2009, Number 6
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salud publica mex 2009; 51 (6)
Validity of two tests to evaluate maternal perception of child’s weight.
Flores-Peña Y, Trejo-Ortiz PM, Gallegos-Cabriales EC, Cerda-Flores RM
Language: Spanish
References: 19
Page: 489-495
PDF size: 131.54 Kb.
ABSTRACT
Objective. To assess maternal perception of their children weight using words (PP) and using images (PI) and evaluate the validity of the two tests by determining their sensitivity and specificity.
Material and Methods. A total of 418 motherchild diads were selected from urban areas in the Monterrey, Nuevo León area. A questionnaire was administered to the mothers about perceptions regarding physical appearance and health. Sensitivity and specificity were calculated and the body mass index measurement of the child was the gold standard.
Results. Mothers underestimated overweight (SP) and obesity (OB), with 20.34% of mothers of children with SP and 7.41% of children with OB perceiving their child’s condition with the PP test, and 62.71% of mothers of children with SP and 81.48% of those of children with OB perceiving it with the PI test. The tests had 12% sensitivity and 21% specificity for PP and 75% sensitivity and 15% specificity for PI.
Conclusions. The mothers of children with SP-OB underestimate the weight of their children. Images are useful for mothers to recognize their child’s condition.
REFERENCES
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894(i-xii):1-253.
Oláiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006.
Krebs NF, Jacobson MS. American Academy of Pediatrics Committee on Nutrition. Prevention of pediatric overweight and obesity. Pediatrics 2003;112(2):424-430.
Vanhala M, Vanhala P, Kumpusalo E, Halonen P, Takala J. Relation between obesity from childhood to adulthood and the metabolic syndrome: population based study. BMJ 1998;317(7154):319.
Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición 2006. Resultados por entidad federativa, Nuevo León. Cuernavaca, México: Instituto Nacional de Salud Pública-Secretaría de Salud, 2007.
Summerbell CD, Ashton V, Campbell KJ, Edmunds L, Kelly S, Waters E. Interventions for treating obesity in children. Cochrane Database Syst Rev 2003;(3):CD001872.
Elder JP, Ayala GX, Harris S. Theories and intervention approaches to health-behavior change in primary care. Am J Prev Med 1999;17(4):275-284.
Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC, Binns HJ. Pediatric Practice Research Group. Parents’ perceptions of their child’s weight and health. Pediatrics 2006;117(3):681-690.
Genovesi S, Giussani M, Faini A, Vigorita F, Pieruzzi F, Strepparava MG, et al. Maternal perception of excess weight in children: a survey conducted by pediatricians in the province of Milan. Acta Paediatr 2005;94(6):747-752.
Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal perceptions of overweight preschool children. Pediatrics 2000;106(6):1380-1386.
Jeffery 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). BMJ 2005;330(7481):23-24.
Hirschler V, Gonzalez C, Talgham S, Jadzinsky M. Do mothers of overweight Argentinean preschool children perceive them as such? Pediatr Diabetes 2006;7(4):201-204.
Carnell S, Edwards C, Croker H, Boniface D, Wardle J. Parental perceptions of overweight in 3-5 y olds. Int J Obes (Lond) 2005;29(4):353-355.
Velasco-Rodríguez VM, Martínez-Ordaz VA, Roiz-Hernández J, Huazano-García F, Nieves-Renteria A. Muestreo y tamaño de la muestra. Una guía práctica para personal de salud que realiza investigación. México: e-libro.net, 2003:89-134.
Centers for Disease Control and Prevention [sitio de internet]. Atlanta, GA. [consultado 2009 mar 26]. Disponible en: http://www.cdc. gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
Health Decision Strategies, LLC [sitio de internet]. Health Decision Strategies, LLC Princeton, New Jersey USA. [consultado 2009 mar 26]. Disponible en: http://www.healthstrategy.com/epiperl/epiperl.htm
Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics 2003;111(5 Part 2):1226-1231.
Killion L, Hughes SO, Wendt JC, Pease D, Nicklas TA. Minority mothers’ perceptions of children’s body size. Int J Pediatr Obes 2006;1(2):96-102.
Collins ME. Body figure perceptions and preferences among preadolescent children. Int J Eat Disord 1991;10:199-208.