{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:17:23Z","timestamp":1790601443879,"version":"4.1.0"},"reference-count":37,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obes Facts"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child\u2019s weight status. The purpose of this study was to measure parental perceptions of their child\u2019s weight status and to identify predictors of potential parental misperceptions. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We used data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative and 22 countries. Parents were asked to identify their perceptions of their children\u2019s weight status as \u201cunderweight,\u201d \u201cnormal weight,\u201d \u201ca little overweight,\u201d or \u201cextremely overweight.\u201d We categorized children\u2019s (6\u20139 years; &lt;i&gt;n&lt;\/i&gt; = 124,296) body mass index (BMI) as BMI-for-age Z-scores based on the 2007 WHO-recommended growth references. For each country included in the analysis and pooled estimates (country level), we calculated the distribution of children according to the WHO weight status classification, distribution by parental perception of child\u2019s weight status, percentages of accurate, overestimating, or underestimating perceptions, misclassification levels, and predictors of parental misperceptions using a multilevel logistic regression analysis that included only children with overweight (&lt;i&gt;including&lt;\/i&gt; obesity). Statistical analyses were performed using Stata version 15 1. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Overall, 64.1% of parents categorized their child\u2019s weight status accurately relative to the WHO growth charts. However, parents were more likely to underestimate their child\u2019s weight if the child had overweight (82.3%) or obesity (93.8%). Parents were more likely to underestimate their child\u2019s weight if the child was male (adjusted OR [adjOR]: 1.41; 95% confidence intervals [CI]: 1.28\u20131.55); the parent had a lower educational level (adjOR: 1.41; 95% CI: 1.26\u20131.57); the father was asked rather than the mother (adjOR: 1.14; 95% CI: 0.98\u20131.33); and the family lived in a rural area (adjOR: 1.10; 95% CI: 0.99\u20131.24). Overall, parents\u2019 BMI was not strongly associated with the underestimation of children\u2019s weight status, but there was a stronger association in some countries. &lt;b&gt;&lt;i&gt;Discussion\/Conclusion:&lt;\/i&gt;&lt;\/b&gt; Our study supplements the current literature on factors that influence parental perceptions of their child\u2019s weight status. Public health interventions aimed at promoting healthy childhood growth and development should consider parents\u2019 knowledge and perceptions, as well as the sociocultural contexts in which children and families live. <\/jats:p>","DOI":"10.1159\/000517586","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T22:00:38Z","timestamp":1636149638000},"page":"658-674","source":"Crossref","is-referenced-by-count":51,"title":["Parental Perceptions of Children\u2019s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015\/2017"],"prefix":"10.1159","volume":"14","author":[{"given":"Ximena","family":"Ramos 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