Abstract
Introduction
Maternal perception of her child’s weight status has been hypothesised to affect a child’s weight development.
Objective
The aim of this analysis was to determine in how far the maternal weight perception of her child’s weight at different ages is related to its future body weight status.
Materials and methods
Longitudinal data on body weight, height and skinfolds from the Dortmund Nutritional and Anthropometric Longitudinally Designed Study were used to determine the risk of being overweight at age 7. Complete data on anthropometry, maternal weight perception and confounding variables were available for 253 children.
Results and discussion
Maternal weight perception assessments at age 6 months, 12 months, 2 years and 4 years of age were related to body weight status as well as changes in body mass index standard deviation score (BMI-SDS) and skinfold SDS between age at assessment and age 7. With respect to the risk of being overweight at age 7, no independent effect of maternal perception was found. When changes in anthropometric measures were considered, it could be observed that children whose weight was considered too low gained more weight until age 7, and those who were considered to be too heavy lost more weight as compared to the children whose weight was considered to be just right. Among infants aged 6 months who were above the 85th percentile, maternal misperception appeared to promote an unfavourable weight development. These latter results support the hypothesis that maternal weight perception might affect a child’s weight development.
Conclusion
As our data suggest, this effect might begin to operate already in infancy.
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Abbreviations
- BMI:
-
Body mass index (kg/m2)
- DONALD:
-
Dortmund Nutritional and Anthropometric Longitudinally Designed (Study)
- P25/75:
-
25th/75th percentile
- SDS:
-
Standard deviation score
- SE:
-
Standard error
References
Adams AK, Quinn RA, Prince RJ (2005) Low recognition of childhood overweight and disease risk among Native-American caregivers. Obes Res 13:146–152
Arenz S, Ruckerl R, Koletzko B, von Kries R (2004) Breast-feeding and childhood obesity-a systematic review. Int J Obes Relat Metab Disord 28:1247–1256
Baskin ML, Ard J, Franklin F, Allison DB (2005) Prevalence of obesity in the United States. Obes Rev 6:5–7
Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC (2000) Maternal perceptions of overweight preschool children. Pediatrics 106:1380–1386
Birch LL, Fisher JO (1998) Development of eating behaviors among children and adolescents. Pediatrics 101:539–549
Birch LL, Fisher JO (2000) Mothers’ child-feeding practices influence daughters’ eating and weight. Am J Clin Nutr 71:1054–1061
Brener ND, Eaton DK, Lowry R, McManus T (2004) The association between weight perception and BMI among high school students. Obes Res 12:1866–1874
Cullen KW, Baranowski T, Owens E, Marsh T, Rittenberry L, de Moor C (2003) Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. Health Educ Behav 30:615–626
Davies PS, Day JM, Cole TJ (1993) Converting Tanner-Whitehouse reference tricep and subscapular skinfold measurements to standard deviation scores. Eur J Clin Nutr 47:559–566
de Onis M, Blossner M (2000) Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 72:1032–1039
Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B (1992) Growth of breast-fed and formula-fed infants from 0 to 18 months: the DARLING Study. Pediatrics 89:1035–1041
Dietz WH (1998) Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101:518–525
Ellert U (2005) Determinanten der subjektiven Gewichtseinschätzung bei Männern und Frauen mit erhöhtem BMI in der Allgemeinbevölkerung. 12th Annual Meeting of the German Epidemiological Society, Freiburg, Germany
Etelson D, Brand DA, Patrick PA, Shirali A (2003) Childhood obesity: do parents recognize this health risk? Obes Res 11:1362–1368
Francis LA, Hofer SM, Birch LL (2001) Predictors of maternal child-feeding style: maternal and child characteristics. Appetite 37:231–243
Genovesi S, Giussani M, Faini A, Vigorita F, Pieruzzi F, Strepparava MG, Stella A, Valsecchi MG (2005) Maternal perception of excess weight in children: a survey conducted by paediatricians in the province of Milan. Acta Paediatr 94:747–752
Gluckman PD, Hanson MA, Morton SM, Pinal CS (2005) Life-long echoes—a critical analysis of the developmental origins of adult disease model. Biol Neonate 87:127–139
Golan M, Fainaru M, Weizman A (1998) Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agents of change. Int J Obes Relat Metab Disord 22:1217–1224
Goodman E, Hinden BR, Khandelwal S (2000) Accuracy of teen and parental reports of obesity and body mass index. Pediatrics 106:52–58
Haschke F, van’t Hof MA (2000) Euro-Growth references for breast-fed boys and girls: influence of breast-feeding and solids on growth until 36 months of age. Euro-Growth Study Group. J Pediatr Gastroenterol Nutr 31(Suppl 1):S60–S71
IOTF (International Obesity Task Force) (2004) Childhood obesity report
Jackson J, Strauss CC, Lee AA, Hunter K (1990) Parents’ accuracy in estimating child weight status. Addict Behav 15:65–68
Jeffery AN, Voss LD, Metcalf BS, Alba S, Wilkin TJ (2005) Parents’ awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). BMJ 330:23–24
Kersting M, Alexy U, Kroke A, Lentze MJ (2004) Nutrition of children and adolescents. Results of the DONALD Study. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 47:213–218
Kroke A, Manz F, Kersting M, Remer T, Sichert-Hellert W, Alexy U, Lentze MJ (2004) The DONALD Study. History, current status and future perspectives. Eur J Nutr 43:45–54
Kromeyer-Hauschild K (2001) Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 149:807–818
Martorell R, Stein AD, Schroeder DG (2001) Early nutrition and later adiposity. J Nutr 131:874S–880S
Maynard LM, Galuska DA, Blanck HM, Serdula MK (2003) Maternal perceptions of weight status of children. Pediatrics 111:1226–1231
Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJ (2003) Health consequences of obesity. Arch Dis Child 88:748–752
Rennie KL, Jebb SA (2005) Prevalence of obesity in Great Britain. Obes Rev 6:11–12
Saelens BE, Ernst MM, Epstein LH (2000) Maternal child feeding practices and obesity: a discordant sibling analysis. Int J Eat Disord 27:459–463
Stunkard AJ, Berkowitz RI, Schoeller D, Maislin G, Stallings VA (2004) Predictors of body size in the first 2 y of life: a high-risk study of human obesity. Int J Obes Relat Metab Disord 28:503–513
Symonds ME, Pearce S, Bispham J, Gardner DS, Stephenson T (2004) Timing of nutrient restriction and programming of fetal adipose tissue development. Proc Nutr Soc 63:397–403
Wake M, Salmon L, Waters E, Wright M, Hesketh K (2002) Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord 26:717–724
Wang Y, Monteiro C, Popkin BM (2002) Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr 75:971–977
Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R (2002) Parental feeding style and the inter-generational transmission of obesity risk. Obes Res 10:453–462
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337:869–873
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Kroke, A., Strathmann, S. & Günther, A.L.B. Maternal perceptions of her child’s body weight in infancy and early childhood and their relation to body weight status at age 7. Eur J Pediatr 165, 875–883 (2006). https://doi.org/10.1007/s00431-006-0191-3
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DOI: https://doi.org/10.1007/s00431-006-0191-3