Parents' healthy weight perceptions and preferences regarding obesity counseling in preschoolers: pediatricians matter.

Abstract:

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.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Hernandez RG,Cheng TL,Serwint JR

doi

10.1177/0009922810368288

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

790-8

issue

8

eissn

0009-9228

issn

1938-2707

pii

0009922810368288

journal_volume

49

pub_type

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