Childhood obesity: Facts and parental perceptions

Abbas,Nivine; Rouaiheb,Hiba; Saliba,Jessica; El‑Bikai,Rana

doi:10.3892/wasj.2023.215

Childhood obesity: Facts and parental perceptions

Authors:
- Nivine Abbas
- Hiba Rouaiheb
- Jessica Saliba
- Rana El‑Bikai
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Affiliations: Department of Public Health, Faculty of Health Sciences, University of Balamand, Beirut 1533, Lebanon, Department of Nutritional Sciences, Faculty of Health Sciences, University of Balamand, Beirut 1533, Lebanon
Published online on: November 14, 2023 https://doi.org/10.3892/wasj.2023.215
Article Number: 38
Copyright : © Abbas et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

The present study aimed to depict the parental perception of children's weight status and associated health risks. The present study was a cross‑sectional study collecting anthropometric measures among children and data using a parental survey in 2020‑2021 in private elementary schools. A total of 191 subjects were eligible for analysis. The body mass index of the children and parents was calculated. The perceived child weight status was compared to the actual weight status. Parental knowledge of obesity‑related health risks and sources of concerns was assessed using a scoring system. Quantitative variables were reported as average, standard deviation, first and third quartiles. Qualitative variables were reported as frequencies and percentages. Statistical tests were used to assess significance levels, set at P<0.05. More than half of the children were overweight (30%) or obese (25%). However, the parents underestimated their child's weight status (61%) and were unconcerned about them becoming overweight (52%), despite solid knowledge about the related health risks. The maternal weight status was associated with the underestimation of child weight (P=0.0068). Being overweight did not rank high on sources of parental concerns. It is thus suggested that parents need to be made aware of their child's weight status. Efforts are needed to spread awareness about childhood obesity health risks.

