Maternal perception of the child’s nutritional status from the perspective of adjusted residual analysis
Keywords:maternal behavior, nutritional status, child, overweight,, obesity
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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