Universiti Teknologi MARA (UiTM), Faculty of Medicine, Department of Paediatrics, Sungai Buloh Campus, Selangor, Malaysia.
Sungai Buloh Hospital, Department of Paediatrics, Selangor, Malaysia.
Med J Malaysia. 2020 May;75(3):221-225.
The trend of childhood obesity is on the rise and hence leading towards the increase in obesity related complications. Early recognition of obesity in children and accurate parental perception of the status of the weight of their children is vital. Furthermore, identification of sociodemographic risk factors contributing to obesity is crucial in order to identify children who are in the risk group and thus prevent potential complications. This study is aimed to establish the parental perception of the status of the weight of their children. Secondly, the study also to identify the sociodemographic risk factors associated with obesity in children.
This was a cross-sectional study involving 245 children from 5 to 12 years of age. Following informed consent, the children were classified into either normal (body mass index (BMI) >5th to <85th percentile), overweight (BMI >85th to <95th percentile) or obese (BMI >95th percentile) groups. Parents responded to questionnaires which assessed their perception and sociodemographic factors.
A total of 157 participants (64.1%) had normal BMI while 41(16.7%) were overweight and 47(19.2%) were obese. More parents of overweight and obese group had misperceptions of their children's weight status (p=0.001). Families with higher household income, children with higher birth weight, higher education of mothers and family history of obesity and type 2 diabetes had increased risk of higher BMI among their children (p=0.029, p=0.013, p=0.041 and p=0.001 respectively).
Most parents of either overweight or obese children had inaccurate perception of the status of weight of their children. Higher household income, birth weight and education level of the mothers as well as history of diabetes and obesity in the family are associated with increased risk of childhood obesity.
儿童肥胖趋势呈上升趋势，因此导致肥胖相关并发症的增加。早期识别儿童肥胖和父母准确感知子女体重状况至关重要。此外，确定导致肥胖的社会人口学危险因素对于识别处于风险组的儿童从而预防潜在并发症至关重要。本研究旨在确定父母对子女体重状况的感知。其次，该研究还旨在确定与儿童肥胖相关的社会人口学危险因素。
这是一项涉及 245 名 5 至 12 岁儿童的横断面研究。在获得知情同意后，将儿童分为正常（体重指数（BMI）>第 5 至<第 85 百分位）、超重（BMI>第 85 至<第 95 百分位）或肥胖（BMI>第 95 百分位）组。父母回答了评估他们感知和社会人口学因素的问卷。
共有 157 名参与者（64.1%）的 BMI 正常，41 名（16.7%）超重，47 名（19.2%）肥胖。超重和肥胖组的父母对子女体重状况的误解更多（p=0.001）。家庭收入较高、出生体重较高、母亲受教育程度较高以及有肥胖和 2 型糖尿病家族史的家庭，其子女 BMI 较高的风险增加（p=0.029、p=0.013、p=0.041 和 p=0.001 分别）。
超重或肥胖儿童的大多数父母对子女体重状况的感知不准确。家庭收入较高、出生体重较高、母亲受教育程度较高以及家族中有糖尿病和肥胖史与儿童肥胖风险增加有关。
