Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Department of Sciences, Amsterdam University College, VU Amsterdam/University of Amsterdam, 1012 WX Amsterdam, The Netherlands.
Int J Environ Res Public Health. 2020 Jul 18;17(14):5197. doi: 10.3390/ijerph17145197.
Healthcare monitoring of child growth reduces with age, which may increase parental influences on children's weight development. This study aimed to examine the association between maternal underestimation of child's weight at age 5/6 and weight development between 5 and 12 years.
We performed univariate and multivariate linear regression analyses with data on maternal perception of child's weight and weight development (∆SDS body-mass index; BMI) derived from the Amsterdam Born Children and their Development (ABCD) birth-cohort study. Underestimation was defined by comparing maternal perception of child's weight with the actual weight status of her child. Associations were studied in two groups: children with overweight ( = 207) and children with normal weight ( = 1982) at baseline (children with underweight were excluded).
Underestimation was 5.5% in children with normal weight and 79.7% in children with overweight. Univariate analyses in children with normal weight and overweight showed higher weight development for children with underestimated vs. accurately estimated weights (respectively: β = 0.19, < 0.01; β = 0.22, < 0.05). After adjusting for child sex and baseline SDS BMI, the effect size became smaller for children with a normal weight (β = 0.15, < 0.05) and overweight (β = 0.18, > 0.05). Paternal and maternal BMI, ethnicity, and educational level explained the association further (remaining β = -0.11, > 0.05 in children with normal weight; β = 0.06, > 0.05 in children with overweight).
The relationship between maternal underestimation of child's weight and higher weight development indicates a need for promoting a realistic perception of child's weight, this is also the case if the child has a normal weight.
随着儿童年龄的增长，对其生长发育的医疗监测减少，这可能会增加父母对儿童体重发育的影响。本研究旨在探讨母亲在 5/6 岁时低估孩子体重与 5 至 12 岁期间体重发育之间的关系。
我们使用来自阿姆斯特丹出生儿童及其发展（ABCD）出生队列研究的关于母亲对孩子体重的感知和体重发育（∆SDS 体重指数；BMI）的数据，进行了单变量和多变量线性回归分析。低估是通过比较母亲对孩子体重的感知与孩子的实际体重状况来定义的。我们在两个组中研究了关联：超重（=207）和体重正常（=1982）的儿童为基线（排除体重不足的儿童）。
体重正常的儿童中低估的比例为 5.5%，超重的儿童中低估的比例为 79.7%。体重正常和超重儿童的单变量分析显示，与准确估计体重的儿童相比，低估体重的儿童体重增长更高（分别为：β=0.19， <0.01；β=0.22， <0.05）。在校正儿童性别和基线 SDS BMI 后，体重正常儿童的效应大小变小（β=0.15， <0.05），超重儿童的效应大小变小（β=0.18， >0.05）。父亲和母亲的 BMI、种族和教育水平进一步解释了这种关联（体重正常的儿童中，剩余β=-0.11， >0.05；超重的儿童中，β=0.06， >0.05）。
母亲低估孩子体重与更高体重发育之间的关系表明需要促进对孩子体重的现实认知，即使孩子体重正常也是如此。
