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Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers.
Eur J Clin Nutr. 2012 Feb; 66(2):216-23.EJ

Abstract

OBJECTIVES

To identify modifiable risk factors for obesity among low socioeconomic status (LSES) children.

METHODS

Cross-sectional data were obtained from 238 4-7-year-old children and 224 mothers from LSES preschools. Anthropometric measurements were obtained; mothers were interviewed about sociodemographic characteristics, health behaviors, perceptions and beliefs.

RESULTS

The combined prevalence of overweight and obesity (OWOB) among children was 29.8% based on the new World Health Organization (WHO) growth standard. Prevalence of OWOB (body mass index ≥25) among mothers was 51.8%. Mean age, sleeping hours, gender distribution and poverty level were similar between normal and OWOB children. Over 82% of mothers underestimated their child's weight status. Of the 62 OWOB children, 74.2% were perceived by their mothers as having 'normal weight' (NW) and 8% were perceived as 'thin'. Mothers perceived 67 out of 158 NW children (42.4%) as 'thin' (P<0.001). Mediation analysis indicated that 10% of the effect of maternal underestimation on child's OWOB may be mediated through child's daily sedentary hours (P=0.06). In a multivariable logistic-regression analysis controlling for maternal obesity, knowledge regarding breakfast's importance and child's daily sedentary hours, maternal underestimation of the child's weight status (odds ratio=7.33; 95% confidence interval (CI):2.41-22.37; P<0.0001) and parental smoking (odds ratio=3.25; 95% CI: 1.26-8.40; P=0.015) were the only significant factors associated with OWOB in LSES children.

CONCLUSIONS

Maternal perception of child's weight status and parental smoking are associated with childhood OWOB among LSES children. These parameters can help identify children at risk for obesity. Maternal perception may be amenable to intervention.

Authors+Show Affiliations

The S. Daniel Abraham International Center for Health and Nutrition, Department of Epidemiology and Health Evaluation Ben-Gurion University of the Negev, Beer-Sheva, Israel. veredks@bgu.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21811292

Citation

Kaufman-Shriqui, V, et al. "Maternal Weight Misperceptions and Smoking Are Associated With Overweight and Obesity in Low SES Preschoolers." European Journal of Clinical Nutrition, vol. 66, no. 2, 2012, pp. 216-23.
Kaufman-Shriqui V, Fraser D, Novack Y, et al. Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers. Eur J Clin Nutr. 2012;66(2):216-23.
Kaufman-Shriqui, V., Fraser, D., Novack, Y., Bilenko, N., Vardi, H., Abu-Saad, K., Elhadad, N., Feine, Z., Mor, K., & Shahar, D. R. (2012). Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers. European Journal of Clinical Nutrition, 66(2), 216-23. https://doi.org/10.1038/ejcn.2011.144
Kaufman-Shriqui V, et al. Maternal Weight Misperceptions and Smoking Are Associated With Overweight and Obesity in Low SES Preschoolers. Eur J Clin Nutr. 2012;66(2):216-23. PubMed PMID: 21811292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal weight misperceptions and smoking are associated with overweight and obesity in low SES preschoolers. AU - Kaufman-Shriqui,V, AU - Fraser,D, AU - Novack,Y, AU - Bilenko,N, AU - Vardi,H, AU - Abu-Saad,K, AU - Elhadad,N, AU - Feine,Z, AU - Mor,K, AU - Shahar,D R, Y1 - 2011/08/03/ PY - 2011/8/4/entrez PY - 2011/8/4/pubmed PY - 2012/6/19/medline SP - 216 EP - 23 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 66 IS - 2 N2 - OBJECTIVES: To identify modifiable risk factors for obesity among low socioeconomic status (LSES) children. METHODS: Cross-sectional data were obtained from 238 4-7-year-old children and 224 mothers from LSES preschools. Anthropometric measurements were obtained; mothers were interviewed about sociodemographic characteristics, health behaviors, perceptions and beliefs. RESULTS: The combined prevalence of overweight and obesity (OWOB) among children was 29.8% based on the new World Health Organization (WHO) growth standard. Prevalence of OWOB (body mass index ≥25) among mothers was 51.8%. Mean age, sleeping hours, gender distribution and poverty level were similar between normal and OWOB children. Over 82% of mothers underestimated their child's weight status. Of the 62 OWOB children, 74.2% were perceived by their mothers as having 'normal weight' (NW) and 8% were perceived as 'thin'. Mothers perceived 67 out of 158 NW children (42.4%) as 'thin' (P<0.001). Mediation analysis indicated that 10% of the effect of maternal underestimation on child's OWOB may be mediated through child's daily sedentary hours (P=0.06). In a multivariable logistic-regression analysis controlling for maternal obesity, knowledge regarding breakfast's importance and child's daily sedentary hours, maternal underestimation of the child's weight status (odds ratio=7.33; 95% confidence interval (CI):2.41-22.37; P<0.0001) and parental smoking (odds ratio=3.25; 95% CI: 1.26-8.40; P=0.015) were the only significant factors associated with OWOB in LSES children. CONCLUSIONS: Maternal perception of child's weight status and parental smoking are associated with childhood OWOB among LSES children. These parameters can help identify children at risk for obesity. Maternal perception may be amenable to intervention. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/21811292/Maternal_weight_misperceptions_and_smoking_are_associated_with_overweight_and_obesity_in_low_SES_preschoolers_ L2 - https://doi.org/10.1038/ejcn.2011.144 DB - PRIME DP - Unbound Medicine ER -