Maternal perception of the child’s nutritional status from the perspective of adjusted residual analysis

Authors

  • Gustavo Carreiro Pinasco Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil. /Centro Univeristário Saúde ABC – FMABC – Santo André – SP, Brazil
  • Arthur Brunelli Sales Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil
  • Carla Venância Aguilar Santos Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil
  • Elizandra Cola Hospital Estadual Infantil Nossa Senhora da Glória – HEINSG – Vitória – ES, Brazil
  • Fabiano Novaes Barcellos Filho Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil
  • João Batista Francalino da Rocha Centro Univeristário Saúde ABC – FMABC – Santo André – SP, Brazil
  • Eduardo Moreno Júdice de Mattos Farina Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil
  • Willer França Fiorotti Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil
  • Luiz Carlos de Abreu Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória – EMESCAM – Vitoria ES, Brazil. /Centro Univeristário Saúde ABC – FMABC – Santo André – SP, Brazil

DOI:

https://doi.org/10.7322/jhgd.v30.11102

Keywords:

maternal behavior, nutritional status, child, overweight,, obesity

Abstract

Backgroung: The maternal perception of the nutritional status of their children has several important social factors in its composition and it can be important in determine quality of children’s food.


Objective: To assess social factors influencing maternal perception of her children´s nutritional status.


Methods: Cross sectional study with school children from 6 to 10 years from a public school in São Paulo, Brazil. The data was obtained through a structured questionnaire applied to mothers and through children’s body mass index. Associations between variables were analyzed by the Qui-square test and
by the adjusted residues analysis, with 5% of significance. The agreement between maternal perception and nutritional status was assessed through the Kappa test.

 

Results: We found incorrect perception in 45.8% of cases, from which 98.2% were underestimation, with 80% of underestimation for overweight children. We found poor and slight agreement for all cases. Adjusted residuals pointed eutrophic underestimation; better maternal perception for
the obese; better perception for mothers that attained middle and high school levels; underestimation for eutrophic boys and correct perception for eutrophic girls. Single mothers and
those who do not work outside tended to underestimate their eutrophic children.


Conclusion: We found poor agreement for almost all cases, with exception to mothers of girls and those that do not work outside. A correct perception was related positively with lower education levels, being worse for mothers without a partner and for those who do not work outside. Mothers of girls, compared to mothers of boys, had a more accurate perception.

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References

Rivera, J., de Cossío, T., Pedraza, L., Aburto, T., Sánchez, T. and Martorell, R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014; 2(4):321-332. DOI: https://doi.org/10.1016/s2213-8587(13)70173-6

Costa L, Rubio KL, Lopes SMA, Tanouye ATA, Bertolini SMMG, Branco BHM. Effects of 12 weeks of interdisciplinary interventions on behavioral and eating parameters of adolescents with overweight or obesity. J Hum Growth Dev. 2019; 29(2): 177-186. DOI: http://doi.org/10.7322/jhgd.v29.9417

Juarez Mendez V. Características maternas e infantiles asociadas a obesidad en lactantes menores de un año de edad del norte de méxico. Nutr Hosp. 2019; 7; 36(1): 244. DOI: http://dx.doi.org/10.20960/nh.2388

Francescatto C, Santos NS, Coutinho VF, Costa RF. Mothers’ perceptions about the nutritional status of their overweight children: a systematic review. J Pediatr (Rio J). 2014; 90(4): 332-43. DOI: https://doi.org/10.1016/j.jped.2014.01.009

Bhadoria A, Sahoo K, Sahoo B, Choudhury A, Sufi N, Kumar R. Childhood obesity: Causes and consequences. J Family Med Prim Care. 2015; 4(2): 187-92.

DOI: https://doi.org/10.4103/2249-4863.154628

Keller K, Olsen A, Kuilema L, Meyermann K, Belle C. Predictors of parental perceptions and concerns about child weight. Appetite. 2013; 62: 96-102. DOI: https://doi.org/10.1016/j.appet.2012.11.016

Baughcum A, Chamberlin L, Deeks C, Powers S, Whitaker R. Maternal Perceptions of Overweight Preschool Children. Pediatrics. 2000; 106(6): 1380-6. DOI: https://doi.org/10.1542/peds.106.6.1380

Medeiros AJ, Palmeira PA, Lima JS, Cardoso VVBP. Longitudinal monitoring of nutritional status of schoolchildren at a public school. J Hum Growth Dev. 2020; 30(2): 209-215. DOI: https://doi.org/10.7322/jhgd.v30.10367

Novaes J, Lamounier J, Franceschini S, Priore S. Fatores ambientais associados ao sobrepeso infantil. Rev. Nutr. 2009;22(5):661-673. DOI: https://doi.org/10.1590/s1415-52732009000500007

Published

2020-10-15

Issue

Section

ORIGINAL ARTICLES