Parental perceptions and childhood overweight/obesity: A population-based study among school children in Japan

Takako Shirasawa, Hirotaka Ochiai, Tadahiro Ohtsu, Rimei Nishimura, Takaya Shimizu, Hiromi Hoshino, Naoko Tajima, Akatsuki Kokaze

Department of Public Health, Showa University School of Medicine, Tokyo, Japan.
Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine, Tokyo, Japan.

DOI: 10.4236/health.2012.48081                

Abstract

The lifestyle of children is primarily controlled by their parents, and that childhood obesity is related to family variables. The aim of this study was to investigate the relationship between parental perceptions on childhood obesity and their child’s overweight/obesity in Japan. The study subjects were 3168 school children (aged 9 or 10 years) and their parents in the town of Ina, Saitama Prefecture, Japan, between 2002 and 2009. Information regarding parental perceptions about childhood obesity and the lifestyle factors of their children was collected using self-administered questionnaires completed by the participants and their parents. Childhood over-weight was defined according to the International Obesity Task Force cutoffs. Parental perceptions on childhood obesity were significantly associated with their child’s overweight status. Specifically, low perceptions regarding childhood obesity significantly increased the odds ratio (OR) for the child’s overweight status (OR: 1.86, 95% CI: 1.32 - 2.62). However, when the analysis was limited to children with both parents being overweight, there was no statistically significant difference between levels of parental perceptions and the overweight status of their children. Accordingly, the present study suggests that, when both parents are obese, not only is raising parental awareness important, but also encouraging parents to prevent themselves from becoming overweight, leads to improvements in the lifestyle habits of children, which may contribute to the prevention of childhood overweight.

