Agreement between reported vs. measured anthropometric data and relation with parental feeding practices in preschool years

Ana Filipa Santos, Carla Fernandes, Sara Cardia, Marília Fernandes, Kelly K. Bost, Manuela Veríssimo

Abstract


The present study aimed to analyze the agreement between the parent-reported and measured children’s anthropometric data (weight, height, respective BMI and BMI z-score calculated), as well as their relationship with parental feeding practices. Seventy-one families with children between 2 and 6 years of age participated in the study. There was a discrepancy between parent-reported and measured data for 45,5% of the children. Bidirectional effects were found between the practice restriction for weight and parent-reported height and weight, as well as between the practice pressure to eat and parent-reported weight, BMI and BMI z-score. Results suggest that incorrect parents’ perceptions of the child’s weight status may lead to higher levels of negative parental feeding practices, with an impact on children’s weight. On the other hand, parents and children influence each other, therefore parents are reactive to the children’s weight, but they also influence it.

Keywords


Parental perceptions, Parental feeding practices, Body weight, Preschool.

References


Afonso, L., Lopes, C., Severo, M., Santos, S., Real, H., Durão, C., . . . Oliveira, A. (2016). Bidirectional association between parental child-feeding practices and body mass index at 4 and 7 y of age. The American Journal of Clinical Nutrition, 103, 861-867.

Akerman, A., Williams, M. E., & Meunier, J. (2007). Perception versus reality: An exploration of children’s measured body mass in relation to caregivers’ estimates. Journal of Health Psychology, 12, 871-882.

Akinbami, L. J., & Ogden, C. L. (2009). Childhood overweight prevalence in the United States: The impact of parent-reported height and weight. Obesity, 17, 1574-1580.

Alipoor, E., Hosseinzadeh-Attar, M. J., Yaseri, M., Maghsoudi-Nasab, S., & Jazayeri, S. (2019). Association of obesity with morbidity and mortality in critically ill children: A systematic review and meta-analysis of observational studies. International Journal of Obesity, 43, 641-651.

Barros, L., & Francisco, B. F. (2016). Estilos, práticas e percepções e preocupações parentais relacionadas com os hábitos alimentares da criança pré-escolar. Dissertação de mestrado não publicada, Universidade de Lisboa, Lisboa.

Birch, L. L., Fisher, J. O., Grimm-Thomas, K., Markey, C. N., Sawyer, R., & Johnson, S. L. (2001). Confirmatory factor analysis of the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36, 201-210.

Bland, J. M., & Altman, D. G. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1, 307-310.

Bland, J. M., & Altman, D. G. (1999). Measuring agreement in method comparison studies. Statistical Methods in Medical Research, 8, 135-160.

Bland, J. M., & Altman, D. G. (2011). How to obtain the confidence interval from a p value. BMJ, 343.

Brann, L. S., & Skinner, J. D. (2005). More controlling child feeding practices are found among parents of boys with an average body mass index compared with parents of boys with a high body mass index. Journal of the American Dietetic Association, 105, 1411-1416.

Campbell, K., Andrianopoulos, N., Hesketh, K., Ball, K., Crawford, D., Brennan, L., . . . Timperio, A. (2010). Parental use of restrictive feeding practices and child BMI z-score. A 3-year prospective cohort study. Appetite, 55, 84-88.

Carnell, S., Edwards, C., Croker, H., Boniface, D., & Wardle, J. (2005). Parental perceptions of overweight in 3-5 y olds. International Journal of Obesity, 29, 353-355.

Carnell, S., & Wardle, J. (2007). Associations between multiple measures of parental feeding and children’s adiposity in United Kingdom preschoolers. Obesity, 15, 137-144.

Chai, L. K., Collins, C. E., May, C., Holder, C., & Burrows, T. L. (2019). Accuracy of parent-reported child height and weight and calculated body mass index compared with objectively measured anthropometrics: Secondary analysis of a randomized controlled trial. Journal of Medical Internet Research, 21.

Chaparro, M. P., Langellier, B. A., Kim, L. P., & Whaley, S. E. (2011). Predictors of accurate maternal perception of their preschool child’s weight status among hispanic WIC participants. Obesity, 19, 2026-2030.

Coelho, C., Afonso, L., & Oliveira, A. (2017). Práticas parentais de controlo alimentar: Relação com o peso da criança. Acta Portuguesa de Nutrição, 9, 6-11.

