Maternal perception of child overweight status and its association with weight-related parenting practices, their children’s health behaviours and weight change in China

Jungwon Min, Vivian HC Wang, Hong Xue, Jie Mi, Youfa Wang

Research output: Contribution to journalArticle

Abstract

Objective: Childhood obesity has increased rapidly in China, but understanding is limited on how parents perceive their child’s weight status and how this perception affects weight-related parenting practices. We examined maternal perception of her child’s weight status and its association with demographics, subsequent weight-related parenting practices, the child’s health behaviours and weight change. Design/Setting/Subjects: Maternal perception of child’s weight status and health behaviours from the China Health and Nutrition Surveys were assessed at baseline and in follow-up surveys for 816 children aged 6–18 years during 2004–2011. Associations were tested using mixed models. Results: Overall, maternal and child perceptions of the child’s weight status were fairly consistent (κ w=0·56), 63·8 % of mothers had correct perception. While 9·6 % of mothers perceived their child as overweight, 10·9 % of children did so, and 13·6 % of children were indeed overweight. Compared with mothers who viewed their children as normal weight, mothers who thought their children were overweight were more likely to encourage their children to increase their physical activity (OR; 95 % CI: 1·8; 1·0, 3·3) and to diet (4·3; 2·3, 7·8). Children perceived as overweight by their mothers were more likely to have insufficient physical activity (2·8; 1·6, 4·7) and gain more weight during follow-up (BMI Z-score, β (se): 1·0 (0·1); P<0·01) than children perceived by their mothers as normal weight. Conclusions: In China, mothers who perceive their child as overweight are more likely to encourage their child to exercise and modify their diet for weight management, but this encouragement does not seem to improve the child’s health behaviours and weight status.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalPublic Health Nutrition
DOIs
StateAccepted/In press - Jun 6 2017
Externally publishedYes

Fingerprint

Health Behavior
Parenting
China
Mothers
Weights and Measures
Weight Perception
Child Health
Child Behavior
Exercise
Diet
Nutrition Surveys
Pediatric Obesity
Health Surveys
Weight Gain

Keywords

  • Child weight status
  • Health-related behaviour
  • Maternal perception
  • Obesity
  • Parenting

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Maternal perception of child overweight status and its association with weight-related parenting practices, their children’s health behaviours and weight change in China. / Min, Jungwon; Wang, Vivian HC; Xue, Hong; Mi, Jie; Wang, Youfa.

In: Public Health Nutrition, 06.06.2017, p. 1-8.

Research output: Contribution to journalArticle

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abstract = "Objective: Childhood obesity has increased rapidly in China, but understanding is limited on how parents perceive their child’s weight status and how this perception affects weight-related parenting practices. We examined maternal perception of her child’s weight status and its association with demographics, subsequent weight-related parenting practices, the child’s health behaviours and weight change. Design/Setting/Subjects: Maternal perception of child’s weight status and health behaviours from the China Health and Nutrition Surveys were assessed at baseline and in follow-up surveys for 816 children aged 6–18 years during 2004–2011. Associations were tested using mixed models. Results: Overall, maternal and child perceptions of the child’s weight status were fairly consistent (κ w=0·56), 63·8 {\%} of mothers had correct perception. While 9·6 {\%} of mothers perceived their child as overweight, 10·9 {\%} of children did so, and 13·6 {\%} of children were indeed overweight. Compared with mothers who viewed their children as normal weight, mothers who thought their children were overweight were more likely to encourage their children to increase their physical activity (OR; 95 {\%} CI: 1·8; 1·0, 3·3) and to diet (4·3; 2·3, 7·8). Children perceived as overweight by their mothers were more likely to have insufficient physical activity (2·8; 1·6, 4·7) and gain more weight during follow-up (BMI Z-score, β (se): 1·0 (0·1); P<0·01) than children perceived by their mothers as normal weight. Conclusions: In China, mothers who perceive their child as overweight are more likely to encourage their child to exercise and modify their diet for weight management, but this encouragement does not seem to improve the child’s health behaviours and weight status.",
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