OBJECTIVE: To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences. METHODS: Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight preschooler, and (c) friend and family report of a healthy weight preschooler. Those indicating that their overweight or obese child resembled a healthy weight image were considered to misclassify child weight. Logistic regression was used to identify predictors of misclassification and card-sorting exercises explored weight-counseling preferences. RESULTS: Of the 150 preschoolers in our sample, 32.7% (n = 49) were overweight or obese with misclassification occurring in 71.4% of parents (n = 35). Absence of pediatrician comment on child weight strongly predicted misclassification (odds ratio, 12.3; 95% confidence interval, 1.74-87.2). Pediatricians were highly valued weight advisors. CONCLUSIONS: Weight-focused advice from pediatricians matters to parents and may promote parental identification of early childhood weight risks.
OBJECTIVE: To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences. METHODS: Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight preschooler, and (c) friend and family report of a healthy weight preschooler. Those indicating that their overweight or obesechild resembled a healthy weight image were considered to misclassify child weight. Logistic regression was used to identify predictors of misclassification and card-sorting exercises explored weight-counseling preferences. RESULTS: Of the 150 preschoolers in our sample, 32.7% (n = 49) were overweight or obese with misclassification occurring in 71.4% of parents (n = 35). Absence of pediatrician comment on child weight strongly predicted misclassification (odds ratio, 12.3; 95% confidence interval, 1.74-87.2). Pediatricians were highly valued weight advisors. CONCLUSIONS: Weight-focused advice from pediatricians matters to parents and may promote parental identification of early childhood weight risks.
Authors: Lauren M Rossen; Yelena N Tarasenko; Amy M Branum; Alan E Simon; Kenneth C Schoendorf Journal: Child Obes Date: 2013-09-12 Impact factor: 2.992
Authors: Callie L Brown; Megan H Pesch; Eliana M Perrin; Danielle P Appugliese; Alison L Miller; Katherine Rosenblum; Julie C Lumeng Journal: Acad Pediatr Date: 2016-06-21 Impact factor: 3.107
Authors: Melawhy L Garcia; Noe C Crespo; Alma I Behar; Gregory A Talavera; Nadia Campbell; Lisa M Shadron; John P Elder Journal: Child Obes Date: 2019-09-26 Impact factor: 2.992
Authors: Marloes Rietmeijer-Mentink; Winifred D Paulis; Marienke van Middelkoop; Patrick J E Bindels; Johannes C van der Wouden Journal: Matern Child Nutr Date: 2012-10-01 Impact factor: 3.092