their parent's perceptions of their weight status. Additionally, children's self-perceived weight status seems important in engaging more physical activity and reduces screen time.
父母和孩子对孩子体重状况的认知可能是减肥及与能量平衡相关行为的重要预测因素，与孩子的实际体重状况无关。
我们研究了儿童自我报告的减肥及与能量平衡相关行为与儿童（i）实际、（ii）自我认知和（iii）父母认知的体重状况之间的横断面关联。
使用了10至12岁欧洲儿童及其父母的数据。进行了多水平逻辑回归和线性回归分析，并对年龄、性别、父母体重控制行为、教育程度、婚姻状况和种族进行了调整。
与实际体重状况无关，当孩子自己或其父母认为他们太胖时，报告减肥的孩子比例更高。孩子的自我认知体重状况与减肥的关联比其父母的认知或实际体重状况更强。此外，认为自己超重的孩子报告的身体活动较少，屏幕时间较多。父母认为超重的孩子报告的身体活动较少。
孩子对自己体重状况的认知似乎比他们实际的或父母对他们体重状况的认知对其自我报告的减肥更为重要。此外，孩子的自我认知体重状况在增加身体活动和减少屏幕时间方面似乎很重要。
