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Parental concerns about childhood obesity and the strategies employed to prevent unhealthy weight gain in children

Published online by Cambridge University Press:  02 January 2007

David Crawford*
Affiliation:
Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
Anna Timperio
Affiliation:
Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
Amanda Telford
Affiliation:
Division of Exercise Sciences, School of Medical Sciences, RMIT University, Melbourne, Australia
Jo Salmon
Affiliation:
Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
*
*corresponding author: Email [email protected]
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Abstract

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Objectives

To describe parental concerns about their child's weight, to determine the proportion of parents taking preventive action to avoid obesity in their children and the predictors of taking preventive action, and to describe the strategies adopted by parents.

Design

A cross-sectional survey was conducted. Children's heights and weights were measured, and parents completed a questionnaire that included measures of their own weight status, perceptions of their child's weight, concerns about their child's current weight and future weight as an adolescent and adult, and the strategies used to prevent obesity.

Setting

The study was conducted in Melbourne, Australia.

Subjects

A total of 291 families of children aged 5–6 years and 919 families of children aged 10–12 years participated.

Results

Eighty-nine per cent of parents of overweight 5–6-year-olds and 63% of parents of overweight 10–12-year-olds were unaware their child was overweight. Seventy-one per cent of parents of overweight 5–6-year-olds and 43% of parents of overweight 10–12-year-olds were not concerned about their child's current weight. Although 31% of parents of 5–6-year-olds and 43% of parents of 10–12-year-olds were taking action to prevent unhealthy weight gain in their children, less-educated parents were less likely to do so.

Conclusions

Public health programmes are required to raise parental recognition of childhood overweight and of related risk behaviours, and to provide parents with practical strategies to prevent unhealthy weight gain in their children.

Type
Research Article
Copyright
Copyright © The Authors 2006

References

1Crawford, D. Population strategies to prevent obesity. British Medical Journal 2002; 325: 728–9.Google Scholar
2National Audit Office. Tackling Obesity in England. London: The Stationery Office, 2001.Google Scholar
3US Department of Health and Human Services (DHSS). The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. Rockville, MD: DHSS, 2001.Google Scholar
4Magarey, MA, Daniels, LA, Boulton, TJC. Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Medical Journal of Australia 2001; 174: 561–4.CrossRefGoogle Scholar
5Fagot-Campagna, A. Emergence of type 2 diabetes mellitus in children: epidemiological evidence. Journal of Pediatric Endocrinology Metabolism 2000; 13S: 1395–402.Google Scholar
6Wolf, AM, Colditz, GA. Current estimates of the economic cost of obesity in the United States. Obesity Research 1998; 6: 97106.Google Scholar
7Reidpath, D, Crawford, D, Tilgner, L, Gibbons, C. Relationship between body mass index and the use of healthcare services in Australia. Obesity Research 2002; 10: 526–31.CrossRefGoogle Scholar
8World Health Organization (WHO). Obesity, Preventing and Managing the Global Epidemic. Report of the WHO Consultation on Obesity. Geneva: WHO, 1998.Google Scholar
9Hardus, PM, van Vuuren, CL, Crawford, D, Worsley, A. Public perceptions of the causes and prevention of obesity among primary school children. International Journal of Obesity and Related Metabolic Disorders 2003; 27: 1465–71.CrossRefGoogle Scholar
10Davison, KK, Birch, LL. Childhood overweight: a contextual model and recommendations for future research. Obesity Reviews 2001; 2: 159–71.Google Scholar
11Baughcum, EA, Chamberlain, LA, Deeks, CM, Powers, SW, Whitaker, RC. Maternal perceptions of overweight preschool children. Pediatrics 2000; 106: 1380–6.Google Scholar
12Etelson, D, Brand, DA, Patrick, PA, Shirali, A. Childhood obesity: do parents recognize this health risk?. Obesity Research 2003; 11: 1362–8.Google Scholar
13Jeffery, AN, Voss, LD, Metcalf, BS, Alba, S, Wilkin, TJ. Parents' awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). British Medical Journal 2005; 330: 23–4.CrossRefGoogle Scholar
14Carnell, S, Edwards, C, Croker, H, Boniface, D, Wardle, J. Parental perceptions of overweight in 3–5 y olds. International Journal of Obesity 2005; 29: 353–5.Google Scholar
15Wake, M, Salmon, L, Waters, E, Wright, M, Hesketh, K. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. International Journal of Obesity and Related Metabolic Disorders 2002; 26: 717–24.CrossRefGoogle Scholar
16Smolak, L, Levine, MP, Schermer, F. Parental input and weight concerns among elementary school children. International Journal of Eating Disorders 1999; 25: 263–71.Google Scholar
17Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1240–3.Google Scholar
18Timperio, A, Cameron-Smith, D, Burns, C, Crawford, D. The public's response to the obesity epidemic in Australia: weight concerns and weight-control practices of men and women. Public Health Nutrition 2000; 3: 417–24.Google Scholar
19Jain, A, Sherman, SN, Chamberlin, LA, Carter, Y, Powers, SW, Whitaker, RC. Why don't low-income mothers worry about their preschoolers being overweight? Pediatrics 2001; 107: 1138–46.Google Scholar
20Chamberlin, LA, Sherman, SN, Jain, A, Powers, SW, Whitaker, RC. The challenge of preventing and treating obesity in low-income, preschool children: perceptions of WIC health care professionals. Archives of Pediatrics & Adolescent Medicine 2002; 156: 662–8.Google Scholar
21Glanz, K, Burg, J, van Assema, P. Are awareness of dietary fat and actual fat consumption associated? – a Dutch–American comparison. European Journal of Clinical Nutrition 1997; 51: 542–7.Google Scholar
22Timperio, A, Burns, C, Cameron-Smith, D, Crawford, D. Fattening foods – perceptions and misconceptions. A qualitative and quantitative exploration. Journal of Nutrition and Dietetics 2003; 60: 230–8.Google Scholar
23James, J, Thomas, P, Cavan, D, Kerr, D. Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. British Medical Journal 2004; 328: 1237.Google Scholar
24Robinson, T. Reducing children's television viewing to prevent obesity. Journal of the American Medical Association 1999; 282: 1561–6.Google Scholar
25Commonwealth Department of Health and Ageing. Australia's Physical Activity Recommendations for 5–12 Year Olds. Canberra: Commonwealth of Australia, 2004.Google Scholar