Skip to main content
Top
Published in: Current Obesity Reports 4/2019

01-12-2019 | Obesity | Psychological Issues (V Drapeau and V Ivezaj, Section Editors)

Factors Influencing Parents’ and Children’s Misperception of Children’s Weight Status: a Systematic Review of Current Research

Authors: Rosanne Blanchet, Cris-Carelle Kengneson, Alexandra M. Bodnaruc, Ashley Gunter, Isabelle Giroux

Published in: Current Obesity Reports | Issue 4/2019

Login to get access

Abstract

Purpose of Review

Misperception of children’s weight status is prevalent among parents and children themselves and may impact parents’ and children’s health behaviors. This study was conducted in order to provide a descriptive systematic review of research on factors influencing parents’ and children’s misperceptions of children’s weight status published in the past 5 years.

Recent Findings

Factors studied most often in relation to parents’ and children’s misperception included children’s weight status, gender, and age, as well as parents’ weight status, parental education levels and socioeconomic status, and ethnicity. Most determinants that were found to have a significant influence on misperception in parents also did in children.

Summary

The literature on misperception of children’s weight status is extensive. Most determinants assessed in included studies were known determinants of childhood obesity. Further research should be directed toward better understanding the impact of weight status perception (whether it is accurate or not) on health behaviors and weight gain over time.
Literature
1.
go back to reference WHO. Report of the Commission on ending childhood obesity. Geneva; 2016. WHO. Report of the Commission on ending childhood obesity. Geneva; 2016.
3.
go back to reference •• Robinson E, Sutin AR. Parental perception of weight status and weight gain across childhood. Pediatrics. 2016;137:1–7. https://doi.org/10.1542/peds.2015-3957This longitudinal study combined data from two cohorts to examine the relationship between parents’ perception of children as being overweight (accurate or not) and children’s weight gain across childhood. The authors suggest that the stigma associated to being recognized as “overweight” may have negative consequences on children’s health. CrossRef •• Robinson E, Sutin AR. Parental perception of weight status and weight gain across childhood. Pediatrics. 2016;137:1–7. https://​doi.​org/​10.​1542/​peds.​2015-3957This longitudinal study combined data from two cohorts to examine the relationship between parents’ perception of children as being overweight (accurate or not) and children’s weight gain across childhood. The authors suggest that the stigma associated to being recognized as “overweight” may have negative consequences on children’s health. CrossRef
8.
go back to reference Gerards SM, Dagnelie PC, Jansen MW, De Vries NK, Kremers SP. Barriers to successful recruitment of parents of overweight children for an obesity prevention intervention: a qualitative study among youth health care professionals. BMC Fam Pract. 2012;13. https://doi.org/10.1186/1471-2296-13-37. Gerards SM, Dagnelie PC, Jansen MW, De Vries NK, Kremers SP. Barriers to successful recruitment of parents of overweight children for an obesity prevention intervention: a qualitative study among youth health care professionals. BMC Fam Pract. 2012;13. https://​doi.​org/​10.​1186/​1471-2296-13-37.
11.
go back to reference Jeffery AN, Metcalf BS, Hosking J, Mostazir MBA, Voss LD, Wilkin TJ. Awareness of body weight by mothers and their children: repeated measures in a single cohort (EarlyBird 64). [Erratum appears in Child Care Health Dev. 2015 Nov;41(6):1251]. Child Care Health Dev. 2015;41:434–42. https://doi.org/10.1111/cch.12167.CrossRefPubMed Jeffery AN, Metcalf BS, Hosking J, Mostazir MBA, Voss LD, Wilkin TJ. Awareness of body weight by mothers and their children: repeated measures in a single cohort (EarlyBird 64). [Erratum appears in Child Care Health Dev. 2015 Nov;41(6):1251]. Child Care Health Dev. 2015;41:434–42. https://​doi.​org/​10.​1111/​cch.​12167.CrossRefPubMed