COSI – Childhood Obesity Surveillance Initiative. (2019). COSI Portugal. Retrieved from http://www.insa.min-saude.pt/wp-content/uploads/2019/07/COSI2019_FactSheet.pdf

Costanzo, P. R., & Woody, E. Z. (1985). Domain-specific parenting styles and their impact on the child’s development of particular deviance: The example of obesity proneness. Journal of Social and Clinical Psychology, 3, 425-445.

Crouch, P., O’Dea, J. A., & Battisti, R. (2007). Child feeding practices and perceptions of childhood overweight and childhood obesity risk among mothers of preschool children. Nutrition and Dietetics, 64, 151-158.

Davis, H., & Gergen, P. J. (1994). Mexican-American mothers’ reports of the weights and heights of children 6 months through 11 years old. Journal of the American Dietetic Association, 94, 512-516.

Doolen, J., Alpert, P. T., & Miller, S. K. (2009). Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research. Journal of the American Academy of Nurse Practitioners, 21, 160-166.

Dubois, L., & Girad, M. (2007). Accuracy of maternal reports of pre-schoolers’ weights and heights as estimates of BMI values. International Journal of Epidemiology, 36, 132-138.

Duncan, D. T., Hansen, A. R., Wang, W., Yan, F., & Zhang, J. (2015). Change in misperception of child’s body weight among parents of American preschool children. Childhood Obesity, 11, 384-393.

Eckstein, K. C., Mikhail, L. M., Ariza, A. J., Thomson, J. S., Millard, S. C., & Binns, H. J. (2006). Parents’ perceptions of their child’s weight and health. Pediatrics, 117, 681-690.

Elder, J. P., Ayala, G. X. & Harris, S. (1999). Theories and intervention approaches to health-behavior change in primary care. American Journal of Preventive Medicine, 17, 275.

Ells, L. J., Rees, K., Brown, T., Mead, E., Al-Khudairy, L., Azevedo, L., . . . Demaio, A. (2018). Interventions for treating children and adolescents with overweight and obesity: An overview of Cochrane reviews. International Journal of Obesity, 42, 1823-1833.

Faith, M. S., Berkowitz, R. I., Stallings, V. A., Kerns, J., Storey, M., & Stunkard, A. J. (2004). Parental feeding attitudes and styles and child body mass index: Prospective analysis of a gene-environment interaction. Pediatrics, 114, 429-436.

Farrow, C., Blissett, J., & Haycraft, E. (2011). Does child weight influence how mothers report their feeding practices?. International Journal of Pediatric Obesity, 6, 306-313.

Francis, L. A., Hofer, S. M., & Birch, L. L. (2001). Predictors of maternal child-feeding style: Maternal and child characteristics. Appetite, 37, 231-243.

Galloway, A. T., Fiorito, L. M., Francis, L. A., & Birch, L. L. (2006). “Finish your soup”: Counterproductive effects of pressuring children to eat on intake and affect. Appetite, 46, 318-323.

Garcia-Marcos, L., Valverde-Molina, J., Sanchez-Solis, M., Soriano-Pérez, M. J., Baeza-Alcaraz, A., Martinez-Torres, A., . . . Guillen-Perez, J. J. (2005). Validity of parent-reported height and weight for defining obesity among asthmatic and nonasthmatic schoolchildren. International Archives of Allergy and Immunology, 139, 139-145.

Gauthier, K. I., & Gance-Cleveland, B. (2016). Hispanic parents’ perceptions of their preschool children’s weight status. Journal for Specialists in Pediatric Nursing, 21, 84-93.

Gevers, D. W. M., Kremers, S. P. J., de Vries, N. K., & van Assema, P. (2014). Clarifying concepts of food parenting practices. A Delphi study with an application to snacking behaviour. Appetite, 79, 51-57.

Grimmett, C., Croker, H., Carnell, S., & Wardle, J. (2008). Telling parents their child’s weight status: Psychological impact of a weight-screening program. Pediatrics, 122, 682-688.

Han, J. C., Lawlor, D. A., & Kimm, S. Y. S. (2010). Childhood obesity. Lancet, 375, 1737-1748.

Harriger, J. A., & Thompson, J. K. (2012). Psychological consequences of obesity: Weight bias and body image in overweight and obese youth. International Review of Psychiatry, 24, 247-253.

Harrison, K., Bost, K. K., McBride, B. A., Donovan, S. M., Grigsby-Toussaint, D. S., Kim, J., . . . Jacobsohn, G. C. (2011). Toward a developmental conceptualization of contributors to overweight and obesity in childhood: The Six-Cs Model. Child Development Perspectives, 5, 50-58.

