Significant number of women believe their children are normal weight when they are actually overweight

Latina mothers of preschool-aged children frequently have inaccurate perceptions of their children's body mass index and believe they are healthy when they are overweight, according to a new study from the University of California, San Francisco.

"A significant number of women believed that their children were normal weight when they were, in fact, overweight," said lead study author Elena Fuentes-Afflick, MD, MPH, UCSF associate professor of pediatrics and a pediatrician at San Francisco General Hospital. "However, if the mother described her child as overweight, she was usually correct, but it is concerning that many mothers did not perceive their overweight children as being overweight."

The study findings were presented at the Pediatric Academic Societies annual meeting today (April 29) in San Francisco. Fuentes-Afflick said the study has implications for the effort to stem the tide of pediatric obesity, which has reached epidemic proportions in the United States.

"It's not just Latino parents. As a pediatrician, when you start to talk to parents about their child's weight or body mass, you have to ask: How much and what are children eating? How much TV are they watching? It's especially challenging to talk about these issues with respect to young children because parents are largely responsible for their children's dietary habits.

"If there is a mismatch between what the pediatrician and the mother think is a healthy weight, how do we, as pediatricians, clearly and effectively communicate information about the child's weight to the mother and other family members?" Fuentes-Afflick said.

The study analyzed data from patient interviews conducted for the Latino Health Project, a prospective study of Latina women who were recruited during pregnancy and interviewed annually. The study included 194 women and children who were interviewed in 2000-03, three years after recruitment.

The number of overweight children was higher among women who perceived their children had good or excellent health status, among women who had no concerns about their children's health status, and among women who reported their children eat well.

Overweight children were defined as those with weights at or above 85th percentile on developmental growth charts, adjusted for their age and height.

"As a society, we have a number of negative labels that we use to describe overweight people, and parents don't want their child to fall into that category. It often takes several visits to the pediatrician, communicating the same message before parents understand that overweight is an important issue for children," Fuentes-Afflick said.

The number of overweight children was significantly less likely among women who perceived their children had fair or poor health status and whose weight was perceived as too low, according to study findings.