Pedraza Dixis Figueroa, Sousa Carolina Pereira da Cunha, Olinda Ricardo Alves de
Universidade Estadual da Paraíba, Campina Grande, PB, Brasil.
Rev Paul Pediatr. 2017 Jul-Sep;35(3):289-295. doi: 10.1590/1984-0462/;2017;35;3;00011. Epub 2017 Jul 31.
To verify the agreement between nutritional status perceived by mothers and that diagnosed in preschool children, by providing the differences according to children's sex and age.
Study with data from a cohort of 269 preschool children assisted in public daycare centers of Campina Grande, Paraíba (Northeast Brazil). Children's information about their date of birth, sex and nutritional status (weight/stature Z scores) was collected. Furthermore, the mothers were asked about their perception of children's weight. The diagnostic agreement between the measured nutritional status and that perceived by mothers was assessed through the weighted Kappa test, with a 5% significance level.
The percentage of disagreement between the measured nutritional status and that perceived by mothers was 32.7%, with Kappa of 0.122, which is considered insignificant. There was a remarkable overweight underestimation (69.6%). Agreement between maternal perception of overweight and the diagnosed nutritional status was higher for older children (36-59 months versus 24-35 months) and for girls.
The study regarding maternal perception of preschool children's nutritional status showed the difficulty that mothers face in recognizing the real nutritional status of their children, especially the underestimation of overweight. Maternal perception of overweight in children is misrepresented in boys and in younger children with more importance.
通过给出按儿童性别和年龄划分的差异，验证母亲所感知的营养状况与学龄前儿童诊断出的营养状况之间的一致性。
对来自巴西东北部帕拉伊巴州坎皮纳格兰德市公立日托中心的269名学龄前儿童队列的数据进行研究。收集了儿童的出生日期、性别和营养状况（体重/身高Z评分）信息。此外，还询问了母亲对孩子体重的看法。通过加权Kappa检验评估测量的营养状况与母亲所感知的营养状况之间的诊断一致性，显著性水平为5%。
测量的营养状况与母亲所感知的营养状况之间的不一致率为32.7%，Kappa值为0.122，被认为无统计学意义。存在明显的超重低估（69.6%）。年龄较大的儿童（36 - 59个月与24 - 35个月）和女孩中，母亲对超重的感知与诊断出的营养状况之间的一致性更高。
关于母亲对学龄前儿童营养状况感知的研究表明，母亲在识别孩子的真实营养状况方面存在困难，尤其是对超重的低估。母亲对儿童超重的感知在男孩和年龄较小的儿童中存在更大程度的误判。
