Objectives. To determine parental rankings of known factors related to early-childhood obesity and compare reports between parents of healthy weight and overweight children. Methods. Parents of 2- to 5-year-old children seeking well-child care ranked card-sort statements including risks, barriers, and motivating factors for achieving a healthy weight child. Frequencies and means of ranked factors are reported and compared. Results. Of the 150 participants, few parents (7.4%) considered low levels of physical activity a top risk factor compared with other known risks. Inability to control the food choices of alternate caregivers was the greatest perceived barrier to achieving a healthy child weight (34%). There were no differences in rankings by child weight groups. Conclusion. Low-income parents of preschoolers are aware of high-risk feeding behaviors, but few recognize the risk of inactivity in their young child. Innovations that promote adequate physical activity and engage influential caregivers during counseling are necessary.
- card sort
- motivational interviewing
- parental values
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health