Keywords
BMI
Health Promotion
Abstract
INTRODUCTION: Childhood obesity is a social health problem in the Western World and an important goal is to analyze and correct risk factors. However, part of the problem could be determined by a different perception of the weight.
MATERIAL AND METHODS: In October 2019, we conducted a cross-sectional study in which a questionnaire was administered to the parents of primary and secondary school children in South-East Tuscany, Italy. The aim was to determine the association between children’s Body Mass Index (BMI) and the parent’s perception.
RESULTS: Analysis was carried out on 1,405 complete questionnaires. We found that most parents wrongly perceive the weight of their children. 88.3% of parents with obese children believe that their children are of normal weight or only “a little overweight”. 67.6% of parents who have overweight children think that their children are of normal weight (p<0.001).
CONCLUSIONS: Our results show a misperception of the weight of the children in the parents eyes. The acquisition of healthy behaviour during childhood is extremely important for health in adulthood and for avoiding the onset of associated diseases. Therefore, food education becomes a crucial objective. Children and parents need to increase consciousness of the correct weight and diseases resulting from bad nutrition.
References
Bracale, R., et al., Childhood obesity, overweight and underweight: a study in primary schools in Milan. Eat Weight Disord, 2013. 18(2): p. 183-91.
Oranization, W.H. Childhood overweight and obesity 2020. Available from: https://www.who.int/news-room/q-a-detail/noncommunicable-diseases-childhood-overweight-and-obesity.
Di Cesare, M., et al., The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med, 2019. 17(1): p. 212.
ISTAT, Rapporto per il Benessere Equo e Sostenibile in Italia 2017.
Wijnhoven, T.M., et al., WHO European Childhood Obesity Surveillance Initiative: School nutrition environment and body mass index in primary schools. Int J Environ Res Public Health, 2014. 11(11): p. 11261-85.
Nathan, B.M. and A. Moran, Metabolic complications of obesity in childhood and adolescence: more than just diabetes. Curr Opin Endocrinol Diabetes Obes, 2008. 15(1): p. 21-9.
Lobstein, T., L. Baur, and R. Uauy, Obesity in children and young people: a crisis in public health. Obes Rev, 2004. 5 Suppl 1: p. 4-104.
Wang, Y.C., et al., Health and economic burden of the projected obesity trends in the USA and the UK. Lancet, 2011. 378(9793): p. 815-25.
Welker, E., M. Lott, and M. Story, The School Food Environment and Obesity Prevention: Progress Over the Last Decade. Curr Obes Rep, 2016. 5(2): p. 145-55.
Micha, R., et al., Effectiveness of school food environment policies on children's dietary behaviors: A systematic review and meta-analysis. PLoS One, 2018. 13(3): p. e0194555.
Quercioli, C., et al., Nutritional counseling and its effects on diet, nutritional knowledge and status, physical activity and quality of life in a Southern Europe population: Evaluation of a health promotion programme. Italian Journal of Public Health, 2011. 8.
Kansra, A.R., S. Lakkunarajah, and M.S. Jay, Childhood and Adolescent Obesity: A Review. Front Pediatr, 2020. 8: p. 581461.
Gorman, N., et al., Designer schools: the role of school space and architecture in obesity prevention. Obesity (Silver Spring), 2007. 15(11): p. 2521-30.
Cole, T.J. and T. Lobstein, Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes, 2012. 7(4): p. 284-94.
(WHO), W.H.O., WHO European Childhood Obesity Surveillance Initiative (COSI). Report on the Fourth Round of Data Collection, 2015–2017.
Stival, C. and A. Lugo, Prevalence and Correlates of Overweight, Obesity and Physical Activity in Italian Children and Adolescents from Lombardy, Italy. 2022. 14(11).
Goryakin, Y., et al., Promoting sport and physical activity in Italy: a cost-effectiveness analysis of seven innovative public health policies. Ann Ig, 2019. 31(6): p. 614-625.
Parry, L.L., et al., A systematic review of parental perception of overweight status in children. J Ambul Care Manage, 2008. 31(3): p. 253-68.
Hudson, E., A. McGloin, and A. McConnon, Parental weight (mis)perceptions: factors influencing parents' ability to correctly categorise their child's weight status. Matern Child Health J, 2012. 16(9): p. 1801-9.
Garrett-Wright, D., Parental perception of preschool child body weight. J Pediatr Nurs, 2011. 26(5): p. 435-45.
Queally, M., et al., Do mothers accurately identify their child's overweight/obesity status during early childhood? Evidence from a nationally representative cohort study. Int J Behav Nutr Phys Act, 2018. 15(1): p. 56.
AlHasan, D.M., et al., Factors that Influence Parental Misperception of Their Child's Actual Weight Status in South Carolina. Matern Child Health J, 2018. 22(7): p. 1077-1084.
Robinson, E. and A.R. Sutin, Parents' Perceptions of Their Children as Overweight and Children's Weight Concerns and Weight Gain. Psychol Sci, 2017. 28(3): p. 320-329.
Hochdorn, A., et al., Obese children are thin in parents' eyes: A psychologically, socially, or culturally driven bias? J Health Psychol, 2018. 23(1): p. 114-126.
Rodrigues, D. and A.M. Machado-Rodrigues, Parental misperception of their child's weight status and how weight underestimation is associated with childhood obesity. 2020. 32(5): p. e23393.
Lazzeri, G., et al., Nutritional surveillance in Tuscany: maternal perception of nutritional status of 8-9 y-old school-children. J Prev Med Hyg, 2006. 47(1): p. 16-21.
Hunter, H.L., R.G. Steele, and M.M. Steele, Family-based treatment for pediatric overweight: Parental weight loss as a predictor of children's treatment success. Children's Health Care, 2008. 37: p. 112-125.
Niemeier, B.S., J.M. Hektner, and K.B. Enger, Parent participation in weight-related health interventions for children and adolescents: a systematic review and meta-analysis. Prev Med, 2012. 55(1): p. 3-13.
Van Lippevelde, W., et al., Does parental involvement make a difference in school-based nutrition and physical activity interventions? A systematic review of randomized controlled trials. Int J Public Health, 2012. 57(4): p. 673-8.
Batal, M., L. Steinhouse, and H. Delisle, The nutrition transition and the double burden of malnutrition. Med Sante Trop, 2018. 28(4): p. 345-350.
Ricchi, E., et al., Food related risks during pregnancy: how much do women know about it?: Andrea Serafini. European Journal of Public Health, 2014. 24(suppl_2).
Guendelman, S., et al., Maternal perceptions of early childhood ideal body weight differ among Mexican-origin mothers residing in Mexico compared to California. J Am Diet Assoc, 2010. 110(2): p. 222-9.
Rosas, L.G., et al., Maternal perception of child weight among Mexicans in California and Mexico. Matern Child Health J, 2010. 14(6): p. 886-94.