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1	Lee JS, Jin MH and Lee HJ: Global relationship between parent and child obesity: A systematic review and meta-analysis. Clin Exp Pediatr. 65:35–46. 2022.PubMed/NCBI View Article : Google Scholar
2	Mead E, Brown T, Rees K, Azevedo LB, Whittaker V, Jones D, Olajide J, Mainardi GM, Corpeleijn E, O'Malley C, et al: Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years. Cochrane Database Syst Rev. 6(CD012651)2017.PubMed/NCBI View Article : Google Scholar
3	World Health Organization (WHO): Report of the commission on ending childhood obesity. In: Ending Childhood Obesity. World Health Organization, Geneva, Switzerland, 2016.
4	de Onis M, Blössner M and Borghi E: Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 92:1257–1264. 2010.PubMed/NCBI View Article : Google Scholar
5	Mallat S, Geagea A, Jurjus R, Rizkallah A, Oueidat D, Matar M, Tawilah J, Berbari A and Jurjus A: Obesity in Lebanon: A national problem. World J Cardiovasc Dis. 6:166–174. 2016.
6	World Health Organization (WHO): Obesity and overweight factsheet. World Health Organization, Geneva, Switzerland, 2021. Accessed Febr 25, 2023. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
7	Moussa H, Salameh P, Barakat S, Farfour I, Dana R and Abou Merhi B: Parents perception of childhood overweight and obesity and their attitude toward behaviour and lifestyle changes: A 2020 study on a lebanese population. Clin Pediatr. 6(171)2021.
8	Sibai AM, Hwalla N, Adra N and Rahal B: Prevalence and covariates of obesity in Lebanon: Findings from the first epidemiological study. Obes Res. 11:1353–1361. 2003.PubMed/NCBI View Article : Google Scholar
9	Nasreddine L, Naja F, Akl C, Chamieh MC, Karam S, Sibai AM and Hwalla N: Dietary, lifestyle and socio-economic correlates of overweight, obesity and central adiposity in Lebanese children and adolescents. Nutrients. 6:1038–1062. 2014.PubMed/NCBI View Article : Google Scholar
10	Skinner AC and Skelton JA: Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012. JAMA Pediatr. 168:561–566. 2014.PubMed/NCBI View Article : Google Scholar
11	Wright DR, Lozano P, Dawson-Hahn E, Christakis DA, Haaland WL and Basu A: Parental predictions and perceptions regarding long-term childhood obesity-related health risks. Acad Pediatr. 16:475–481. 2016.PubMed/NCBI View Article : Google Scholar
12	Doolen J, Alpert PT and Miller SK: Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research. J Am Acad Nurse Pract. 21:160–166. 2009.PubMed/NCBI View Article : Google Scholar
13	Lobstein T, Baur L and Uauy R: IASO International Obesity TaskForce. Obesity in children and young people: A crisis in public health. Obes Rev. 5 (Suppl 1):S4–S104. 2004.PubMed/NCBI View Article : Google Scholar
14	Musaiger AO: Overweight and obesity in the Eastern Mediterranean Region: can we control it? East Mediterr Health J. 10:789–793. 2004.PubMed/NCBI
15	Ashraf H, Shamsi NI and Ashraf R: Parental perception and childhood obesity: Contributors to incorrect perception. J Pak Med Assoc. 67:214–219. 2017.PubMed/NCBI
16	Pocock M, Trivedi D, Wills W, Bunn F and Magnusson J: Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: A systematic review of qualitative studies. Obes Rev. 11:338–353. 2010.PubMed/NCBI View Article : Google Scholar
17	Black JA, Park M, Gregson J, Falconer CL, White B, Kessel AS, Saxena S, Viner RM and Kinra S: Child obesity cut-offs as derived from parental perceptions: Cross-sectional questionnaire. Br J Gen Pract. 65:e234–e239. 2015.PubMed/NCBI View Article : Google Scholar
18	Carnell S, Edwards C, Croker H, Boniface D and Wardle J: Parental perceptions of overweight in 3-5 y olds. Int J Obes (Lond). 29:353–355. 2005.PubMed/NCBI View Article : Google Scholar
19	He M and Evans A: Are parents aware that their children are overweight or obese? Do they care? Can Fam Physician. 53:1493–1499. 2007.PubMed/NCBI
20	Rietmeijer-Mentink M, Paulis WD, van Middelkoop M, Bindels PJ and van der Wouden JC: Difference between parental perception and actual weight status of children: A systematic review. Matern Child Nutr. 9:3–22. 2013.PubMed/NCBI View Article : Google Scholar
21	Baughcum AE, Chamberlin LA, Deeks CM, Powers SW and Whitaker RC: Maternal perceptions of overweight preschool children. Pediatrics. 106:1380–1386. 2000.PubMed/NCBI View Article : Google Scholar
22	Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC and Binns HJ: Pediatric Practice Research Group. Parents' perceptions of their child's weight and health. Pediatrics. 117:681–690. 2006.PubMed/NCBI View Article : Google Scholar
