Do mothers accurately identify their child's overweight/obesity status during early childhood? Evidence from a nationally representative cohort study

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dc.contributor.author Queally, Michelle
dc.contributor.author Doherty, Edel
dc.contributor.author Matvienko-Sikar, Karen
dc.contributor.author Toomey, Elaine
dc.contributor.author Cullinan, John
dc.contributor.author Harrington, Janas M.
dc.contributor.author Kearney, Patricia M.
dc.date.accessioned 2018-09-20T15:53:41Z
dc.date.available 2018-09-20T15:53:41Z
dc.date.issued 2018
dc.identifier.citation Queally, M., Doherty, E., Matvienko-Sikar, K., Toomey, E., Cullinan, J., Harrington, J. M., Kearney, P. M. and Choosing Healthy Eating for Infant Health (CHErIsH) study team. (2018) 'Do mothers accurately identify their child’s overweight/obesity status during early childhood? Evidence from a nationally representative cohort study', International Journal of Behavioral Nutrition and Physical Activity, 15(1), 56 (9pp). doi: 10.1186/s12966-018-0688-y en
dc.identifier.volume 15
dc.identifier.startpage 1
dc.identifier.endpage 9
dc.identifier.issn 1479-5868
dc.identifier.uri http://hdl.handle.net/10468/6832
dc.identifier.doi 10.1186/s12966-018-0688-y
dc.description.abstract Background: Maternal recognition of overweight/obesity during early childhood is a key determinant in achieving healthy weight status in children. The aim of this study is to 1) investigate maternal perceptions of their child weight, focusing on whether or not mothers accurately identify if their child is overweight or obese at three years old and five years old; 2) identify the factors influencing maternal misperceptions regarding their child's weight at three years old and five years old, 3) ascertain if a failure to recognize overweight/obesity at three years old is associated with the likelihood of doing so at five years old. Methods: Using two waves of the longitudinal Growing Up in Ireland study data regarding child, maternal, and household characteristics as well as healthcare access and utilization variables were obtained for mothers when their children are three and five years old respectively. Multivariate logistic analysis was used to examine the factors associated with mothers inaccurately perceiving their child to be of normal weight status when the child is in fact either clinically overweight or obese. Results: In wave 2, 22% of mothers failed to accurately identify their child to be overweight or obese. This inaccuracy decreased to 18% in wave 3. A failure of mothers to identify their child's overweight/obesity was more likely to occur if the child was a girl (OR: 1.25) (OR: 1.37), had a higher birth weight (OR:1.00), if the mother was obese (OR: 1.50), (OR: 1.72) or working (OR:1.25) (OR:1.16) in wave 2 and wave 3, respectively. Other factors affecting the odds of misperceiving child's weight include gestation age, income and urban living. Conclusion: These findings suggest that mothers of overweight or obese three and five year olds show poor awareness of their child's weight status. Both child and mother characteristics play a role in influencing this awareness. Mothers unable to accurately identify their child's overweight or obesity status at three years old are likely to do again when the child is five years old. This study highlights the need for increased support to help improve mothers' understanding of healthy body size in preschool aged children. en
dc.description.sponsorship Health Research Board (Interdisciplinary Capacity Enhancement (ICE) ICE-2015-1026) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Nature en
dc.relation.uri https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-018-0688-y
dc.rights © 2018, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject Childhood obesity en
dc.subject Maternal perception en
dc.subject Preschool overweight obesity identification en
dc.title Do mothers accurately identify their child's overweight/obesity status during early childhood? Evidence from a nationally representative cohort study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Patricia Kearney, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: patricia.kearney@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Behavioral Nutrition and Physical Activity en
dc.internal.IRISemailaddress patricia.kearney@ucc.ie en
dc.identifier.articleid 56


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© 2018, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © 2018, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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