19.
go back to reference •• Sonneville KR, Thurston IB, Milliren CE, Kamody RC, Gooding HC, Richmond TK. Helpful or harmful? Prospective association between weight misperception and weight gain among overweight and obese adolescents and young adults. Int J Obes. 2016;40:328–32. https://doi.org/10.1038/ijo.2015.166This large longitudinal study examined the association between accurate weight perception versus weight misperception and weight change among youth who are overweight or obese. The authors suggest that weight status misperception may not be harmful, nor impede obesity prevention. CrossRef •• Sonneville KR, Thurston IB, Milliren CE, Kamody RC, Gooding HC, Richmond TK. Helpful or harmful? Prospective association between weight misperception and weight gain among overweight and obese adolescents and young adults. Int J Obes. 2016;40:328–32. https://​doi.​org/​10.​1038/​ijo.​2015.​166This large longitudinal study examined the association between accurate weight perception versus weight misperception and weight change among youth who are overweight or obese. The authors suggest that weight status misperception may not be harmful, nor impede obesity prevention. CrossRef
28.
go back to reference Stunkard AJ, Sørensen T, Schulsinger F. Use of the Danish Adoption Register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis. 1983;60:115–20.PubMed Stunkard AJ, Sørensen T, Schulsinger F. Use of the Danish Adoption Register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis. 1983;60:115–20.PubMed
33.
go back to reference Ashraf H, Shamsi NI, Ashraf R. Parental perception and childhood obesity: contributors to incorrect perception. J Pak Med Assoc. 2017;67:214–9.PubMed Ashraf H, Shamsi NI, Ashraf R. Parental perception and childhood obesity: contributors to incorrect perception. J Pak Med Assoc. 2017;67:214–9.PubMed
43.
go back to reference Chen H-Y, Lemon SC, Pagoto SL, Barton BA, Lapane KL, Goldberg RJ. Personal and parental weight misperception and self-reported attempted weight loss in US children and adolescents, National Health and Nutrition Examination Survey, 2007-2008 and 2009-2010. Prev Chronic Dis. 2014;1:E132. https://doi.org/10.5888/pcd11.140123.CrossRef Chen H-Y, Lemon SC, Pagoto SL, Barton BA, Lapane KL, Goldberg RJ. Personal and parental weight misperception and self-reported attempted weight loss in US children and adolescents, National Health and Nutrition Examination Survey, 2007-2008 and 2009-2010. Prev Chronic Dis. 2014;1:E132. https://​doi.​org/​10.​5888/​pcd11.​140123.CrossRef
45.
go back to reference Christofaro DGD, Andrade SM, Fernandes RA, Cabrera MAS, Rodriguez-Artalejo F, Mesas AE. Overweight parents are twice as likely to underestimate the weight of their teenage children, regardless of their sociodemographic characteristics. Acta Paediatr. 2016;105:e474–9. https://doi.org/10.1111/apa.13342.CrossRefPubMed Christofaro DGD, Andrade SM, Fernandes RA, Cabrera MAS, Rodriguez-Artalejo F, Mesas AE. Overweight parents are twice as likely to underestimate the weight of their teenage children, regardless of their sociodemographic characteristics. Acta Paediatr. 2016;105:e474–9. https://​doi.​org/​10.​1111/​apa.​13342.CrossRefPubMed
47.
go back to reference Czajka K, Fiszer K, Kolodziej M. The relation between selected health behaviour and body mass index amongst adolescents living in urban and rural areas in south-western Poland. Rocz Panstw Zakl Hig. 2013;64:135–41.PubMed Czajka K, Fiszer K, Kolodziej M. The relation between selected health behaviour and body mass index amongst adolescents living in urban and rural areas in south-western Poland. Rocz Panstw Zakl Hig. 2013;64:135–41.PubMed