23	Myers S and Vargas Z: Parental perceptions of the preschool obese child. Pediatr Nurs. 26:23–30. 2000.PubMed/NCBI
24	Sylvetsky-Meni AC, Gillepsie SE, Hardy T and Welsh JA: The impact of parents' categorization of their own weight and their child's weight on healthy lifestyle promoting beliefs and practices. J Obes. 2015(307381)2015.PubMed/NCBI View Article : Google Scholar
25	White DA, Rofey DL, Kriska AM, Venditti EM, Barone Gibbs B, Gallagher JD and Jakicic JM: The impact of expressing concern for a child's weight on the parents' perception of child weight and the parents concern for future weight problems. J Child Obes. 1(23)2016.
26	World Health Organization (WHO): A healthy lifestyle-WHO recommendations. World Health Organization, Geneva, Switzerland, 2010. https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle-who-recommendations. Accessed February 15, 2023.
27	de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C and Siekmann J: Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 85:660–667. 2007.PubMed/NCBI View Article : Google Scholar
28	Rodrigues D, Machado-Rodrigues AM and Padez C: Parental misperception of their child's weight status and how weight underestimation is associated with childhood obesity. Am J Hum Biol. 32(e23393)2020.PubMed/NCBI View Article : Google Scholar
29	Karmali S, Battram DS, Burke SM, Cramp A, Johnson AM, Mantler T, Morrow D, Ng V, Pearson ES, Petrella RJ, et al: Perspectives and impact of a parent-child intervention on dietary intake and physical activity behaviours, parental motivation, and parental body composition: A randomized controlled trial. Int J Environ Res Public Health. 17(6822)2020.PubMed/NCBI View Article : Google Scholar
30	Peyer KL, Welk G, Bailey-Davis L, Yang S and Kim JK: Factors associated with parent concern for child weight and parenting behaviors. Child Obes. 11:269–274. 2015.PubMed/NCBI View Article : Google Scholar
31	Jain A, Sherman SN, Chamberlin LA, Carter Y, Powers SW and Whitaker RC: Why don't low-income mothers worry about their preschoolers being overweight? Pediatrics. 107:1138–1146. 2001.PubMed/NCBI View Article : Google Scholar
32	Taylor RW, Williams SM, Dawson AM, Haszard JJ and Brown DA: Parental motivation to change body weight in young overweight children. Public Health Nutr. 18:1807–1814. 2015.PubMed/NCBI View Article : Google Scholar
33	Jiang J, Rosenqvist U, Wang H, Greiner T, Lian G and Sarkadi A: Influence of grandparents on eating behaviors of young children in Chinese three-generation families. Appetite. 48:377–383. 2007.PubMed/NCBI View Article : Google Scholar
34	Lau JD, Au LY, Chao E, Elbaar L and Tse R: The association of grandparent care with childhood overweight and obesity in Chinese American families. Child Obes. 15:14–20. 2019.PubMed/NCBI View Article : Google Scholar
35	Farrow C: A comparison between the feeding practices of parents and grandparents. Eat Behav. 15:339–342. 2014.PubMed/NCBI View Article : Google Scholar
36	Lindberg L, Ek A, Nyman J, Marcus C, Ulijaszek S and Nowicka P: Low grandparental social support combined with low parental socioeconomic status is closely associated with obesity in preschool-aged children: A pilot study. Pediatr Obes. 11:313–316. 2016.PubMed/NCBI View Article : Google Scholar
37	Etelson D, Brand DA, Patrick PA and Shirali A: Childhood obesity: Do parents recognize this health risk? Obes Res. 11:1362–1368. 2003.PubMed/NCBI View Article : Google Scholar
38	Golan M and Crow S: Parents are key players in the prevention and treatment of weight-related problems. Nutr Rev. 62:39–50. 2004.PubMed/NCBI View Article : Google Scholar
39	Wolfenden L, Bell C, Wiggers J, Butler M, James E and Chipperfield K: Engaging parents in child obesity prevention: Support preferences of parents. J Paediatr Child Health. 48:E4–E6. 2012.PubMed/NCBI View Article : Google Scholar
40	Colley RC, Garriguet D, Janssen I, Craig CL, Clarke J and Tremblay MS: Physical activity of Canadian adults: Accelerometer results from the 2007 to 2009 Canadian health measures survey. Health Rep. 22:7–14. 2011.PubMed/NCBI
41	Lindsay AC, Sussner KM, Kim J and Gortmaker S: The role of parents in preventing childhood obesity. Future Child. 16:169–186. 2006.PubMed/NCBI View Article : Google Scholar
42	Ash T, Agaronov A, Young TL, Aftosmes-Tobio A and Davison KK: Family-based childhood obesity prevention interventions: A systematic review and quantitative content analysis. Int J Behav Nutr Phys Act. 14(113)2017.PubMed/NCBI View Article : Google Scholar