Abstract
If a parent does not accurately perceive their child’s overweight or obese status and potential health risk as a result of excess weight, they may be less inclined to encourage their child’s participation in healthy behaviors. This study systematically reviewed the past 5 years of literature regarding the accuracy of parental perception of their child’s weight status. PubMed, PsychInfo, and CINAHL databases from 2006 to 2012 were searched using key words related to parental perception and childhood overweight. Quantitative studies which assessed parental perception of their child’s body weight with height and weight measurements of the child (2–18 years of age) within the United States were included. Studies were excluded if the family was preparing to or currently receiving any kind of treatment or intervention for weight loss/management. Eligible articles which assessed and reported parental perception of their child’s body weight. Thirteen studies met the criteria for inclusion. Underestimation of obesity ranged from 13.3 to 100 % of parents of children with a BMI ≥95th percentile. In six of the studies, >70 % of parents of overweight children (≥85–<95th BMI percentile) underestimated their child’s weight status. Factors that affected accuracy of parental perception included word versus image classification, the child’s sex and age, ethnicity, and parental health literacy. To fully engage children who may be at risk for weight-related diseases in programs targeting physical inactivity and childhood obesity, efforts to improve accuracy of parental perception of their child’s weight are greatly needed.
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Akerman, A., Williams, M. E., & Meunier, J. (2007). Perception versus reality: An exploration of children’s measured body mass in relation to caregivers’ estimates. Journal of Health Psychology, 12(6), 871–882. doi:10.1177/1359105307082449.
Association, A. D. (2000). Type 2 diabetes in children and adolescents. Pediatrics, 105(3), 671–680.
Bayles, B. (2010). Perceptions of childhood obesity on the Texas-Mexico border. Public Health Nursing, 27(4), 320–328.
Birch, L. L., & Davison, K. K. (2001). Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatric Clinics of North America, 48(4), 893–907.
Brann, L. S. (2011). Parents’ and boys’ perceptions of boys’ body size for average and high BMI boys. Maternal & Child Nutrition, 7(3), 307–314. doi:10.1111/j.1740-8709.2010.00242.x.
Dalton, W. T, 3rd, & Kitzmann, K. M. (2008). Broadening parental involvement in family-based interventions for pediatric overweight: Implications from family systems and child health. Family & Community Health, 31(4), 259–268. doi:10.1097/01.FCH.0000336089.37280.f8.
De La O, A., Jordan, K. C., Ortiz, K., Moyer-Mileur, L. J., Stoddard, G., Friedrichs, M., et al. (2009). Do parents accurately perceive their child’s weight status? Journal of Pediatric Health Care, 23(4), 216–221. doi:10.1016/j.pedhc.2007.12.014.
Eckstein, K. C., Mikhail, L. M., Ariza, A. J., Thomson, J. S., Millard, S. C., & Binns, H. J. (2006). Parents’ perceptions of their child’s weight and health. Pediatrics, 117(3), 681–690.
Freedman, D. S., Khan, L. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2001). Relationship of childhood obesity to coronary heart disease risk factors in adulthood: The Bogalusa Heart Study. Pediatrics, 108(3), 712–718.
Garrett-Wright, D. (2011). Parental perception of preschool child body weight. Journal of Pediatric Nursing, 26(5), 435–445.
Golan, M., Weizman, A., Apter, A., & Fainaru, M. (1998). Parents as the exclusive agents of change in the treatment of childhood obesity. American Journal of Clinical Nutrition, 67(6), 1130–1135.
Guo, S. S., & Chumlea, W. C. (1999). Tracking of body mass index in children in relation to overweight in adulthood. American Journal of Clinical Nutrition, 70(1), 145S–148S.
Hearst, M. O., Sherwood, N. E., Klein, E. G., Pasch, K. E., & Lytle, L. A. (2011). Parental perceptions of their adolescent’s weight status: The ECHO study. American Journal of Health Behavior, 35(2), 248–255.
Hernandez, R. G., Cheng, T. L., & Serwint, J. R. (2010). Parents’ healthy weight perceptions and preferences regarding obesity counseling in preschoolers: Pediatricians matter. Clinical Pediatrics, 49(8), 790–798.
