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Factors associated with parental recognition of a childs overweight status - a cross sectional study.doc

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Factors associated with parental recognition of a childs overweight status - a cross sectional study

Vanhalaetal.BMCPublicHealth2011,11:665 /1471-2458/11/665 RESEARCH ARTICLE OpenAccess Factorsassociatedwithparentalrecognitionofa child’soverweightstatus-acrosssectionalstudy MarjaLVanhala1,2*,SirkkaMKein?nen-Kiukaanniemi2,KaisuMKaikkonen1,2,JaanaHLaitinen3and RaijaIKorpelainen1,2 Abstract Background:Veryfewstudieshaveevaluatedtheassociationbetweenachild’slifestylefactorsandtheirparent’s abilitytorecognisetheoverweightstatusoftheiroffspring.Theaimofthisstudywastoanalyzethefactors associatedwithaparent’sabilitytorecognisetheirownoffspring’soverweightstatus. Methods:125overweightchildrenoutofall1,278schoolbeginnersinNorthernFinlandwereenrolled. Weightandheightweremeasuredinhealthcareclinics.OverweightstatuswasdefinedbyBMIaccordingto internationallyacceptedcriteria.Aquestionnairetobefilledinbyparentswasdeliveredbytheschoolnurses.The parentswereaskedtoevaluatetheiroffspring’sweightstatus.Thechild’seatinghabitsandphysicalactivity patternswerealsoenquiredabout.Factorgroupsoffoodandphysicalactivityhabitswereformedbyfactor analysis.Binarylogisticregressionwasperformedusingallvariablesassociatedwithrecognitionofoverweight statusinunivariateanalyses.Thesignificantriskfactorsinthefinalmodelarereportedusingoddsratios(ORs)and their95%confidenceintervals(CIs). Results:Fifty-sevenpercent(69/120)oftheparentsoftheoverweightchildrenconsideredtheirchildasnormal weight.Child’sBMIwaspositivelyassociatedwithparentalrecognitionofoverweight(OR3.59,CI1.8to7.0). Overweightboyswerelesslikelytoberecognisedthanoverweightgirls(OR0.14,CI0.033to0.58).Child’ shealthy diet(OR0.22,CI0.091to0.54)andhighphysicalactivity(OR0.29,CI0.11to0.79)wereinverselyrelatedtoparental recognitionofoverweightstatus. Conclusions:Child’shealthyeatinghabitsandphysicalactivityareinverselyrelatedtoparentalrecognitionoftheir offspring’soverweight.Theseshouldbetakenintoaccountwhenplanningpreventionandtreatmentstrategiesfor childhoodobesity. Keywords:overweightstatus,children,recognition,parents Background In previous studi