Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, 55454, USA.
Eat Weight Disord. 2021 Oct;26(7):2371-2379. doi: 10.1007/s40519-020-01088-y. Epub 2021 Jan 3.
To examine the longitudinal associations between parental perceptions of their child's actual weight (PPCA = parental perception of child's actual) and ideal weight (PPCI = parental perception of child ideal) in early childhood and the child's own perceptions of their actual weight (APA = adolescent perceived actual) and ideal weight (API = adolescent perceived ideal) during early adolescence among a low-income population.
Using a longitudinal study design, 136 child/parent pairs were asked to assess the child's actual and ideal weight using figure rating scales. When children were 4-7 years old, parents reported on their perception of their child's weight; when children were 10-12 years old, the child reported on their own weight perceptions. Actual weight, ideal weight, and the difference between ideal and actual weight perception were assessed at the respective timepoints. Regressions were used to examine the relationship between parental weight perceptions (PPCA and PPCI) and later adolescent weight perception (APA and API).
On average, PPCI was higher than PPCA, whereas API was lower than APA. We found a positive relationship between PPCI and API (β = 0.309, p = .029). PPCA was positively associated with API (β = 0.304, p = .015) and marginally positively associated with the APA (β = 0.242, p = .077). However, the difference between PPCI and PPCA did not predict either APA or API.
Parental perception of their child's weight may relate to the adolescent's weight perception, particularly ideal weight. However, several null and marginal associations suggest that parental weight perception in early childhood may not be the most salient factor in determining weight perception in early adolescence.
Level III, well-designed longitudinal cohort study.
在一个低收入人群中，考察父母对孩子实际体重（PPCA=父母对孩子实际体重的感知）和理想体重（PPCI=父母对孩子理想体重的感知）的感知与儿童在青少年早期对自身实际体重（APA=青少年对自身实际体重的感知）和理想体重（API=青少年对自身理想体重的感知）感知之间的纵向关联。
使用纵向研究设计，136 对儿童/父母被要求使用体型评分量表评估孩子的实际和理想体重。当孩子 4-7 岁时，父母报告他们对孩子体重的感知；当孩子 10-12 岁时，孩子报告他们自己的体重感知。在相应的时间点评估实际体重、理想体重和理想体重与实际体重感知之间的差异。回归用于检验父母体重感知（PPCA 和 PPCI）与青少年后期体重感知（APA 和 API）之间的关系。
平均而言，PPCI 高于 PPCA，而 API 低于 APA。我们发现 PPCI 与 API 之间存在正相关关系（β=0.309，p=0.029）。PPCA 与 API 呈正相关（β=0.304，p=0.015），与 APA 呈边缘正相关（β=0.242，p=0.077）。然而，PPCI 与 PPCA 之间的差异与 APA 或 API 均无预测关系。
父母对孩子体重的感知可能与青少年的体重感知有关，尤其是理想体重。然而，一些无效和边缘关联表明，儿童早期父母的体重感知可能不是决定青少年早期体重感知的最突出因素。
三级，精心设计的纵向队列研究。
