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Sarker T, Ahmed S, Rahman S, Chakraborty B. Maternal misperception of under-five children weight status and associated factors: A cross-sectional study. MATERNAL & CHILD NUTRITION 2024:e13674. [PMID: 38804268 DOI: 10.1111/mcn.13674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 04/17/2024] [Accepted: 05/14/2024] [Indexed: 05/29/2024]
Abstract
Maternal perceptions, about the nutritional status of their children, may have implications for timely health care seeking and feeding behaviour. Shreds of evidence are limited in this area that assessed maternal perception about the nutritional status of the children in the context of Bangladesh. The objective of this study is to assess the differences in mothers' perceptions about their children's nutritional status who are less than 5 years of age and their associated factors in the context of urban slum areas. A cross-sectional study (Quantitative approach) was conducted in two of the largest urban slums of Dhaka city. A total of 437 mother-children dyads were included in the final analysis. The outcome of interest was the mother's 'varied perceptions' regarding the nutritional status of their children under five. 'Varied perception' refers to the difference between a mother's subjective assessment of her child's nutritional condition and the anthropometrically measured nutritional status. The prevalence of mother's varied perceptions was around 46%, and among them, 37% of mothers underestimated and 9% overestimated their child's nutritional status. 'The child doesn't want to eat' (AOR = 3.69; 95% CI: 2.34-5.85; p < 0.001) and 'Feels light when carried' (AOR = 3.39; 95% CI: 1.69-6.81; p = 0.001) were the significant reasons behind the mother's perception about the nutritional status of their under-five children. About one in two mothers' perceptions about their children varied from the anthropometry-derived status. Various research findings indicate that providing health education on proper feeding practices for children, along with anthropometric measurements, can assist mothers in enhancing their understanding and assessing their child's nutritional status with greater accuracy. Further qualitative research may be instrumental in getting deeper insights into maternal perception to develop context-specific interventions.
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Affiliation(s)
- Tanmoy Sarker
- Centre for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, Dhaka, Bangladesh
| | - Sabrina Ahmed
- Centre for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, Dhaka, Bangladesh
- NCD Epidemiology Research Center, Shiga Univesity of Medical Science, Otsu, Shiga, Japan
| | - Sakib Rahman
- Centre for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, Dhaka, Bangladesh
| | - Barnali Chakraborty
- Centre for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, Dhaka, Bangladesh
- Department of Public Health, North South University, Dhaka, Bangladesh
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Inclan-Lopez P, Martinez-Andres M, Jones AR, Tovée MJ, Adamson AJ, Bartolome-Gutierrez R. Adaptation and Validation of the MapMe Body Image Scales in Spanish Parents of Schoolchildren. CHILDREN (BASEL, SWITZERLAND) 2024; 11:448. [PMID: 38671665 PMCID: PMC11049536 DOI: 10.3390/children11040448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2024] [Revised: 03/25/2024] [Accepted: 04/05/2024] [Indexed: 04/28/2024]
Abstract
Childhood overweight and obesity is a worldwide problem and to treat it parents' detection has to be improved. The MapMe Body Image Scales (BIS) are a visual tool developed to improve parental perception of child weight in the United Kingdon (UK) based on British growth reference criteria. The aim of this study was to make a transcultural adaptation and validation of the MapMe BIS in Spain based on International Obesity Task Force (IOTF) cut offs A descriptive cross-sectional study was done. First, a translation and cultural adaptation was carried out. A total of 155 10-11-year-old children and their parents participated in this study. Children were measured to calculate their weight status, Body Mass Index (BMI), Body Fat Percentage (BFP) and Waist Circumference (WC), and their parents completed a purpose designed questionnaire about their perception and satisfaction of child's body weight status using the adapted BIS. Test-retest reliability, criterion validity and concurrent validity of the adapted BIS were analyzed. This study shows that the adapted MapMe BIS has good psychometric properties and is a suitable visual scale to assess parental perception of weight status in 10 and 11-year-old children in Spain.
