PMID- 31685044
OWN - NLM
STAT- MEDLINE
DCOM- 20210129
LR  - 20230619
IS  - 1475-2727 (Electronic)
IS  - 1368-9800 (Print)
IS  - 1368-9800 (Linking)
VI  - 23
IP  - 4
DP  - 2020 Mar
TI  - Accuracy of anthropometric measurements and weight status perceptions reported by 
      parents of 4-year-old children.
PG  - 589-598
LID - 10.1017/S1368980019003008 [doi]
AB  - OBJECTIVE: To assess the validity of self-reported height and weight by parents 
      of 4-year-old children and subjective weight perception. DESIGN: Descriptive 
      cross-sectional study. SETTING: Paediatric population living in the Autonomous 
      Community of Madrid. PARTICIPANTS: Children born in 2008-2009 examined at 47-59 
      months of age. Data were collected by paediatricians of the Madrid Primary Care 
      Physicians Sentinel Network. Parents reported weight and height data. Prevalence 
      of weight status categories was calculated using WHO and International Obesity 
      Task Force (IOTF) reference criteria. Sensitivity, specificity and positive 
      predictive value (PPV) were estimated. The appraisal of their child's weight 
      perception and parental misperception were assessed. RESULTS: For 2914 children, 
      reported height was underestimated by -1.38 cm, weight by -0.25 kg and BMI was 
      overestimated by +0.41 kg/m2 on average. The prevalence of obesity estimated with 
      reported data was 2.7 times higher than that calculated with measured data (16.2 
      v. 6.0 %) according to WHO classification, and 3.6 times higher with IOTF 
      classification. Sensitivity to identify obesity was 70.5 %, specificity was 87.3 
      % and PPV was 26.2 % (WHO classification). Half of the parents of pre-schoolers 
      with obesity failed to identify their child's weight status. Parental 
      misperception among children classified as having overweight or obesity reached 
      93.0 and 58.8 %, respectively. CONCLUSIONS: Parents underestimated children's 
      height and weight, leading to an overestimation of the prevalence of obesity. 
      Small inaccuracies in reported measures have an important effect for the 
      estimation of population prevalences. Parents' report of child weight status is 
      unreliable. Parental awareness and acknowledgement of child weight status should 
      be improved.
FAU - Esteban-Vasallo, Maria D
AU  - Esteban-Vasallo MD
AUID- ORCID: 0000-0002-3991-610X
AD  - Servicio de Informes de Salud y Estudios, Direccion General de Salud Publica, 
      Consejeria de Sanidad, San Martin de Porres 6, Madrid 28035, Spain.
FAU - Galan, Ignacio
AU  - Galan I
AD  - Centro Nacional de Epidemiologia, Instituto de Salud Carlos III, Madrid, Spain.
AD  - Departamento de Medicina Preventiva y Salud Publica, Universidad Autonoma de 
      Madrid/IdiPAZ, Madrid, Spain.
FAU - Ortiz-Pinto, Maira A
AU  - Ortiz-Pinto MA
AD  - Departamento de Medicina Preventiva y Salud Publica, Universidad Autonoma de 
      Madrid/IdiPAZ, Madrid, Spain.
AD  - Departamento de Salud Publica, Universidad Del Norte, Barranquilla, Colombia.
FAU - Astray San Martin, Amelia
AU  - Astray San Martin A
AD  - Centro de Salud Soto del Real, Consejeria de Sanidad, Madrid, Spain.
FAU - Cabrero Lopez, Eva M
AU  - Cabrero Lopez EM
AD  - Centro de Salud Adelfas, Consejeria de Sanidad, Madrid, Spain.
FAU - Morales San Jose, Maria Teresa
AU  - Morales San Jose MT
AD  - Centro de Salud La Paz, Consejeria de Sanidad, Madrid, Spain.
FAU - Ortiz-Marron, Honorato
AU  - Ortiz-Marron H
AD  - Servicio de Epidemiologia, Direccion General de Salud Publica, Consejeria de 
      Sanidad, Madrid, Spain.
LA  - eng
PT  - Journal Article
DEP - 20191105
PL  - England
TA  - Public Health Nutr
JT  - Public health nutrition
JID - 9808463
SB  - IM
MH  - *Anthropometry
MH  - Body Weight
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Parents/*psychology
MH  - Pediatric Obesity/*diagnosis/epidemiology
MH  - Prevalence
MH  - Reproducibility of Results
MH  - Self Report
MH  - Spain/epidemiology
MH  - Symptom Assessment/*psychology
MH  - *Weight Perception
PMC - PMC10200599
OTO - NOTNLM
OT  - BMI
OT  - Bias
OT  - Overweight
OT  - Paediatric obesity
OT  - Pre-school children
OT  - Weight perception
EDAT- 2019/11/07 06:00
MHDA- 2021/01/30 06:00
PMCR- 2020/03/01
CRDT- 2019/11/06 06:00
PHST- 2019/11/07 06:00 [pubmed]
PHST- 2021/01/30 06:00 [medline]
PHST- 2019/11/06 06:00 [entrez]
PHST- 2020/03/01 00:00 [pmc-release]
AID - S1368980019003008 [pii]
AID - 10.1017/S1368980019003008 [doi]
PST - ppublish
SO  - Public Health Nutr. 2020 Mar;23(4):589-598. doi: 10.1017/S1368980019003008. Epub 
      2019 Nov 5.