Children’s, Their Guardians’, and Health Care Professionals’ Perceptions of Child Overweight in Relation to Children’s Weight Loss Attempts
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Children’s, Their Guardians’, and Health Care Professionals’ Perceptions of Child Overweight in Relation to Children’s Weight Loss Attempts

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  • English
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    Details:

    • Alternative Title:
      Am J Health Promot
    • Personal Author:
    • Description:
      Purpose

      To examine accuracy of children’s, their guardians’, and health care professionals’ (HCPs’) perceptions of child overweight and obesity, the degree of agreement between their perceptions, and relationships with weight loss attempts among overweight or obese children.

      Design

      Cross-sectional study using 2005–2010 National Health and Nutrition Examination Survey.

      Setting

      United States.

      Subjects

      Out of 4691 children and adolescents, ages 8 to 15 years, 16.4% were overweight (body mass index [BMI] percentiles 85–94.99) and 19.3% were obese (BMI percentiles ≥95).

      Measures

      Age and sex-specific BMI percentiles; responses of adult proxies (guardians) on whether they considered their child overweight and whether an HCP had ever told them that their child was overweight; responses of children and adolescents on their self-perceived weight status and whether they were trying to lose weight; children’s and guardians’ socio-demographic characteristics.

      Analysis

      Weighted percentages; sensitivities and Cohen’s kappas; adjusted prevalence ratios.

      Results

      Children, their guardians, and HCPs underestimated child’s actual overweight or obesity status. Little agreement existed between overweight or obese children, their parents, and HCPs on whether these children were overweight or obese. Overweight and obese children perceived as such by themselves, their guardians, and HCPs were 88% and 32%, respectively, more likely to attempt weight loss based on multivariable analyses.

      Conclusion

      Accurate and shared perceptions of adiposity in children and adolescents between children themselves, their guardians, and HCPs are positively associated with weight loss attempts among overweight or obese children in the United States.

    • Subjects:
    • Source:
      Am J Health Promot. 29(2):e73-e81.
    • Pubmed ID:
      24459998
    • Pubmed Central ID:
      PMC4659423
    • Document Type:
      Journal Article
    • Funding:
      CC999999/Intramural CDC HHS/United States
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    • Main Document Checksum:
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