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Affiliation(s)
- Patricia Inclan-Lopez
- Social and Health Care Research Center, University of Castilla-La Mancha, 16071 Cuenca, Spain;
| | - Maria Martinez-Andres
- Social and Health Care Research Center, University of Castilla-La Mancha, 16071 Cuenca, Spain;
- Faculty of Nursing, Universidad de Castilla-La Mancha, 02071 Albacete, Spain;
| | - Angela R. Jones
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK; (A.R.J.); (A.J.A.)
- Human Nutrition and Exercise Research Centre, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
| | - Martin J. Tovée
- Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK;
| | - Ashley J. Adamson
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK; (A.R.J.); (A.J.A.)
- Human Nutrition and Exercise Research Centre, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
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Mamani MC, Martínez JF, Llico RC, Sairitupa-Sanchez LZ, Morales-García SB, Rivera-Lozada O, Morales-García WC. Association between cardiovascular risk and maternal perception of BMI in Peruvian schoolchildren. Front Public Health 2024; 12:1277157. [PMID: 38572004 PMCID: PMC10989680 DOI: 10.3389/fpubh.2024.1277157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 02/16/2024] [Indexed: 04/05/2024] Open
Abstract
Introduction In the modern era, the maternal perception of children's nutritional status has emerged as a critical area of study, given its potential influence on nutritional interventions and long-term child health. The relationship between this perception and children's Body Mass Index (BMI) by age is particularly intriguing, as it may reveal discrepancies between perception and reality. Objective The aim of this study was to evaluate Peruvian mothers' perception of their children's Body Mass Index (BMI) in relation to age and to determine how this perception associates with the children's cardiovascular risk. The study also analyzed sociodemographic factors that might influence this perception. Methods The study included 130 mothers of schoolchildren aged 5 to 11 from a school in Lima. Mothers' perceptions of their children's weight were assessed using pictograms, and sociodemographic characteristics were collected through a questionnaire. Weight and height measurements were taken to calculate BMI, and waist circumference was measured to classify cardiovascular risk. Results A total of 57.4% of the schoolchildren presented with excess malnutrition, and 51.5% of the mothers incorrectly classified the actual BMI/Age of their children (kappa 0.11; p ≤ 0.05). Additionally, it was found that the schoolchild's age is associated with the mother's failure to accurately perceive her child's weight (OR 1.59). Lastly, there was a significant association between maternal perception and cardiovascular risk (p ≤ 0.05). Conclusion There is a significant discrepancy between maternal perception and the actual nutritional status of children, which can increase cardiovascular risk. It is necessary to implement intervention and education strategies targeted at parents to enhance the recognition and management of childhood overweight and obesity.
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Affiliation(s)
- Margoth Ccari Mamani
- Escuela Profesional de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Jhosset Flores Martínez
- Escuela Profesional de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Raquel Chilón Llico
- Escuela Profesional de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Liset Z. Sairitupa-Sanchez
- Escuela Profesional de Psicología, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Sandra B. Morales-García
- Departamento Académico de Enfermería, Obstetricia y Farmacia, Facultad de Farmacia y Bioquímica, Universidad Científica del Sur, Lima, Perú
| | - Oriana Rivera-Lozada
- Escuela de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Wilter C. Morales-García
- Escuela de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
- Escuela de Posgrado, Universidad Peruana Unión, Lima, Perú
- Facultad de Teología, Universidad Peruana Unión, Lima, Perú
- Sociedad Científica de Investigados Adventistas, SOCIA, Universidad Peruana Unión, Lima, Perú
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Wang J, Zhu D, Cheng X, Liuzhou Y, Zhu B, Montgomery S, Cao Y. Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and feeding practices. Public Health Nutr 2022; 25:1-10. [PMID: 35000661 PMCID: PMC9991628 DOI: 10.1017/s1368980022000040] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To examine the mediating effects of maternal perception of child weight (weight perception) and concern about overweight (weight concern) on the paths between child weight and maternal feeding practices. SETTING Pudong District, Shanghai, China. PARTICIPANTS A convenience sample of 1164 mothers who were primary caregivers of preschool children. RESULTS Sixty per cent of the mothers perceived their overweight/obese children as normal weight or even underweight. The disagreement between actual child weight and maternal weight perception was statistically significant (Kappa = 0·212, P < 0·001). Structural equation modelling indicated that weight perception fully mediated the relationship between child BMI Z-scores and pressure to eat. Weight concern fully mediated the relationships between child BMI Z-scores and the other three feeding practices. The serial mediating effects of weight perception and concern were statistically significant for the paths between child BMI Z-score and monitoring (β = 0·035, P < 0·001), restriction (β = 0·022, P < 0·001), and food as a reward (β = -0·017, P < 0·05). CONCLUSION Child weight may influence maternal feeding practices through weight perception and concern. Thus, interventions are needed to increase the accuracy of weight perception, which may influence several maternal feeding practices and thereby contribute to child health.