69.
go back to reference Kaufman-Shriqui V, Fraser D, Friger M, Bilenko N, Vardi H, Abu-Saad K, et al. Factors associated with childhood overweight and obesity among acculturated and new immigrants. Ethn Dis. 2013;23:329–35.PubMed Kaufman-Shriqui V, Fraser D, Friger M, Bilenko N, Vardi H, Abu-Saad K, et al. Factors associated with childhood overweight and obesity among acculturated and new immigrants. Ethn Dis. 2013;23:329–35.PubMed
70.
go back to reference Kiliçarslan-Törüner E, Ayaz S, SavaŞEr S. Parents’ perceptions about weights of their children. Turk J Res Dev Nurs. 2014;16:11–20. Kiliçarslan-Törüner E, Ayaz S, SavaŞEr S. Parents’ perceptions about weights of their children. Turk J Res Dev Nurs. 2014;16:11–20.
72.
go back to reference Li J, Lei J, Wen S, Zhou L. Sex disparity and perception of obesity/overweight by parents and grandparents. Paediatr Child Health. 2014;19:346.CrossRef Li J, Lei J, Wen S, Zhou L. Sex disparity and perception of obesity/overweight by parents and grandparents. Paediatr Child Health. 2014;19:346.CrossRef
75.
go back to reference Manios Y, Moschonis G, Karatzi K, Androutsos O, Chinapaw M, Moreno LA, et al. Large proportions of overweight and obese children, as well as their parents, underestimate children’s weight status across Europe. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Public Health Nutr. 2015;18:2183–90. https://doi.org/10.1017/S136898001400305X.CrossRefPubMed Manios Y, Moschonis G, Karatzi K, Androutsos O, Chinapaw M, Moreno LA, et al. Large proportions of overweight and obese children, as well as their parents, underestimate children’s weight status across Europe. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Public Health Nutr. 2015;18:2183–90. https://​doi.​org/​10.​1017/​S136898001400305​X.CrossRefPubMed
84.
go back to reference Nobari TZ, Wang M-C, Whaley SE. Asian American mothers’ perception of their children’s weight: a comparison with other racial/ethnic groups in Los Angeles. Ethn Dis. 2015;25:52–7.PubMed Nobari TZ, Wang M-C, Whaley SE. Asian American mothers’ perception of their children’s weight: a comparison with other racial/ethnic groups in Los Angeles. Ethn Dis. 2015;25:52–7.PubMed
90.
go back to reference Queally M, Doherty E, Matvienko-Sikar K, Toomey E, Cullinan J, Harrington JM, et al. Do mothers accurately identify their child’s overweight/obesity status during early childhood? Evidence from a nationally representative cohort study. Int J Behav Nutr Phys Act. 2018;15:1–9. https://doi.org/10.1186/s12966-018-0688-y.CrossRef Queally M, Doherty E, Matvienko-Sikar K, Toomey E, Cullinan J, Harrington JM, et al. Do mothers accurately identify their child’s overweight/obesity status during early childhood? Evidence from a nationally representative cohort study. Int J Behav Nutr Phys Act. 2018;15:1–9. https://​doi.​org/​10.​1186/​s12966-018-0688-y.CrossRef
95.
go back to reference • Sugiyama T, Horino M, Inoue K, Kobayashi Y, Shapiro MF, McCarthy WJ. Trends of child’s weight perception by children, parents, and healthcare professionals during the time of terminology change in childhood obesity in the United States, 2005-2014. Child Obes. 2016;12:463–73. https://doi.org/10.1089/chi.2016.0128This study investigated changes in parents’ and children’ misperception of children’s weight status over time in the US. It provides an interesting addition by analyzing the impact of parental communication with healthcare professionals on the evolution of misperception. CrossRefPubMedPubMedCentral • Sugiyama T, Horino M, Inoue K, Kobayashi Y, Shapiro MF, McCarthy WJ. Trends of child’s weight perception by children, parents, and healthcare professionals during the time of terminology change in childhood obesity in the United States, 2005-2014. Child Obes. 2016;12:463–73. https://​doi.​org/​10.​1089/​chi.​2016.​0128This study investigated changes in parents’ and children’ misperception of children’s weight status over time in the US. It provides an interesting addition by analyzing the impact of parental communication with healthcare professionals on the evolution of misperception. CrossRefPubMedPubMedCentral
