Zonana-Nacacha A, Conde-Gaxiola ME

Language: Spanish
References: 25
Page: 165-168
PDF size: 72.11 Kb.

ABSTRACT

Objective: Assess mother’s perceptions of their children’s weight.
Methods: Cross-sectional study. We included demographic variables and children’s height and weight and used a series of sketches to assess the mother‘s perception. Among overweight or obese children we collected blood samples to determine glucose, cholesterol and triglycerides levels.
Results: Of the 525 children, 52% were female with an average age of 6.4± 3.2 years. Thirteen and 17% of participating children were overweight or obese. There was a higher frequency of obese children if the mother was obese. Fifty seven percent of the mothers correctly assessed their children’s weight. Among 357 children with normal weight children, 64% of the mothers perceived their child weight as normal. Of the 72 overweight children, only 29% believed that their child was overweight and of the 90 obese children, 52% of mothers perceived them as obese. Mothers of male children significantly perceived a higher weight for their children than mothers with female children (56 versus 45.6%, p = 0.001). Among overweight and obese children, the frequency of hyperglycemia, hypercholesterolemia and hipertriglyceridemia was 9, 2.3 y 3.8% respectively.
Conclusions: Half of the mothers that we surveyed failed to perceive their child’s weight. A better understanding of how mothers perceive the problem of excess weight in their children is needed in order to achieve success in preventive interventions of childhood obesity.

REFERENCES

1. Heude B, Kettaneh A, Rakotovao R, Bresson JL, Borys JM, DucimetiereP, et al. Anthropometric relationships between parents and children throughout childhood: the Fleurbaix-Laventie Ville Sante Study. Int J Obes 2005;29:1222-1229.

2. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents 1999-2000. JAMA 2002;288:1728-1732.

3. Gauthier BM, Hickner JM, Ornstein S. High prevalence of overweight children and adolescents in the Practice partner Research Network. Arch Pediatr Adolesc Med 2000;154:625-628.

4. Strauss RS, Pollack HA. Epidemic increase childhood overweight, 1986- 1998. JAMA 2001;286:2845-2848.

5. Amigo H. Obesity in the Latin American children: situation, diagnostic criteria and challenges. Cad Saude Publica 2003;19(Supl 1):S1633-S1670.

6. Hernández B, Peterson K, Sobol A, Rivera J, Sepúlveda J, Lezana MA. Overweight in 12-49 year-old women and children under 5 years of age in Mexico. Salud Publica Mex 1996;38:178-188.

7. Hernández B, Cuevas Nasu L, Shamah-Levy , Monterrubio EA, Ramírez- Silva CL, García-Feregrino R, et al. Factors associated with overweight and obesity in Mexican school-age children: Results from the National Survey 1999. Salud Publica Mex 2003;45(Suppl 4):S551-S557.

8. Peña-Reyes ME, Cárdenas-Barahona EE, Cahuich MB, Barragán A, Malina RM. Growth status in children 6-12 years from two different geographic regions in Mexico. Ann Hum Biol 2002;29:11-25.

9. Jiménez-Cruz A, Bacardí-Gascón M, Spindler AA. Obesity and hunger among Mexican-Indian migrant children on the US-Mexican Border. Int J Obes Relat Metab Disord 2003;27:740-747.

10. Hernández B, Gortmaker SL, Colditz GA, Peterson KE, Laird NM, Parra- Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obes Relat Metab Disord 1999;23:845-854.

11. del Río-Navarro BE, Velázquez-Monroy O, Sánchez-Castillo CP, Laura- Esqueda A, Berber A, Fanghanel G, et al. The high prevalence of overweight and obesity in Mexican children. Obes Res 2004;12:215-223.

12. Manchaca-Martín P, Zonana-Nacach A. Obesity in Mexican children from the Northern border. Salud Publica Mex 2006;48:1.

13. Campbell MW, Williams J, Hampton A, Wake M. Maternal concern and perceptions of overweight in Australian preschool-aged children. Med J Aust 2006;184:274-277.

14. Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal perceptions of overweight preschool children. Pediatrics 2000;106:1380-1386.

15. Ohzeki T, Ohtahara H, Hanaki K, Urashima H, Tsukuda T, Tanaka Y, Shiraki K. Maternal perception of children´s weight in relation to eating disorders. Acta Psychiatr Scand 1996;94:279-280.

16. Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics 2003;111:1226-1231.

17. 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;94:747-752.

18. Hirscler V, González C, Talgham S, Fadzinky M. Do mothers of overweight Argentinean preschool children perceive them as such? Pediatric Diabetes 2006;7:201-204.

19. Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC, Binns HJ. Parents’ perceptions of their child’s weight and health. Pediatrics 2006;117:681- 690.

20. Etelson D, Brand DA, Patrick PA, Shirali A. Childhood obesity: do parents recognize this health risk. Obes Res 2003;11:1362-1368.

21. Carnell S, Edwards C, Croker H, Boniface D, Wardle J. Parenteral perception of overweight in 3-5 olds. Int J Obes 2005;29:353-355.

22. Olvera N Suminski R, Power TG. Intergenerational perceptions of body image in Hispanics: role of BMI, gender, and acculturation. Obes Res 2005;13:1970-1979.

23. Cole TJ, Bellizzi SM, Flegal KM, Dietz WH. Establishing a standard definition for a child overweight and obesity world wide: International survey. BMJ 2000;320:1240-1243.

24. Higgins PB, Gower Ba, Hunter GR, Goran MI. Defining health-related obesity in prepurbetal children. Obesity Res 2001;9:233-240.

25. Dietz HW. overweight in childhood and adolescence. New Engl J Med 2004¸350:855-887.