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Maternal concern and perceptions of overweight in Australian preschool-aged children

Michele W-C Campbell, Joanne Williams, Anne Hampton and Melissa Wake
Med J Aust 2006; 184 (6): 274-277.

Summary

Objective: To assess maternal concern about overweight in Australian preschool-aged children and factors predicting maternal concern about children’s current and future weight status.

Design: Cross-sectional survey of child’s body mass index and parent questionnaire.

Setting:

Participants: A community-based cohort of 324 4-year-old children and their parents.

Main outcome measures: Mothers’ reports of concern about the child’s current and future weight status, and perceptions of the child’s weight, diet and activity relative to their peers were compared with the child’s measured weight status, and parent and child characteristics.

Results: The prevalence of overweight or obesity was 19%, but only 5% of mothers indicated concern about their child being currently overweight, while 16% worried their child would become overweight. Over 70% of mothers of overweight children saw them as being of similar weight to their peers. Most mothers saw their children as being equally or more active than other children and having a diet at least as healthy as their peers. Overweight daughters were more likely to elicit maternal concern about current weight than overweight sons (relative risk, 4.6; 95% CI, 1.1–19.8). Mothers were more likely to worry about their child’s potential for future overweight if they or the child’s father were overweight.

Conclusions: Despite mounting public concern about childhood obesity in Australia, most mothers surveyed were not concerned about their child’s weight, and many mothers did not perceive their overweight children as different from their peers. This may have implications for interventions that rely on acknowledgement of child overweight as a first step to change.

  • Michele W-C Campbell1
  • Joanne Williams2
  • Anne Hampton3
  • Melissa Wake4

  • Centre for Community Child Health, Murdoch Childrens Research Institute, Melbourne, VIC.

Correspondence: 

Acknowledgements: 

The PEAS Kids Growth Study was supported by grants from the Murdoch Childrens Research Institute and the National Health and Medical Research Council (NHMRC). Michele Campbell was funded by postgraduate research scholarships from the Murdoch Childrens Research Institute and the NHMRC. The Murdoch Childrens Research Institute and the NHMRC had no role in the study design, data collection, analysis, interpretation or writing of the article.

Competing interests:

None identified.

  • 1. Vaska V, Volkmer R. Increasing prevalence of obesity in South Australian 4-year-olds: 1995-2002. J Paediatr Child Health 2004; 40: 353-355.
  • 2. Australian Institute of Family Studies. Growing up in Australia: The Longitudinal Study of Australian Children. 2004 annual report. Canberra: Commonwealth of Australia, 2005.
  • 3. Wake M, Salmon L, Waters E, et al. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord 2002; 26: 717-724.
  • 4. Baughcum AE, Chamberlin LA, Deeks CM, et al. Maternal perceptions of overweight preschool children. Pediatrics 2000; 106: 1380-1386.
  • 5. Carnell S, Edwards C, Croker H, et al. Parental perceptions of overweight in 3-5 y olds. Int J Obes (Lond) 2005; 29: 353-355.
  • 6. Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics 2003; 111 (5 Part 2): 1226-1231.
  • 7. Jeffery AN, Voss LD, Metcalf BS, et al. Parents’ awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). BMJ 2005; 330: 23-24.
  • 8. Dietz WH. Periods of risk in childhood for the development of adult obesity — what do we need to learn? J Nutr 1997; 127: 1884S-1886S.
  • 9. Davison K, Birch L. Childhood overweight: a contextual model and recommendations for future research. Obesity Reviews 2001; 2: 159-171.
  • 10. The Parent Education and Support (PEAS) Program: final report. Centre for Community Child Health, Royal Children’s Hospital, Melbourne, 2003. Available at: http://hnb.dhs.vic.gov.au/commcare/ccdnav.nsf/fid/-057BBAE7C5BDBE67CA256F4A00161D5B/$file/peas_2004.pdf (accessed Dec 2005).
  • 11. National Health Data Committee 2003. National Health Data Dictionary version 12. Canberra: Australian Institute of Health and Welfare; 2003. (AIHW Cat. No. HWI 43.)
  • 12. Baughcum A, Powers S, Johnson S, et al. Maternal feeding practices and beliefs and their relationships to overweight in early childhood. J Dev Behav Pediatr 2001; 22: 391-408.
  • 13. Cole TJ. Growth monitoring with the British 1990 growth reference. Arch Dis Child 1997; 76: 47-49.
  • 14. Vidmar S, Carlin J, Hesketh K, Cole T. Standardizing anthropometric measures in children and adolescents with new functions for egen [computer program]. Stata J 2004; 4: 50-55. Available at: http://www.stata-journal.com/software/sj4-1/dm0004.pkg (accessed Jan 2006).
  • 15. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240-1243.
  • 16. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998; 101 (3 Pt 2): 539-549.
  • 17. Sopher AB, Thornton JC, Wang J, et al. Measurement of percentage of body fat in 411 children and adolescents: a comparison of dual-energy X-ray absorptiometry with a four-compartment model. Pediatrics 2004; 113: 1285-1290.
  • 18. Jain A, Sherman SN, Chamberlin LA, et al. Why don’t low-income mothers worry about their preschoolers being overweight? Pediatrics 2001; 107: 1138-1146.

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