99.
115.
go back to reference Deshmukh VR, Kulkarni AA. Body image and its relation with body mass index among Indian adolescents. Indian Pediatr. 2017;54:1025–8.CrossRef Deshmukh VR, Kulkarni AA. Body image and its relation with body mass index among Indian adolescents. Indian Pediatr. 2017;54:1025–8.CrossRef
119.
go back to reference • Frayon S, Cherrier S, Cavaloc Y, Wattelez G, Touitou A, Zongo P, et al. Misperception of weight status in the pacific: preliminary findings in rural and urban 11- to 16-year-olds of New Caledonia. BMC Public Health. 2017;17:25. https://doi.org/10.1186/s12889-016-3982-0This study assessed several determinants of weight status misperception among youth in a multivariate model. They also tested subcategories of weight status to provide a better understanding of the impact of weight status on misperception. CrossRefPubMedPubMedCentral • Frayon S, Cherrier S, Cavaloc Y, Wattelez G, Touitou A, Zongo P, et al. Misperception of weight status in the pacific: preliminary findings in rural and urban 11- to 16-year-olds of New Caledonia. BMC Public Health. 2017;17:25. https://​doi.​org/​10.​1186/​s12889-016-3982-0This study assessed several determinants of weight status misperception among youth in a multivariate model. They also tested subcategories of weight status to provide a better understanding of the impact of weight status on misperception. CrossRefPubMedPubMedCentral
122.
go back to reference Gates A, Hanning RM, Martin ID, Gates M, Tsuji LJS. Body weight perceptions and eating-related weight control behaviors of on-reserve First Nations youth from Ontario, Canada. Rural Remote Health. 2014;14:2665.PubMed Gates A, Hanning RM, Martin ID, Gates M, Tsuji LJS. Body weight perceptions and eating-related weight control behaviors of on-reserve First Nations youth from Ontario, Canada. Rural Remote Health. 2014;14:2665.PubMed
123.
125.
126.
go back to reference Hisar F, Toruner EK. Adolescents’ perceptions about their weight and practices to lose weight. vol. 31. Aust J Adv Nurs. 2014;31:23–30. Hisar F, Toruner EK. Adolescents’ perceptions about their weight and practices to lose weight. vol. 31. Aust J Adv Nurs. 2014;31:23–30.
129.
go back to reference Johnson AR, Balasubramanya B, Sr J, Shaiby SR, Sr G, Britto RD. Body image perception and nutritional status of adolescents in a school in rural South India. J Indian Assoc Child Adolesc Ment Health. 2015;11:260–78. Johnson AR, Balasubramanya B, Sr J, Shaiby SR, Sr G, Britto RD. Body image perception and nutritional status of adolescents in a school in rural South India. J Indian Assoc Child Adolesc Ment Health. 2015;11:260–78.
144.
go back to reference • Ra JS, Yun HJ, Cho YH. Teachers’ influence on weight perceptions in preschool children. Appl Nurs Res. 2016;31:111–6. https://doi.org/10.1016/j.apnr.2016.01.005This study examined the influence of teachers’ and mothers’ perceptions and beliefs on rates of weight status misperception among preschool children. It suggested innovative interventions to promote body satisfaction among children. CrossRefPubMed • Ra JS, Yun HJ, Cho YH. Teachers’ influence on weight perceptions in preschool children. Appl Nurs Res. 2016;31:111–6. https://​doi.​org/​10.​1016/​j.​apnr.​2016.​01.​005This study examined the influence of teachers’ and mothers’ perceptions and beliefs on rates of weight status misperception among preschool children. It suggested innovative interventions to promote body satisfaction among children. CrossRefPubMed
145.
