Parents' perceptions about weights of their children

Yıl 2014, Cilt: 16 Sayı: 2, 11 - 20, 01.08.2014

Ebru Kılıçarslan-törüner Sultan Ayaz Sevim Savaşer

Öz

Objective: This study was conducted to compare children’s actual weight status with their mothers’ and fathers’ perceptions. Method: In this cross-sectional descriptive study, 740 children in grades 1 to 5, 736 mothers and 712 fathers of these children were included. Children’s weight and height were measured and BMIs were calculated. Result: Children’s actual weight status 8% underweight and 20.1% overweight or obese was different from mothers’ and fathers’ perceptions p < 0.05 . Parents were more likely to perceive the actual weight as being underweight than as being overweight or obese. Factors such as parental age, parental body mass indexes, child gender, child age were not associated with parental ability to perceive their children weight status accurately. Conclusion: Most of the parents have not recognized the overweight or obesity in their children. Nurses should developed appropriate and effective strategies to help parents recognize their children’s actual weight status. Preventing the parental misperception about their overweight or obese children as underweight or healthy by education could lead to achievement of healthy life-styles regarding nutrition, physical activity and time spent for TV watching

Anahtar Kelimeler

Child, parent, weight, perception, pediatric nursing

Anne babaların çocuklarının kiloları hakkındaki algıları

Öz

Amaç: Bu çalışma, çocukların ölçülen vücut ağırlığı durumları ile anne ve babalarının algılarının karşılaştırılması amacıyla gerçekleştirilmiştir. Yöntem: Bu kesitsel tanımlayıcı çalışmaya 1-5. sınıflardan 740 çocuk, 736 anne ve 712 baba dahil edilmiştir. Çocukları vücut ağırlıkları ve boy uzunlukları ölçüldükten sonar vücut kitle indeksleri hesaplanmıştır. Bulgular: Çocukların ölçülen vücut ağırlığı durumları %8 az kilolu and %20,1 obezite yönünden risk ya da obez annelerin ve babaların algılarından farklı bulunmuştur p < 0,05 . Ebeveynlerin çocuklarının gerçek vücut ağırlıklarını genellikle obezite yönünden risk ya da obez olma durumuna göre daha çok az kilolu olarak algıladıkları belirlenmiştir. Ebeveynin yaşı, ebeveynin vücut kitle indeksi, çocuğun cinsiyeti, çocuğun yaşı gibi faktörler ebeveynlerin çocuklarının vücut ağırlığı durumlarını doğru olarak algılama kabiliyetleriyle ilişkili bulunmamıştır. Sonuç: Çoğu ebeveyn çocuklarında obezite yönünden risk ya da obezite durumunu fark edememişlerdir. Hemşireler, ebeveynlerin çocuklarının gerçek vücut ağırlığı durumlarını anlamalarına yardımcı olmada uygun ve etkili stratejiler geliştirmelidirler. Ebeveynlerin obezite yönünden riskli ya da obez çocuklarını az kilolu ya da sağlıklı olarak yanlış algılamalarının eğitimle önlenmesi beslenme, fiziksel aktivite ve ekran karşısında geçirilen zamana yönelik sağlıklı yaşam stillerinin başarılmasında yol gösterici olabilir

