Agreement between the nutritional status of schoolchildren and the perception of their guardians
Keywords:
Child, Nutritional assessment, Pediatric obesity, Weight perceptionAbstract
Objective
Assess the correlation between classification of nutritional status of schoolchildren and the perception of their guardians.
Methods
A cross-sectional study with children aged 6-10 years from a public school in the South of Brazil. Weight and height of the schoolchildren were collected, and the guardians answered a questionnaire containing the range of silhouettes of Brazilian children. The perception through the scale of silhouettes was compared with the actual nutritional status. Kappa coefficient was used to check the consistency of actual and perceived perception. The prevalence ratio was calculated between perceived overweight and well-nourished children.
Results
A total of 236 guardians of schoolchildren were interviewed. The level of agreement between the nutritional status assessment of actual and perceived perception was weak (Kappa=0.32, p<0.001). As for the perception of nutritional status, 50.8% of the guardians scored the nutritional rating their children correctly, of which 42.0% of these children were overweight and 60.2% were well-nourished, p<0.05. The prevalence of guardians who underestimated the classification of the nutritional status was 21.6%, and underestimation of overweightchildren was 1.8 times greater than of well-nourished children. The overestimation of the nutritional status was 27.5%. The most prevalent nutritional status was well-nourished, followed by overweight.
Conclusion
The study showed that guardians do not have the correct perception of the nutritional status of the schoolchildren. Public interventions for health education must be conducted to reduce erroneous perceptions.
References
World Health Organization. Global status report of noncommunicable diseases 2010. Geneva: WHO; 2011.
Instituto Brasileiro de Geografia e Estatística. Pesquisa Brasileira de Orçamento Familiar 2008-2009: antropometria e estado nutricional de
crianças, adolescentes e adultos no Brasil. Rio de Janeiro: IBGE; 2010.
Seth A, Sharma R. Childhood obesity. Indian J Pediatr. 2013;80(4):309-17.
Onis M. Prevenção do sobrepeso e da obesidade infantis. J Pediatr. 2015;91(2):105-7.
Quadros FF, Gutierrez LLP, Ribeiro JL. Obesidade e fatores de risco cardiovascular em filhos de obesos: uma revisão. Sci Med. 2013;23(2):119-26.
Camargo AAPM, Barros Filho AA, Antonio MARGM, Giglio JS. A não percepção da obesidade pode ser um obstáculo no papel das mães de
cuidar de seus filhos. Ciênc Saúde Coletiva. 2013;18(2):323-33.
Tompkins CL, Seablom M, Brock DW. Parental perception of child’s body weight: A systematic review. J Child Fam Stud. 2015;24:1384-91.
Lopes L, Santos R, Pereira B, Lopes V. Maternal perceptions of children’s weight status. Child Care Health Dev. 2013;39(5):728-36.
Francescatto C, Santos NS, Coutinho VF, Costa RF. Mothers' perceptions about the nutritional status of their overweight children: A systematic review. J Pediatr. 2014;90(4):332-43.
Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: A meta-analysis. Pediatrics. 2014;33(3):689-703.
Kakeshita IS, Silva AIP, Zanatta DP, Almeida SS. Construção e fidedignidade teste-reteste de escala de figuras brasileiras para adultos e criancas. Psic Teor e Pesq. 2009;25(2):263-70
World Health Organization. Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1995. Technical Report Series, 854.
World Health Organization. Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: WHO; 2006.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74.
Friedrich RR, Antunes T, Schuch I. Percepção materna do estado nutricional de crianças em escolas municipais de Porto Alegre-RS. Demetra. 2016;11(1):211-23.
Molina MC, Faria CP, Montero P, Cade NV. Correspondence between children’s nutritional status and mothers’ perceptions: A population-based study. Cad Saúde Pública. 2009;25(10):2285-90.
Boa-Sorte N, Neri LA, Leite ME, Brito SM, Meirelles AR, Luduvice FB, et al. Maternal perceptions and self-perception of the nutritional status of children and adolescents from private schools. J Pediatr. 2007;83(4):349-56.
Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics. 2003;111(5Pt2):1226-31.
Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal perceptions of overweight preschool children. Pediatrics.
;106(6):1380-6.
Tenorio AS, Cobayashi F. Obesidade infantil na percepção dos pais. Rev Paul Pediatr. 2011;29(4):634-39.
Campbell MW, Williams J, Hampton A, Wake M. Maternal concern and perceptions of overweight in Australian preschool-aged children. Med J Aust. 2006;184(6):274-7.
Binkin N, Spinelli A, Baglio G, Lamberti A. Whats is common becomes normal: The effect of obesity prevalence on maternal perception. Nutr Metab Cardiovasc Dis. 2013;23(5):410-6.
Reuter CP, Burgos LT, Camargo MD, Possuelo LG, Reckziegel MB, Reuter EM, et al. Prevalence of obesity and cardiovascular risk among children and adolescents in the municipality of Santa Cruz do Sul, Rio Grande do Sul. Med J. 2013;131(5):323-30.
Pedraza DF, Sousa CPC, Olinda RA. Concordância entre o estado nutricional aferido e o percebido pelas mães em crianças pré-escolares. Rev Paul Pediatr. 2017;35(3):289-95.
Batista MF, Rissin A. A transição nutricional no Brasil: tendências regionais e temporais. Cad Saúde Pública. 2003;19(1):181-191.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bianca Coccaro PIVATTO, Lena Azeredo de LIMA
This work is licensed under a Creative Commons Attribution 4.0 International License.
