Public concern about childhood obesity and associated health problems calls for the identification of modifiable factors that could halt this epidemic. Parental perceptions of their children’s weight status could be associated to how parents influence children’s eating patterns. We aimed to identify the perceptions Puerto Rican parents have of their children’s weight and children’s own perceptions of weight status as compared to real weight. A cross sectional survey was performed in a representative sample of 1st–6th grade students. Only half of the children correctly identified their weight, and only 62.4% of the parents correctly classified their children’s weight. Most obese/overweight children did not perceive themselves as such. Almost half of obese/overweight children were identified by the parents as normal weight while over half of the underweight children were perceived by their parents at normal weight. More girls than boys perceived themselves as obese/overweight and more parents of girls than of boys perceived them as such. Higher-educated parents were better at recognizing overweight/obesity among their children compared to less-educated parents. This study suggests an influence of parents’ SES characteristics on their perceptions of children’s weight status as well as on children’s own perceptions of their weight status.
References
[1]
Pocock, M.; Trivedi, D.; Wills, W.; Bunn, F.; Magnusson, J. Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: A systematic review of qualitative studies. Obes. Rev. 2009, 11, 338–353.
[2]
Golan, M.; Crow, S. Parents are key players in the prevention and treatment of weight-related problems. Nutr. Rev. 2004, 62, 39–50.
[3]
Towns, N.; D’Auria, J. Parental perceptions of their child’s overweight: An integrative review of the literature. J. Pediatr. Nurs. 2009, 24, 115–130.
[4]
Sleddens, E.F.; Gerards, S.M.; Thijs, C.; de Vries, N.K.; Kremers, S.P. General parenting, childhood overweight and obesity-inducing behaviors: A review. Int. J. Pediatr. Obes. 2011, 6, 12–27.
[5]
Birch, L.L.; Davison, K.K. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr. Clin. North Am. 2001, 48, 893–907.
[6]
Sealy, Y.M. Parents’ food choices: Obesity among minority parents and children. J. Comm. Health Nurs. 2010, 27, 1–11.
[7]
Hudson, C.E.; Cherry, D.J.; Ratcliffe, S.J.; McClellan, L.C. Head start children’s lifestyle behaviors, parental perceptions of weight, and body mass index. J. Pediatr. Nurs. 2009, 24, 292–301.
[8]
Cutting, T.M.; Fisher, J.O.; Grimm Thomas, K.; Birch, L.L. Like mother, like daughter: Familial patterns of overweight are mediated by mothers dietary disinhibition. Am. J. Clin. Nutr. 1999, 69, 608–613.
Eckstein, K.C.; Mikhail, L.M.; Ariza, A.J.; Thomson, J.S.; Binns, H.J. Parents’ perception of their child’s weight and height. Pediatrics 2006, 117, 681–690.
[11]
Chaparro, M.P.; Langellier, B.A.; Kim, L.P.; Whaley, S.E. Predictors of accurate maternal perception of their preschool child’s weight status among Hispanic WIC participants. Obesity 2011, 19, 2026–2030.
[12]
Doolen, J.; Alpert, P.T.; Miller, S.K. Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research. J. Am. Acad. Nurse Pract. 2009, 21, 160–166.
[13]
Manios, Y.; Kondaki, K.; Kourlaba, G.; Vasilopoulou, E.; Grammatikaki, E. Maternal perceptions of their child’s weight status: The GENESIS study. Public Health Nutr. 2009, 12, 1099–1105.
[14]
Noor, A.M.; Khairani, O.; Shamsul, A.S.; Leelavathi, A.P.; Fatimah, A. Parental perception of their children weight status, and its association with their nutrition and obesity knowledge. Asia Pac. J. Clin. Nutr. 2008, 17, 597–602.
[15]
De La O, A.; Jordan, K.C.; Ortiz, K.; Moyer-Mileur, L.J.; Stoddard, G.; Friedrichs, M.; Cox, R.; Carlson, E.C.; Heap, E.; Mihalopoulos, N.L. Do parents accurately perceive their child’s weight status? J. Pediatr. Health Care 2009, 23, 216–221.
[16]
Henninger, W.R., III.; Luze, G.J. Differences in parental perceptions of the socio-emotional development of underweight, overweight, and typically weighted children in a low-income sample. J. Child. Health Care 2010, 14, 250–260.
[17]
Waschburger, P.; Kr？ller, K. Maternal perception of weight status and health risks associated with obesity in children. Pediatrics 2009, 124, e60–e68.
[18]
Campbell, M.W.; Williams, J.; Hampton, A.; Wake, M. Maternal concern and perceptions of overweight in Australian preschool-aged children. Med. J. Aust. 2006, 20, 274–277.
[19]
Myers, S.; Vargas, Z. Parental perceptions of the preschool obese child. Pediatr. Nurs. 2000, 26, 23–30.
[20]
Ward, C. Parental perception of childhood overweight in the Mexican American population: An integrative review. J. Sch. Nurs. 2008, 24, 407–416.
[21]
Rivera-Soto, W.T.; Rodriguez-Figueroa, L.; Calderon, G. Prevalence of childhood obesity in a representative sample of elementary school children in Puerto Rico by socio-demographic characteristics. Puerto Rico Health Sci. J. 2008, 29, 357–363.
[22]
Ogden, C.L.; Carroll, M.D.; Curtin, L.R.; Lamb, M.M.; Flegal, K.M. Prevalence of high body mass index in US children and adolescents, 2007–2008. J. Am. Med. Assoc. 2010, 20, 242–249.
[23]
Centers for Disease Control and Prevention (CDC). 2000 Clinical Growth Charts for the United States: Methods and Development; CDC: Atlanta, GA, USA, 2000.
[24]
Sullivan, J.L. Iron and sex difference in heart disease risk. Lancet 1981, 317, 1293–1294.
[25]
Trentham-Dietz, A.; Newcomb, P.A.; Storer, B.E.; Longnecher, M.P.; Baron, J.; Greenberg, E.R.; Willett, W.C. Body size and risk of breast cancer. Am. J. Epidemiol. 1997, 145, 1011–1019.
[26]
Huang, Z.; Hankinson, S.E.; Colditz, G.A.; Stampfer, M.J.; Hunter, D.J.; Manson, J.E.; Hennekens, C.H.; Rosner, B.; Speizer, F.E.; Willett, W.C. Dual effects of weight and weight gain on breast cancer risk. J. Am. Med. Assoc. 1997, 278, 1407–1411.
[27]
Sangaramoorthy, M.; Phipps, Al.; Horn-Ross, P.L.; Koo, J.; John, E.M. Early-life factors and breast cancer risk in Hispanic women: The role of adolescent body size. Cancer Epidemiol. Biomarkers Prev. 2011, 20, 2572–2582.