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Affiliation(s)
- Jian Wang
- Shanghai Jiao Tong University School of Nursing, 200025Shanghai, People's Republic of China
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
| | - Daqiao Zhu
- Shanghai Jiao Tong University School of Nursing, 200025Shanghai, People's Republic of China
| | - Xuwen Cheng
- Department of Children's Disease Prevention, Jinyang Community Health Service Center, Shanghai, People's Republic of China
| | - Yicong Liuzhou
- Department of Nursing, Shanghai Children's Medical Center, Shanghai, People's Republic of China
| | - Bingqian Zhu
- Shanghai Jiao Tong University School of Nursing, 200025Shanghai, People's Republic of China
| | - Scott Montgomery
- Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden
- Clinical Epidemiology Division, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Yang Cao
- Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden
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García-Blanco L, Berasaluce A, Romanos-Nanclares A, Martínez-González MÁ, Moreno-Galarraga L, Martín-Calvo N. Parental perception of child's weight, their attitudes towards child's dietary habits and the risk of obesity. World J Pediatr 2022; 18:482-489. [PMID: 35334044 PMCID: PMC9205829 DOI: 10.1007/s12519-022-00540-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 03/02/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND The association between parental perception of child's weight and their attitudes towards his/her dietary habits has not been reported yet. This study aimed to assess the association between parental underestimation of child's weight and parental attitudes towards child's dietary habits. METHODS We conducted a cross-sectional analysis of SENDO cohort participants recruited between January 2015 and June 2020. All information was collected through online questionnaires completed by parents. We calculated crude and multivariable-adjusted odds ratio (OR) and 95% confidence intervals (CI) for unhealthy attitudes towards child's dietary habits associated with parental underestimation of child's weight. RESULTS Sixteen percent of children in the SENDO project had parents who underestimated their weight. Parents who underestimated their child's weight status were more likely to have unhealthy attitudes toward his/her dietary habits [OR 3.35; 95% CI (1.71-6.53)]. CONCLUSIONS Parental underestimation of child's weight was associated with unhealthy attitudes towards child's dietary habits. Pediatricians and public health practitioners should pay attention to the parental perception of child's weight to identify parents who underestimate it as an at-risk group in which to inquire about lifestyle and dietary habits.
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Affiliation(s)
- Lorena García-Blanco
- San Juan Primary Care Health Center, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain ,IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
| | - Arantxa Berasaluce
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain ,Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, C/ Irunlarrea 1, 31080 Pamplona, Spain
| | - Andrea Romanos-Nanclares
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain ,Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, C/ Irunlarrea 1, 31080 Pamplona, Spain
| | - Miguel Ángel Martínez-González
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain ,Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, C/ Irunlarrea 1, 31080 Pamplona, Spain ,Biomedical Research Centre Network On Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain ,Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115 USA
| | - Laura Moreno-Galarraga
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain ,Department of Pediatrics, Complejo Hospitalario de Navarra B, Pamplona, Spain
| | - Nerea Martín-Calvo
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain. .,Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, C/ Irunlarrea 1, 31080, Pamplona, Spain. .,Biomedical Research Centre Network On Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Av. Monforte de Lemos, 3-5, 28029, Madrid, Spain.
