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. 2007 Aug;99(8):908–913.

Relationships among body mass index, parental perceptions, birthweight and parental weight after referral to a weight clinic.

Mark G Watkins 1, Kathryn M Clark 1, Carol M Foster 1, Kathleen B Welch 1, Josephine Z Kasa-Vubu 1
PMCID: PMC2574308  PMID: 17722669

Abstract

OBJECTIVE: We sought to determine whether, in a specialty referral clinic, parental perceptions of their child's obesity were commensurate with the child's body mass index z score. Secondarily, we examined the impact of birth weight and parental body mass index on their child's body mass index z score and review results of an intake questionnaire. DESIGN: Cross-sectional study SETTING: University of Michigan from March 21, 2003 through June 30, 2004 PARTICIPANTS: Eighty-two children ages 1-20.2 years of age INTERVENTION: Body mass index z score for all participants was calculated. An intake questionnaire was completed by caregivers in which they were asked to describe their child as little overweight, overweight, very overweight or obese. OUTCOME MEASURES: Mean body mass index z score was compared to each parental descriptor. Regression analysis related body mass index z score to birthweight and parental body mass index. RESULTS: Body mass index z score was not related to parental descriptors. Maternal body mass index and child birthweight were predictors of the child's body mass index z score (r2=0.15, p<0.05; and r2=0.11, p<0.05, respectively). Both together produced a better model than either alone (r2=0.23, p<0.05). There was no relationship between paternal and child body mass index z score (p>0.05). CONCLUSIONS: There is a divergence between the parental perception of childhood obesity and the clinical definition that persists even in the context of an explicit referral. Given the significant impact of maternal weight on childhood overweight, education for prevention of overweight youth should encompass prenatal, early childhood and adolescent health maintenance.