Anahtar Kelimeler

Çocuk, anne baba, ağırlık. Algılama, pediatri hemşireliği

Kaynakça

• Ogden CL, Carroll MD, Flegal KM. Epidemiologic trends in overweight and obesity. Endocrinol Metab Clin North Am 2003;32(4):741–760.
• European Commission[Online]. In R. D’Amario, I. Froidmont-Görtz (Eds.), The fight against obesity. Belgium 3-4. Available from: http://ec.europa.eu/research/biosociety/pdf/brochure_nutrition_and_obesity.pdf (2005), (Accessed 2014 Oct 28).
• He M, Beyhon C. Prevalence of overweight and obesity in school-aged children. Can J Diet Pract Res 2006;67(3):125–130.
• International Association for the Study of Obesity [Online]. Childhood obesity. Available from: http://www.iaso.org/resources/aboutobesity/child-obesity/, (Accessed 2013 May 12).
• Oztora S, Hatipoglu S, Barutcugil MB, Salihoglu B, Yildirim R, Sevketoglu E. İlköğretim çağındaki çocuklarda obesite prevalansının belirlenmesi ve risk faktörlerinin araştırılması [Estimating the prevalence of obesity and related risk factors for the primary school children]. Bakırköy Tıp Derg [Med J Bakırkoy] 2006;2(1):11–14.
• Simsek F, Ulukol B, Berberoglu M, Gulnar SB, Adiyaman P, Ocal G. Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı [Obesity prevalence in a primary school and a high school in Ankara]. Ankara Üniv Tıp Fak Mecm [J Ankara Univ Med Fac] 2005;58(4):163–166.
• Gonzalez JL, Gilmer L. Obesity prevention in pediatrics: A pilot pediatric resident curriculum intervention on nutrition and obesity education and counseling. J Natl Med Assoc 2006;98(9):1483–1488.
• Reilly JJ. Descriptive epidemiology and health consequences of childhood obesity. Child Obes 2005;19(3):327–341.
• Boardman JD, Hummer RA, Padilla Y, Powers D. Low birth weight, social factors, and developmental outcomes among children in the United States. Demograpy 2002;39:353–368.
• Fertig A, Glomm G, Tchernis R. [Online]. The connection between maternal employment and childhood obesity: Inspecting the mechanism (2005). Available from: http://www.paa2006.princeton.edu/download.aspx (Accessed 2013 June 15).
• Etelson D, Brand D, Patrick P, Shirali A. Childhood obesity: Do parents recognize this health risk?. Obes Res 2003;11:1362– 1368.
• Lobstein T, Baur LA. Policies to prevent childhood obesity in the European Union. Eur J Public Health 2005;15(6):576–579.
• Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing clinical research – An epidemiologic approach (3th ed.). Philadelphia: Lippincott Williams and Wilkins, 2007; 128-132.
• Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal perceptions of overweight preschool children. Pediatrics 2000;106(6):1380–1386.
• Campbell MW, Williams J, Hampton A, Wake M. Maternal concern and perceptions of overweight in Australian preschool- aged children. Med J Aust 2006;184(6):274–277.
• Hackie M, Bowles CL. Maternal perception of their overweight children. Public Health Nurs 2007;24(6):538–546.
• Neyzi O, Gunoz H, Furman A, Bundak R, Gokcay G, Darendeliler F, Bas F. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri [Weight, height, head circumference and body mass index references for Turkish children]. Çocuk Sağ Hast Derg [J Child Health Illness] 2008;51(1):1–14.
• Centers for Disease Control and Prevention (CDC) [Online]. Healthy weight: About BMI for children and teens (2011). Available from: http://www.cdc.gov/healthyweight/ assessing/bmi/childrens_bmi/about_childrens_bmi.html (Accessed 2013 July 08). 19. World Health Organization (WHO) [Online]. Obesity and overweight (2005). Available from: http://www.who.int/dietphysicalactivity/publications/facts/obesity/en/ (Accessed 2013 July 07).
• Fleiss JL. Statistical methods for rates and proportions (2nd ed.). New York: John Wiley, 1981; 240-265.
• Bungum T, Satterwhite M, Jackson AW, Morrow JR. The relationship of body mass index, medical costs, and job absenteeism. Am J Health Behav 2003;27(4):456–462.
• Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005;4(24):1–8.
• Gunoz H, Saner G, Demirkol M, Gokcay G, Huner G, Garibagaoglu M. Beslenme ve beslenme bozuklukları [Feeding and feeding disorders]. In O Neyzi, T Ertugrul (Eds.), Pediatri [Pediatrics] (Issue I, 3th ed.). Ankara: Nobel Tıp Publication, 2002; 167-248.
• de Hoog ML, Stronks K, van Eijsden M, Gemke RJ, Vrijkotte TG. Ethnic differences in maternal underestimation of offspring's weight: the ABCD study. Int J Obes 2012;36(1):53-60.
• Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics 2003;111(5):1226–1231.
• Tschamler JM, Conn KM, Cook SR, Halterman JS. Underestimation of children's weight status: Views of parents in an urban community. Clin Pediatr 2010;49(5):470–476.
• Crawford P, Gosliner W, Anderson C, Strode P, Becerra-Jones Y, Samuels S, Carroll AM, Ritchie LD. Counseling Latina mothers of preschool children about weight issues: Suggestions for a new framework. J Am Diet Assoc 2004;104(3):387–394.
• Toruner EK, Savaser S. A controlled evaluation of a school-based obesity prevention in Turkish school children. J School Nurs 2010;26(6):473–482.