American Indian parents' assessment of and concern about their kindergarten child's weight status, South Dakota, 2005-2006

Chrisa Arcan, Peter J Hannan, John H Himes, Jayne Fulkerson, Bonnie Holy Rock, Mary Smyth, Mary T Story

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Introduction: Obesity is highly prevalent among American Indians, and effective prevention efforts require caregiver involvement. We examined American Indian (AI) parents' assessment of and level of concern about their kindergarten child's weight status. Methods: We collected baseline data (fall of 2005 and fall of 2006) on children and their parents or caregivers for a school-based obesity prevention trial (Bright Start) on an AI reservation in South Dakota. The current study uses 413 parent-child pairs. Age- and sex-adjusted body mass index percentiles were categorized as very underweight (<5th percentile), slightly underweight (5th to <15th percentile), normal weight (15th to <85th percentile), overweight (85th to <95th percentile), and obese (≥95th percentile). Parents or caregivers reported their assessment of and concerns about their child's weight status as well as sociodemographic characteristics. We used mixed-model multivariable analysis to examine associations between sociodemographic characteristics and the probability of parents underclassifying or overclassifying their child's weight status; analyses were adjusted for school as a random effect. Results: Children were evenly divided by sex and had a mean age of 5.8 years. Twenty-nine percent of children and 86% of parents were overweight or obese. Approximately 33% (n = 138) of parents underclassified and 7% (n = 29) of parents overclassified their child's weight status. Higher parental weight status and higher concern about their child's weight status increased the probability of underclassification (P for trend =.02 for both). Conclusion: In this sample of at-risk children, one-third of parents underclassified their child's weight status. Childhood obesity prevention programs need to increase awareness and recognition of childhood obesity and address parental weight issues.

Original languageEnglish (US)
Article number110215
JournalPreventing Chronic Disease
Volume9
Issue number2
DOIs
StatePublished - Feb 2012

Fingerprint

Dive into the research topics of 'American Indian parents' assessment of and concern about their kindergarten child's weight status, South Dakota, 2005-2006'. Together they form a unique fingerprint.

Cite this