Huybrechts, I., de Bacquer, D., Van Trimpont, I., de Backer, G., & de Henauw, S. (2006). Validity of parentally reported weight and height for preschool-aged children in Belgium and its impact on classification into body mass index categories. Pediatrics, 118, 2109-2118.

Jansen, P. W., Roza, S. J., Jaddoe, V. W., Mackenbach, J. D., Raat, H., Hofman, A., . . . Tiemeier, H. (2012). Children’s eating behavior, feeding practices of parents and weight problems in early childhood: Results from the population-based Generation R Study. International Journal of Behavioral Nutrition and Physical Activity, 9.

Jansen, P. W., Tharner, A., van der Ende, J., Wake, M., Raat, H., Hofman, A., . . . Tiemeier, H. (2014). Feeding practices and child weight: Is the association bidirectional in preschool children?. The American Journal of Clinical Nutrition, 100, 1329-1336.

Jones, A. R., Parkinson, K. N., Drewett, R. F., Hyland, R. M., Pearce, M. S., & Adamson, A. J. (2011). Parental perceptions of weight status in children: The Gateshead Millennium Study. International Journal of Obesity, 35, 953-962.

Kalra, G., de Sousa, A., Sonavane, S., & Shah, N. (2012). Psychological issues in pediatric obesity. Industrial Psychiatry Journal, 21, 11-17.

Keitel-Korndörfer, A., Sierau, S., Klein, A. M., Bergmann, S., Grube, M., & von Klitzing, K. (2015). Insatiable insecurity: Maternal obesity as a risk factor for mother-child attachment and child weight. Attachment & Human Development, 17, 399-413.

Klesges, R. C., Malott, J., Boschee, P., & Weber, J. (1986). The effects of parental influences on children’s food intake, physical activity, and relative weight. International. Journal of Eating Disorders, 5, 335-345.

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15, 155-163.

Kroke, A., Strathmann, S., & Günther, A. L. B. (2006). Maternal perceptions of her child’s body weight in infancy and early childhood and their relation to body weight status at age 7. European Journal of Pediatrics, 165, 875-883.

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159-174.

Larsen, J. K., Hermans, R. C., Sleddens, E. F., Engels, R. C., Fisher, J. O., & Kremers, S. S. (2015). How parental dietary behavior and food parenting practices affect children’s dietary behavior: Interacting sources of influence?. Appetite, 89, 246-257.

Lundahl, A., Kidwell, K. M., & Nelson, T. D. (2014). Parental underestimates of child weight: A meta-analysis. Pediatrics, 133, 689-703.

Mareno, N. (2014). Parental perception of child weight: A concept analysis. Journal of Advanced Nursing, 70, 34-45.

McCarthy, A., Hughes, R., Tilling, K., Davies, D., Smith, G. D., & Ben-Shlomo, Y. (2007). Birth weight; postnatal, infant, and childhood growth; and obesity in young adulthood: Evidence from the Barry Caerphilly Growth Study. American Journal of Clinical Nutrition, 86, 907-913.

Moore, L. C., Harris, C. V., & Bradlyn, A. S. (2012). Exploring the relationship between parental concern and the management of childhood obesity. Maternal and Child Health Journal, 16, 902-908.

Musher-Eizenman, D., & Holub, S. (2007). Comprehensive Feeding Practices Questionnaire: Validation of a new measure of parental feeding practices. Journal of Pediatric Psychology, 32, 960-972.

O’Connor, D. P., & Gugenheim, J. J. (2011). Comparison of measured and parents’ reported height and weight in children and adolescents. Obesity, 19, 1040-1046.

Oude Luttikhuis, H. G. M., Stolk, R. P., & Sauer, P. J. J. (2010). How do parents of 4-to 5-year-old children perceive the weight of their children?. Acta Pædiatrica, 99, 263-267.

Peters, J., Sinn, N., Campbell, K., & Lynch, J. (2012). Parental influences on the diets of 2-5-year-old children: Systematic review of interventions. Early Child Development and Care, 182, 837-857.

Pulgarón, E. R. (2013). Childhood obesity: A review of increased risk for physical and psychological comorbidities. Clinical Therapeutics, 35, 18-32.

Rhee, K. (2008). Childhood overweight and the relationship between parent behaviors, parenting style, and family functioning. The Annals of the American Academy of Political and Social Science, 615, 11-37.

Rhee, K., de Lago, C.W., Arscott-Mills, T., Mehta, S. D., & Davis, R. K. (2005). Factors associated with parental readiness to make changes for overweight children. Pediatrics, 116, 94-101.