go back to reference Rizo-Baeza M, Cortés-Castell E, Brauer N, Kuzmar-Daza I, García-Galbis MR. Distortion of self-image: risk factor for obesity in children and teenagers. Rev Esp Nutr Humana Diet. 2014;18:212–7.CrossRef Rizo-Baeza M, Cortés-Castell E, Brauer N, Kuzmar-Daza I, García-Galbis MR. Distortion of self-image: risk factor for obesity in children and teenagers. Rev Esp Nutr Humana Diet. 2014;18:212–7.CrossRef
146.
go back to reference Sarafrazi N, Hughes JP, Borrud L, Burt V, Paulose-Ram R. Perception of weight status in U.S. children and adolescents aged 8-15 years, 2005-2012. NCHS Data Brief 2014:1–7. Sarafrazi N, Hughes JP, Borrud L, Burt V, Paulose-Ram R. Perception of weight status in U.S. children and adolescents aged 8-15 years, 2005-2012. NCHS Data Brief 2014:1–7.
152.
go back to reference Yardimci H, Hakli G, Çakiroǧlu FP, Özçelik AÖ. The correlation between body conception and actual body mass index among adolescents: some variables and their role. Prog Nutr. 2016;18:222–30. Yardimci H, Hakli G, Çakiroǧlu FP, Özçelik AÖ. The correlation between body conception and actual body mass index among adolescents: some variables and their role. Prog Nutr. 2016;18:222–30.
154.
go back to reference Zhang J, Zhai Y, Feng XQ, Li WR, Lyu YB, Astell-Burt T, et al. Gender differences in the prevalence of overweight and obesity, associated behaviors, and weight-related perceptions in a national survey of primary school children in China. Biomed Environ Sci. 2018;31:1–11. https://doi.org/10.3967/bes2018.001.CrossRefPubMed Zhang J, Zhai Y, Feng XQ, Li WR, Lyu YB, Astell-Burt T, et al. Gender differences in the prevalence of overweight and obesity, associated behaviors, and weight-related perceptions in a national survey of primary school children in China. Biomed Environ Sci. 2018;31:1–11. https://​doi.​org/​10.​3967/​bes2018.​001.CrossRefPubMed
158.
go back to reference •• Robinson E, Kersbergen I. Overweight or about right? A norm comparison explanation of perceived weight status: perceptions of weight status. Obes Sci Pract. 2017;3:36–43. https://doi.org/10.1002/osp4.89This experimental study manipulated adults’ perceived body-weight norms and subsequently assessed their perceptions of their own weight status. It revealed that weight status perceptions are likely to be shaped by a ‘norm comparison’ process. CrossRefPubMedPubMedCentral •• Robinson E, Kersbergen I. Overweight or about right? A norm comparison explanation of perceived weight status: perceptions of weight status. Obes Sci Pract. 2017;3:36–43. https://​doi.​org/​10.​1002/​osp4.​89This experimental study manipulated adults’ perceived body-weight norms and subsequently assessed their perceptions of their own weight status. It revealed that weight status perceptions are likely to be shaped by a ‘norm comparison’ process. CrossRefPubMedPubMedCentral
Metadata
Title
Factors Influencing Parents’ and Children’s Misperception of Children’s Weight Status: a Systematic Review of Current Research
Authors
Rosanne Blanchet
Cris-Carelle Kengneson
Alexandra M. Bodnaruc
Ashley Gunter
Isabelle Giroux
Publication date
01-12-2019
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Current Obesity Reports / Issue 4/2019
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-019-00361-1

Other articles of this Issue 4/2019

Current Obesity Reports 4/2019 Go to the issue

Psychological Issues (V Drapeau and V Ivezaj, Section Editors)

Remotely Delivered Interventions for Obesity Treatment

Psychological Issues (V Drapeau and V Ivezaj, Section Editors)

Obesity and Eating Disturbance: the Role of TFEQ Restraint and Disinhibition

The Obesity Epidemic: Causes and Consequences (A Cameron and K Backholer, Section Editors)

Sports Sponsorship as a Cause of Obesity

The Obesity Epidemic: Causes and Consequences (A Cameron and K Backholer, Section Editors)

Global Implementation of Obesity Prevention Policies: a Review of Progress, Politics, and the Path Forward

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.