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Selected References

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  1. Baughcum A. E., Chamberlin L. A., Deeks C. M., Powers S. W., Whitaker R. C. Maternal perceptions of overweight preschool children. Pediatrics. 2000 Dec;106(6):1380–1386. doi: 10.1542/peds.106.6.1380. [DOI] [PubMed] [Google Scholar]
  2. Bray G. Drug treatment of obesity: don't throw the baby out with the bath water. Am J Clin Nutr. 1998 Jan;67(1):1–2. doi: 10.1093/ajcn/67.1.1. [DOI] [PubMed] [Google Scholar]
  3. Crossman Ashley, Anne Sullivan Deborah, Benin Mary. The family environment and American adolescents' risk of obesity as young adults. Soc Sci Med. 2006 Jul 7;63(9):2255–2267. doi: 10.1016/j.socscimed.2006.05.027. [DOI] [PubMed] [Google Scholar]
  4. Davis Matthew M., Slish Kathryn, Chao Celia, Cabana Michael D. National trends in bariatric surgery, 1996-2002. Arch Surg. 2006 Jan;141(1):71–75. doi: 10.1001/archsurg.141.1.71. [DOI] [PubMed] [Google Scholar]
  5. Dietz W. H., Gortmaker S. L. Preventing obesity in children and adolescents. Annu Rev Public Health. 2001;22:337–353. doi: 10.1146/annurev.publhealth.22.1.337. [DOI] [PubMed] [Google Scholar]
  6. Dorsey Karen B., Wells Carolyn, Krumholz Harlan M., Concato John, Concato John C. Diagnosis, evaluation, and treatment of childhood obesity in pediatric practice. Arch Pediatr Adolesc Med. 2005 Jul;159(7):632–638. doi: 10.1001/archpedi.159.7.632. [DOI] [PubMed] [Google Scholar]
  7. Farrell P. M., Kosorok M. R., Rock M. J., Laxova A., Zeng L., Lai H. C., Hoffman G., Laessig R. H., Splaingard M. L. Early diagnosis of cystic fibrosis through neonatal screening prevents severe malnutrition and improves long-term growth. Wisconsin Cystic Fibrosis Neonatal Screening Study Group. Pediatrics. 2001 Jan;107(1):1–13. doi: 10.1542/peds.107.1.1. [DOI] [PubMed] [Google Scholar]
  8. Field Alison E., Cook Nancy R., Gillman Matthew W. Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood. Obes Res. 2005 Jan;13(1):163–169. doi: 10.1038/oby.2005.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Flegal K. M., Ogden C. L., Wei R., Kuczmarski R. L., Johnson C. L. Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr. 2001 Jun;73(6):1086–1093. doi: 10.1093/ajcn/73.6.1086. [DOI] [PubMed] [Google Scholar]
  10. Freedman D. S., Dietz W. H., Srinivasan S. R., Berenson G. S. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999 Jun;103(6 Pt 1):1175–1182. doi: 10.1542/peds.103.6.1175. [DOI] [PubMed] [Google Scholar]
  11. Gallou-Kabani Catherine, Junien Claudine. Nutritional epigenomics of metabolic syndrome: new perspective against the epidemic. Diabetes. 2005 Jul;54(7):1899–1906. doi: 10.2337/diabetes.54.7.1899. [DOI] [PubMed] [Google Scholar]
  12. Gluckman Peter D., Hanson Mark A., Pinal Catherine. The developmental origins of adult disease. Matern Child Nutr. 2005 Jul;1(3):130–141. doi: 10.1111/j.1740-8709.2005.00020.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hedley Allison A., Ogden Cynthia L., Johnson Clifford L., Carroll Margaret D., Curtin Lester R., Flegal Katherine M. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004 Jun 16;291(23):2847–2850. doi: 10.1001/jama.291.23.2847. [DOI] [PubMed] [Google Scholar]
  14. Kim Juhee, Must Aviva, Fitzmaurice Garrett M., Gillman Matthew W., Chomitz Virginia, Kramer Ellen, McGowan Robert, Peterson Karen E. Incidence and remission rates of overweight among children aged 5 to 13 years in a district-wide school surveillance system. Am J Public Health. 2005 Jul 28;95(9):1588–1594. doi: 10.2105/AJPH.2004.054015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Kim Juhee, Peterson Karen E., Scanlon Kelley S., Fitzmaurice Garrett M., Must Aviva, Oken Emily, Rifas-Shiman Sheryl L., Rich-Edwards Janet W., Gillman Matthew W. Trends in overweight from 1980 through 2001 among preschool-aged children enrolled in a health maintenance organization. Obesity (Silver Spring) 2006 Jul;14(7):1107–1112. doi: 10.1038/oby.2006.126. [DOI] [PubMed] [Google Scholar]
  16. Krebs Nancy F., Jacobson Marc S., American Academy of Pediatrics Committee on Nutrition Prevention of pediatric overweight and obesity. Pediatrics. 2003 Aug;112(2):424–430. doi: 10.1542/peds.112.2.424. [DOI] [PubMed] [Google Scholar]
  17. Miller Jody C., Grant Andrea M., Drummond Bernadette F., Williams Sheila M., Taylor Rachael W., Goulding Ailsa. DXA measurements confirm that parental perceptions of elevated adiposity in young children are poor. Obesity (Silver Spring) 2007 Jan;15(1):165–171. doi: 10.1038/oby.2007.558. [DOI] [PubMed] [Google Scholar]
  18. Ogden Cynthia L., Carroll Margaret D., Curtin Lester R., McDowell Margaret A., Tabak Carolyn J., Flegal Katherine M. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006 Apr 5;295(13):1549–1555. doi: 10.1001/jama.295.13.1549. [DOI] [PubMed] [Google Scholar]
  19. Rhee Kyung E., De Lago Cynthia W., Arscott-Mills Tonya, Mehta Supriya D., Davis Renee' Krysko. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005 Jul;116(1):e94–101. doi: 10.1542/peds.2004-2479. [DOI] [PubMed] [Google Scholar]
  20. Salbe Arline D., Weyer Christian, Lindsay Robert S., Ravussin Eric, Tataranni P. Antonio. Assessing risk factors for obesity between childhood and adolescence: I. Birth weight, childhood adiposity, parental obesity, insulin, and leptin. Pediatrics. 2002 Aug;110(2 Pt 1):299–306. doi: 10.1542/peds.110.2.299. [DOI] [PubMed] [Google Scholar]
  21. Variyam J. N., Shim Y., Blaylock J. Consumer misperceptions of diet quality. J Nutr Educ. 2001 Nov-Dec;33(6):314–321. doi: 10.1016/s1499-4046(06)60353-9. [DOI] [PubMed] [Google Scholar]
  22. Wolfe W. S., Campbell C. C., Frongillo E. A., Jr, Haas J. D., Melnik T. A. Overweight schoolchildren in New York State: prevalence and characteristics. Am J Public Health. 1994 May;84(5):807–813. doi: 10.2105/ajph.84.5.807. [DOI] [PMC free article] [PubMed] [Google Scholar]

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