Objective: To determine what factors are associated with parental motivation to change body weight in overweight children.
Design: Cross-sectional study.
Setting: Dunedin, New Zealand.
Subjects: Two hundred and seventy-one children aged 4-8 years, recruited in primary and secondary care, were identified as overweight (BMI ≥ 85th percentile) after screening. Parents completed questionnaires on demographics; motivation to improve diet, physical activity and weight; perception and concern about weight; parenting; and social desirability, prior to being informed that their child was overweight. Additional measures of physical activity (accelerometry), dietary intake and child behaviour (questionnaire) were obtained after feedback.
Results: Although all children were overweight, only 42% of parents perceived their child to be so, with 36% indicating any concern. Very few parents (n 25, 8%) were actively trying to change the child's weight. Greater motivation to change weight was observed for girls compared with boys (P = 0.001), despite no sex difference in BMI Z-score (P = 0.374). Motivation was not associated with most demographic variables, social desirability, dietary intake, parenting or child behaviour. Increased motivation to change the child's weight was observed for heavier children (P < 0.001), those who were less physically active (P = 0.002) and more sedentary (P < 0.001), and in parents who were more concerned about their child's weight (P < 0.001) or who used greater food restriction (P < 0.001).
Conclusions: Low levels of parental motivation to change overweight in young children highlight the urgent need to determine how best to improve motivation to initiate change.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10271407 | PMC |
| http://dx.doi.org/10.1017/S1368980014002171 | DOI Listing |
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