Objective To explore the effect of health education intervention measures on improving parents' perception of their children's weight, so as to provide scientific basis for intervention in preschool obese children. Methods Children from 7 kindergartens in Luohu district were randomly selected in this study in October 2020, and were divided into intervention group and control group. The intervention group consisted of 1 318 children and parents from 3 kindergartens, and the control group consisted of 1 546 children and parents from 4 kindergartens. Parents in the intervention group received combination of online and offline health education intervention measures for 2 months, while parents in the control group received no intervention measures. Logistic regression analysis was used to evaluate the effect of parents' perception of their children's weight in intervention group and control group. Results After controlling for imbalanced variables such as parents' education level, total monthly family income, and parents' perception of their children's weight, there was a statistically significant difference in the improvement of parents' perception of their children's weight status between two groups after intervention(OR=2.175,95%CI:1.536 - 3.080,P<0.05). After intervention, the improvement of parents' perception of boys' weight status in intervention group was better than that in control group(OR=2.985, 95%CI: 1.878 - 4.745, P<0.05). There was no statistically significant difference in the degree of improvement in perceived weight status among girls' parents after intervention(P>0.05). Regardless of whether the child's weight status was normal or not, parents in the intervention group showed better improvement in their perception of their children's weight status than the control group(OR=1.558, 6.111, 95%CI:1.025 - 2.368, 2.811 - 13.287, P<0.05). Conclusion Health education measures can improve the perception bias of parents towards their preschool children's weight, and the intervention effect varies among children of different genders and weight states.
Key words
preschool children /
obesity /
weight perception
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Weihrauch-Blüher S, Wiegand S. Risk factors and implications of childhood obesity[J]. Current Obesity Reports, 2018, 7(4):254-259.
[2] Noor Shafina MN, Abdul Rasyid A, Anis Siham ZA, et al. Parental perception of children's weight status and sociodemographic factors associated with childhood obesity[J].Medical Journal of Malaysia, 2020, 75(3): 221-225.
[3] Ruiter ELM, Saat JJEH, Molleman GRM, et al. Parents' underestimation of their child's weight status. Moderating factors and change over time: A cross-sectional study[J]. PLoS One, 2020,15(1):e0227761.
[4] 伍茹星,魏晓雪,王健,等.祖辈与父辈家长对学龄前儿童体重感知及其影响因素差异性分析[J].中国预防医学杂志,2022,23(6):424-429.
Wu RX, Wei XX, Wang J, et al. Parental misperception on bodyweight of preschool children and its influencing factors[J].Chin Prev Med,2022,23(6):424-429.(in Chinese)
[5] 王健,朱大乔.父母对学龄前儿童体重感知偏差的影响因素[J].解放军护理杂志,2019,36(11):50-53.
Wang J, Zhu DQ. Influencing factors of parental perception of body weight of preschool children[J]. Nurs I Chin PLA,2019,36(11):50-53.(in Chinese)
[6] 孔德辉,宋道平,陈楚琳,等.母亲对学龄前儿童体重水平感知偏差及其影响因素的研究[J].中国妇幼保健,2016,31(2):275-278.
Kong DH, Song DP, Chen CL,et al. Study on maternal misperceptions of their preschool child's weight status and relevant influencing factors[J]. Maternal and Child Health Care of China,2016,31(2):275-278.(in Chinese)
[7] 李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
Li H, Ji CY, Zong XN, et al. Body mass index growth curves for Chinese children and adolescents aged 0 to 18 years[J]. Chin J Pedintr, 2009,47(7):493-498.(in Chinese)
[8] 马冠生,米杰,马军,等.中国儿童肥胖报告[R].北京:人民卫生出版社,2017:5-15.
Ma GS, Mi J, Ma J, et al.Chinese child obesity report[R]. Beijing:People's Health Publishing House,2017:5-15.(in Chinese)
[9] 原晨晨,薛琨,郭红卫.全球儿童超重肥胖的流行现状和影响因素[J].卫生研究,2020,49(3):506-510.
Yuan CC, Xue K, Guo HW. Analysis of prevalence and risk factors of overweight and obesity among global children[J]. Journal of Hyciene Research,2020,49(3):506-510.(in Chinese)
[10] Butler EM, Suhag A, Hong Y. Parental perceptions of obesity in school children and subsequent action[J]. Childhood Obesity,2019,15:459-467.
[11] Shen YH, Liu Z, Li WH, et al. The smartphone-assisted intervention improved perception of nutritional status among middle school students[J]. Int J Environ Res Public Health,2020, 17(16): 5932.
[12] Parkinson KN, Jones AR, Tovee MJ, et al. A cluster randomised trial testing an intervention to improve parents' recognition of their child's weight status: Study protocol[J]. BMC Public Health, 2015, 15(1): 549-556.
[13] Flores-Pena Y, He MZ, Sosa ET, et al. Study protocol: Intervention in maternal perception of preschoolers' weight among Mexican and Mexican-American mothers[J]. BMC Public Health,2018,18:669.
[14] 王付曼,金曦,冯宁,等.家长对学龄前儿童体型认知的现状和需求分析[J].中国妇幼保健,2016,31(23):5019-5023.
Wang FM,Jin X,Feng N, et al. Cognition status and requirement analysis of parents about physique of preschool children[J].Maternal and Child Health Care of China,2016,31(23):5019-5023.(in Chinese)