Huang, J. S., Becerra, K., Oda, T., Walker, E., Xu, R., Donohue, M., et al. (2007). Parental ability to discriminate the weight status of children: Results of a survey. Pediatrics, 120(1), e112–e119.
Hudson, C. E., Cherry, D. J., Ratcliffe, S. J., & McClellan, L. C. (2009). Head Start children’s lifestyle behaviors, parental perceptions of weight, and body mass index. Journal of Pediatric Nursing, 24(4), 292–301. doi:10.1016/j.pedn.2008.04.006.
National Football League. (2007). NFL Play 60, The NFL movement for an active generation. Retrieved October 11, 2013 from http://www.nfl.com/play60.
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. British Medical Journal, 339, b2535. doi:10.1136/bmj.b2535.
National Heart, Lung, and Blood Institute. (2007). We Can! Ways to enhance children’s activity & nutrition. Retrieved October 11, 2013 from http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/.
Let’s Move! (2010). America’s move to raise a healthier generation. Retrieved October 11, 2013 from http://www.letsmove.gov/.
Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. Journal of the American Medical Association, 303(3), 242–249. doi:10.1001/jama.2009.2012.
Ogden, C. L., & Flegal, K. M. (2010). Changes in terminology for childhood overweight and obesity. National Health Statistics Report, 25, 1–5.
Parry, L. L., Netuveli, G., Parry, J., & Saxena, S. (2008). A systematic review of parental perception of overweight status in children. Journal of Ambulatory Care Management, 31(3), 253–268.
Perrin, E. M., Jacobson Vann, J. C., Benjamin, J. T., Skinner, A. C., Wegner, S., & Ammerman, A. S. (2010). Use of a pediatrician toolkit to address parental perception of children’s weight status, nutrition, and activity behaviors. Academic Pediatrics, 10(4), 274–281. doi:10.1016/j.acap.2010.03.006.
Rhee, K. E., De Lago, C. W., Arscott-Mills, T., Mehta, S. D., & Davis, R. K. (2005). Factors associated with parental readiness to make changes for overweight children. Pediatrics, 116(1), e94–101. doi:10.1542/peds.2004-2479.
Rosas, L. G., Harley, K. G., Guendelman, S., Fernald, L. C., Mejia, F., & Eskenazi, B. (2010). Maternal perception of child weight among Mexicans in California and Mexico. Maternal and Child Health Journal, 14(6), 886–894. doi:10.1007/s10995-009-0534-6.
Sallis, J. F., Prochaska, J. J., & Taylor, W. C. (2000). A review of correlates of physical activity of children and adolescents. Medicine and Science in Sports and Exercise, 32(5), 963–975.
Trost, S. G., Sallis, J. F., Pate, R. R., Freedson, P. S., Taylor, W. C., & Dowda, M. (2003). Evaluating a model of parental influence on youth physical activity. American Journal of Preventive Medicine, 25(4), 277–282.
Tschamler, J. M., Conn, K. M., Cook, S. R., & Halterman, J. S. (2010). Underestimation of children’s weight status: Views of parents in an urban community. Clinical Pediatrics, 49(5), 470–476.
Wald, E. R., Ewing, L. J., Cluss, P., Goldstrohm, S., Cipriani, L., Colborn, D. K., et al. (2007). Parental perception of children’s weight in a paediatric primary care setting. Child: Care, Health and Development, 33(6), 738–743.
Young, P. C., DeBry, S., Jackson, W. D., Metos, J., Joy, E., Templeman, M., et al. (2010). Improving the prevention, early recognition, and treatment of pediatric obesity by primary care physicians. Clinical Pediatrics, 49(10), 964–969. doi:10.1177/0009922810370056.
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Tompkins, C.L., Seablom, M. & Brock, D.W. Parental Perception of Child’s Body Weight: A Systematic Review. J Child Fam Stud 24, 1384–1391 (2015). https://doi.org/10.1007/s10826-014-9945-0
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DOI: https://doi.org/10.1007/s10826-014-9945-0