Rifas-Shiman, S. L., Sherry, B., Scanlon, K., Birch, L. L., Gillman, M. W., & Taveras, E. M. (2011). Does maternal feeding restriction lead to childhood obesity in a prospective cohort study?. Archives of Disease in Childhood, 96, 265-269.

Ruiter, E. L. M., Saat, J. J. E. H., Molleman, G. R. M., Fransen, G. A. J., van der Velden, K., van Jaarsveld, C. H. M., . . . Assendelft, W. J. J. (2020). Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study. PLOS ONE, 15.

Russell, C. G., Haszard, J. J., Taylor, R. W., Heath, A. L. M., Taylor, B., & Campbell, K. J. (2018). Parental feeding practices associated with children’s eating and weight: What are parents of toddlers and preschool children doing?. Appetite, 128, 120-128.

Savage, J. S., Fisher, J. O., & Birch, L. L. (2007). Parental influence on eating behavior: Conception to adolescence. The Journal of Law, Medicine & Ethics, 35, 22-34.

Sekine, M., Yamagami, T., Hamanishi, S., & Kagamimori, S. (2002). Accuracy of the estimated prevalence of childhood obesity from height and weight values reported by parents: Results of the Toyama Birth Cohort Study. Journal of Epidemiology, 12, 9-13.

Shloim, N., Edelson, L. R., Martin, N., & Hetherington, M. M. (2015). Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: A systematic review of the literature. Frontiers in Psychology, 6.

Skouteris, H., McCabe, M., Swinburn, B., Newgren, V., Sacher, P., & Chadwick, P. (2010). Parental influence and obesity prevention in pre-schoolers: A systematic review of the interventions. Obesity Reviews, 12, 315-328.

Tompkins, C. L., Seablom, M., & Brock, D. W. (2015). Parental perception of child’s body weight: A systematic review. Journal of Child and Family Studies, 24, 1384-1391.

Tremblay, L., Rinaldi, C. M., Lovsin, T., & Zecevic, C. (2012). Parents’ perceptions of children’s weight: The accuracy of ratings and associations to strategies for feeding. Early Child Development and Care, 182, 1027-1040.

Vartanian, L. R., Herman, C. P., & Polivy, J. (2004). Accuracy in the estimation of body weight: An alternate test of the motivated-distortion hypothesis. International Journal of Eating Disorders, 36, 69-75.

Vaughn, A. E., Tabak, R. G., Bryant, M. J., & Ward, D. S. (2013). Measuring parent food practices: A systematic review of existing measures and examination of instruments. International Journal of Behavioral Nutrition and Physical Activity, 10, 61.

Vaughn, A. E., Ward, D. S., Fisher, J. O., Faith, M. S., Hughes, S. O., Kremers, S. P. J., . . . Power, T. G. (2016). Fundamental constructs in food parenting practices: A content map to guide future research. Nutrition Reviews, 74, 98-117.

Ventura, A. K., & Birch, L. L. (2008). Does parenting affect children’s eating and weight status?. International Journal of Behavioral Nutrition and Physical Activity, 5, 15.

Warkentin, S., Mais, L. A., Latorre, M. R. D. O., Carnell, S., & Taddei, J. A. A. C. (2018). Parents matter: Associations of parental BMI and feeding behaviors with child BMI in Brazilian preschool and school-aged children. Frontiers in Nutrition, 5.

Webber, L., Hill, C., Cooke, L., Carnell, S., & Wardle, J. (2010). Associations between child weight and maternal feeding styles are mediated by maternal perceptions and concerns. European Journal of Clinical Nutrition, 64, 259-265.

Weden, M. M., Brownell, P. B., Rendall, M. S., Lau, C., Fernandes, M., & Nazarov, Z. (2013). Parent-reported height and weight as sources of bias in survey estimates of childhood obesity. American Journal of Epidemiology, 178, 461-473.

World Health Organization. (2007). The WHO child growth standards. Retrieved from https://www.who.int/childgrowth/standards/en

World Health Organization. (2017). 10 facts on obesity. Retrieved from https://www.who.int/features/factfiles/obesity/en

World Health Organization. (2020). Obesity and overweight. Retrieved from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Zeinstra, G. G., Koelen, M. A., Kok, F. J., van der Laan, N., & de Graaf, C. (2009). Parental child-feeding strategies in relation to Dutch children’s fruit and vegetable intake. Public Health Nutrition, 13, 787-796.




DOI: https://doi.org/10.14417/ap.1704

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