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Clin Pediatr (Phila). 2010 Aug;49(8):790-8. doi: 10.1177/0009922810368288. Epub 2010 Jun 3.

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

Author information

1
Johns Hopkins University School of Medicine, Baltimore, MD, USA. rhernand@health.usf.edu

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.

PMID:
20522610
DOI:
10.1177/0009922810368288
[Indexed for MEDLINE]

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