Parental recall of doctor communication of weight status: national trends from 1999 through 2008.


Journal Article

To examine time trends in parental reports of health professional notification of childhood overweight over the last decade and to determine the characteristics most associated with such notification.Secondary data analysis using χ(2) tests to examine the relationships between multiple factors on the reports of parents and/or caregivers (hereinafter "parents") and logistic regression for multivariate analysis.National Health and Nutrition Examination Survey, 1999 through 2008.Parents of 4985 children aged 2 to 15 years with body mass index (BMI) in the 85th percentile or higher based on measured height and weight.Affirmative answer to the following question: "Has a doctor or health professional ever told you that your child is overweight?"During 1999 through 2008, 22% of parents of children with BMIs in the 85th percentile or higher reported having been told by a doctor or health professional that their child was overweight; recall of notification was actually more likely among nonwhite and poor children. This percentage increased from 19.4% to 23.2% from the 1999-2004 period and further accelerated in the 2007-2008 period to 29.1%. The time trend persisted in multivariate analyses, with significantly more parents reporting having been told in 2007 through 2008 than in 1999 through 2000.Fewer than one-quarter of parents of overweight children report having been told that their child was overweight. While reports of notification have increased over the last decade (perhaps because of [1] revised definitions of overweight and obesity, [2] increased concern about children with BMIs in the 85th to 95th sex- and age-specific percentiles, or [3] improved recall by parents), further research is necessary to determine where and why communication of weight status breaks down.

Full Text

Duke Authors

Cited Authors

  • Perrin, EM; Skinner, AC; Steiner, MJ

Published Date

  • April 2012

Published In

Volume / Issue

  • 166 / 4

Start / End Page

  • 317 - 322

PubMed ID

  • 22147758

Pubmed Central ID

  • 22147758

Electronic International Standard Serial Number (EISSN)

  • 1538-3628

International Standard Serial Number (ISSN)

  • 1072-4710

Digital Object Identifier (DOI)

  • 10.1001/archpediatrics.2011.1135


  • eng