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Concordance Between the Weight of Spanish Adolescent Soccer Players, Their Self-Perceived Weight, and Their Weight as Perceived by Their Parents. J Pediatr Nurs 2021; 60:e13-e18. [PMID: 33618980 DOI: 10.1016/j.pedn.2021.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Revised: 02/09/2021] [Accepted: 02/09/2021] [Indexed: 11/20/2022]
Abstract
PURPOSE In the context of soccer clubs, to analyze the concordance between players' actual weight, their self-perceived weight, and their weight as perceived by their parents; to determine which variables might explain the presence of concordance between parents' perception of adolescents' weight and their actual weight. Design and study: A cross-sectional study involving 330 soccer players aged between 13 and 16. Data on personal characteristics of adolescents and parents were analyzed, as well as parents' perceptions of adolescents' weight status and their self-perception. A descriptive analysis of the personal characteristics of the sample (adolescents and parents) and an analysis of the variables explaining the presence of concordance between the parents' perception of adolescents' weight and their actual weight were performed. RESULTS 19% of the adolescents were overweight and 3.4% were obese. The concordance between parents' perceptions of players' weight and players' actual weight was weak. The concordance between adolescents' self-perceived weight and their actual weight was moderate. The difference in BMI scores according to presence or absence of concordance was statistically significant: these scores were higher in the absence of concordance. Discordance between adolescents' weight and their parents' perception of their weight was associated with parents having lower levels of education. CONCLUSION A high percentage of parents and players misperceived their actual weight. This discrepancy was associated with higher BMI scores for adolescents. PRACTICE IMPLICATIONS Nurses should include promotion of accurate weight perception in educational interventions on excess weight.
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Herrmann BW, Campbell K, Meier M, Haemer M, Crowder R, Tholen K, Hoefner-Notz R, Nguyen T, Friedman NR. Parental Perception of Weight Status for Adenotonsillectomy Patients. Laryngoscope 2021; 131:2121-2125. [PMID: 33569790 PMCID: PMC8355242 DOI: 10.1002/lary.29445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 01/21/2021] [Accepted: 01/27/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Weight status can affect outcomes in pediatric adenotonsillectomy performed for obstructive sleep disordered breathing. Parents frequently underestimate their child's weight and are unaware weight status may affect adenotonsillectomy success. Accurate understanding of a child's weight status is important for shared decision making with the family and perioperative care. The purpose of this study is to analyze the accuracy of the parent's perception of their child's weight status. METHODS A retrospective analysis was performed of prospective data collected from families of children undergoing adenotonsillectomy from June 2018 through June 2019. RESULTS A total of 522 children met the inclusion criteria. Two hundred and thirty-two children were either overweight (n = 46, 9%) or obese (n = 186, 36%). Among parents of this cohort whose children were overweight or obese, 74 (32%) erroneously reported that their child was normal weight. For the 290 nonoverweight children, 99% of parents accurately reported weight status. After adjusting for ethnicity, race, BMI%, and sex, for every 1-year increase in age of the child, the odds of the parent correctly identifying their child as overweight increased by a factor of 1.18 (95% CI: 1.09, 1.27). CONCLUSION One-third of families with children who were overweight or obese undergoing adenotonsillectomy for obstructive sleep disordered breathing underestimated their child's weight. This study highlights the need to facilitate family understanding of weight status' potential impact on both obstructive sleep disordered breathing severity and adenotonsillectomy success, especially for younger children. LEVEL OF EVIDENCE 4 Laryngoscope, 131:2121-2125, 2021.
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Affiliation(s)
- Brian W Herrmann
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO
- Department of Pediatric Otolaryngology, Children’s Hospital Colorado, Aurora, CO
| | | | - Maxene Meier
- The Center for Research in Outcomes for Children’s Surgery, University of Colorado School of Medicine, Aurora, CO
| | - Matthew Haemer
- Department of Pediatrics, Section of Nutrition, University of Colorado School of Medicine, Aurora, CO
| | - Renee Crowder
- University of Colorado School of Medicine, Aurora, CO
| | - Kaitlyn Tholen
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO
- Department of Pediatric Otolaryngology, Children’s Hospital Colorado, Aurora, CO
| | - Regina Hoefner-Notz
- Department of Pediatrics, Section of Nutrition, University of Colorado School of Medicine, Aurora, CO
| | - Thanh Nguyen
- University of Colorado School of Medicine, Aurora, CO
- Division of Pediatric Anesthesia, Children’s Hospital Colorado, Aurora, CO
| | - Norman R Friedman
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO
- Department of Pediatric Otolaryngology, Children’s Hospital Colorado, Aurora, CO
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