Generational shift in parental perceptions of overweight among school-aged children

Andrew R. Hansen, Dustin Duncan, Yelena N. Tarasenko, Fei Yan, Jian Zhang

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Parental perceptions of child's weight status may influence family readiness to foster healthy behaviors. This study investigated the generational shifting of parental perceptions about children's weight.

METHODS: Data were collected in the NHANES 1988-1994 (n = 2871) and 2005-2010 (n = 3202). Parents, mainly mothers, were asked whether they considered their child, ages 6 to 11 years, to be overweight, underweight, or just about the right weight. The Centers for Disease Control and Prevention 2000 growth chart was used for reference. We ran Poisson regression to estimate the probability ratio between the 2 surveys for parents perceiving their child as overweight after controlling for actual weight.

RESULTS: The 10th percentile of BMI z scores for children who were parentally perceived as overweight shifted with statistical significance from 84th percentile of reference population in the early survey to 91st percentile of reference population in the recent survey (P < .05). The mean z score of children parentally perceived as overweight also increased between surveys with the largest increase among children from poor families (from 1.60 [SE: 0.20] to 1.98 [0.08], P < .05), followed by African Americans (from 1.65 [0.09] to 2.02 [0.05], P < .05). The probability of overweight/obese children being correctly perceived as overweight by the parents declined by 24% between surveys (probability ratio = 0.76 [95% confidence interval: 0.67-0.87]).

CONCLUSIONS: Overweight/obese children were less likely to be perceived as overweight in the recent survey compared with peers of similar weight but surveyed 10+ years earlier. The declining tendency among parents to perceive overweight children appropriately may indicate a generational shift in social norms related to body weight.

Original languageEnglish (US)
Pages (from-to)481-488
Number of pages8
JournalPediatrics
Volume134
Issue number3
DOIs
StatePublished - Sep 1 2014

Fingerprint

Parents
Weights and Measures
Weight Perception
School children
Growth Charts
Thinness
Nutrition Surveys
Centers for Disease Control and Prevention (U.S.)
African Americans
Population
Surveys and Questionnaires
Body Weight
Mothers
Confidence Intervals

Keywords

  • BMI
  • Children
  • NHANES
  • Obesity
  • Overweight
  • Parental perception
  • Social norms

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Generational shift in parental perceptions of overweight among school-aged children. / Hansen, Andrew R.; Duncan, Dustin; Tarasenko, Yelena N.; Yan, Fei; Zhang, Jian.

In: Pediatrics, Vol. 134, No. 3, 01.09.2014, p. 481-488.

Research output: Contribution to journalArticle

Hansen, Andrew R. ; Duncan, Dustin ; Tarasenko, Yelena N. ; Yan, Fei ; Zhang, Jian. / Generational shift in parental perceptions of overweight among school-aged children. In: Pediatrics. 2014 ; Vol. 134, No. 3. pp. 481-488.
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abstract = "BACKGROUND: Parental perceptions of child's weight status may influence family readiness to foster healthy behaviors. This study investigated the generational shifting of parental perceptions about children's weight.METHODS: Data were collected in the NHANES 1988-1994 (n = 2871) and 2005-2010 (n = 3202). Parents, mainly mothers, were asked whether they considered their child, ages 6 to 11 years, to be overweight, underweight, or just about the right weight. The Centers for Disease Control and Prevention 2000 growth chart was used for reference. We ran Poisson regression to estimate the probability ratio between the 2 surveys for parents perceiving their child as overweight after controlling for actual weight.RESULTS: The 10th percentile of BMI z scores for children who were parentally perceived as overweight shifted with statistical significance from 84th percentile of reference population in the early survey to 91st percentile of reference population in the recent survey (P < .05). The mean z score of children parentally perceived as overweight also increased between surveys with the largest increase among children from poor families (from 1.60 [SE: 0.20] to 1.98 [0.08], P < .05), followed by African Americans (from 1.65 [0.09] to 2.02 [0.05], P < .05). The probability of overweight/obese children being correctly perceived as overweight by the parents declined by 24{\%} between surveys (probability ratio = 0.76 [95{\%} confidence interval: 0.67-0.87]).CONCLUSIONS: Overweight/obese children were less likely to be perceived as overweight in the recent survey compared with peers of similar weight but surveyed 10+ years earlier. The declining tendency among parents to perceive overweight children appropriately may indicate a generational shift in social norms related to body weight.",
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