Keywords

Children; Childhood Obesity; Parental Perceptions; Parental Obesity; Japan

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Han, J.C., Lawlor, D.A. and Kimm, S.Y. (2010) Childhood obesity. Lancet, 375, 1737-1748. doi:10.1016/S0140-6736(10)60171-7
[2]	Matsushita, Y., Yoshiike, N., Kaneda, F., Yoshita, K. and Takimoto, H. (2004) Trends in childhood obesity in Japan over the last 25 years from the national nutrition survey. Obesity Research, 12, 205-214. doi:10.1038/oby.2004.27
[3]	Burke, V., Beilin, L.J., Simmer, K., Oddy, W.H., Blake, K. V., Doherty, D., Kendall, G.E., Newnham, J.P., Landau, L. I. and Stanley, F.J. (2005) Predictors of body mass index and associations with cardiovascular risk factors in Australian children: A prospective cohort study. International Journal of Obesity, 29, 15-23. doi:10.1038/sj.ijo.0802750
[4]	Katzmarzyk, P.T., Pérusse, L., Malina, R.M., Bergeron, J., Després, J.P. and Bouchard, C. (2001) Stability of indicators of the metabolic syndrome from childhood and adolescence to young adulthood: The Québec family study. Journal of Clinical Epidemiology, 54, 190-195. doi:10.1016/S0895-4356(00)00315-2
[5]	Eisenmann, J.C., Wickel, E.E., Welk, G.J. and Blair, S.N. (2005) Relationship between adolescent fitness and fatness and cardiovascular disease risk factors in adulthood: The Aerobics Center Longitudinal Study (ACLS). American Heart Journal, 149, 46-53. doi:10.1016/j.ahj.2004.07.016
[6]	Stunkard, A.J., Foch, T.T. and Hrubec, Z. (1986) A twin study of human obesity. The Journal of the American Medical Association, 256, 51-54. doi:10.1001/jama.1986.03380010055024
[7]	Lissner, L. and Heitmann, B.L. (1995) Dietary fat and obesity: evidence from epidemiology. European Journal of Clinical Nutrition, 49, 79-90.
[8]	Sun, Y., Sekine, M. and Kagamimori, S. (2009) Lifestyle and overweight among Japanese adolescents: The toyama birth cohort study. Journal of Epidemiology, 19, 303-310. doi:10.2188/jea.JE20080095
[9]	Maffeis, C., Grezzani, A., Perrone, L., Del Giudice, E.M., Saggese, G. and Tatò, L. (2008) Could the savory taste of snacks be a further risk factor for overweight in children? Journal of Pediatric Gastroenterology and Nutrition, 46, 429-437. doi:10.1097/MPG.0b013e318163b850
[10]	Ievers-Landis, C.E., Storfer-Isser, A., Rosen, C., Johnson, N.L. and Redline, S. (2008) Relationship of sleep parameters, child psychological functioning, and parenting stress to obesity status preadolescent children. Journal of Development and Behavioral Pediatrics, 29, 243-252. doi:10.1097/DBP.0b013e31816d923d
[11]	Jacobi, C., Schmitz, G. and Agras, W.S. (2008) Interactions between disturbed eating and weight in children and their mothers. Journal of Development and Behavioral Pediatrics, 29, 360-366. doi:10.1097/DBP.0b013e31817dbd7d
[12]	Vanhala, M.L., Kein?nen-kiukaanniemi, S.M., Kaikkonen, K.M., Laitinen, J.H. and Korpelainen, R.I. (2011) Factors associated with parental recognition of a child’s overweight status—A cross sectional study. BMC Public Health, 11, 665. doi:10.1186/1471-2458-11-665
[13]	Johannsen, D.L., Johannsen, N.M. and Specker, B.L. (2006) Influence of parents’ eating behaviors and child feeding practices on children’s weight status. Obesity (Silver Spring), 14, 431-439. doi:10.1038/oby.2006.57
[14]	Clark, H.R., Goyder, E., Bissell, P., Blank, L. and Peters, J. (2007) How do parents’ child-feeding behaviors influence child weight? Implications for childhood obesity policy. Journal of Public Health, 29, 132-141. doi:10.1093/pubmed/fdm012
[15]	Birch, L.L. and Fisher, J.O. (2000) Mothers’ child-feeding practices influence daughters’ eating and weight. The American Journal of Clinical Nutrition, 71, 1054-1061.
[16]	Arredondo, E.M., Elder, J.P., Ayala, G.X., Campbell, N., Baquero, B. and Duerksen, S. (2006) Is parenting style related to children’s healthy eating and physical activity in Latino families? Health Education Research, 21, 862-871. doi:10.1093/her/cyl110
[17]	Dietz, W.H. (1991) Factors associated with childhood obesity. Nutrition, 7, 290-291.
[18]	Eckstein, K.C., Mikhail, L.M., Ariza, A.J., Thomson, J.S., Millard, S.C. and Bonns, H.J. and Pediatric Practice Research Group (2006) Parents’ perceptions of their child’s weight and health. Pediatrics, 117, 681-690. doi:10.1542/peds.2005-0910
[19]	Maynard, L.M., Galuska, D.A., Blanck, H.M. and Serdula, M.K. (2003) Maternal perceptions of weight status of children. Pediatrics, 111, 1226-1231.
[20]	Wake, M., Salmon, L., Waters, E., Wright, M. and Hesketh, K. (2002) Parent-reported health status of overweight and obese Australian primary school children: A cross-sectional population survey. International Journal of Obesity and Related Metabolic Disorders, 26, 717-724. doi:10.1038/sj/ijo/0801974
[21]	Kanda, A., Kamiyama, Y. and Kawaguchi, T. (2004) Association of reduction in parental overweight with reduction in children’s overweight with a 3-year follow-up. Preventive Medicine, 39, 369-372. doi:10.1016/j.ypmed.2004.01.033
[22]	Shirasawa, T., Shimada, N., Ochiai, H., Ohtsu, T., Hoshino, H., Nishimura, R., Morimoto, A., Tajima, N. and Kokaze, A. (2010) High blood pressure in obese and nonobese Japanese children: Blood pressure measurement is necessary even in nonobese Japanese children. Journal of Epidemiology, 20, 408-412. doi:10.2188/jea.JE20090207
[23]	Ochiai, H., Shirasawa, T., Nishimura, R., Morimoto, A., Shimada, N., Ohtsu, T., Kujirai, E., Hoshino, H., Tajima, N. and Kokaze, A. (2010) Relationship of body mass index to percent body fat and waist circumference among schoolchildren in Japan—the influence of gender and obesity: A population-based cross-sectional study. BMC Public Health, 10, 493. doi:10.1186/1471-2458-10-493
[24]	Nishimura, R., Sano, H., Matsudaira, T., Morimoto, A., Miyashita, Y., Shirasawa, T., Kokaze, A. and Tajima, N. (2009) Changes in body mass index, leptin and adiponectin in Japanese children during a three-year followup period: A population-based cohort study. Cardiovascular Diabetology, 8, 30. doi:10.1186/1475-2840-8-30
[25]	Cole, T.J., Bellizzi, M.C., Flegal, K.M. and Dietz, W.H. (2000) Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ, 320, 1240-1243. doi:10.1136/bmj.320.7244.1240
[26]	World Health Organization (2000) Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organization Technical Report Series, 849, 1-253. http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/
[27]	Panagiotakos, D.B., Papadimitriou, A., Anthracopoulos, M.B. and Konstantinidou, M., Antonogeorgos, G., Fretzayas, A. and Priftis, K. N. (2008) Birthweight, breast-feeding, parental weight and prevalence of obesity in schoolchildren aged 10 - 12 years, in Greece; the Physical Activity, Nutrition and Allergies in Children Examined in Athens (PANACEA) study. Pediatrics International, 50, 563-568. doi:10.1111/j.1442-200X.2008.02612.x
[28]	Wang, H., Sekine, M., Chen, X., Kanayama, H., Yamagami, T. and Kagamimori, S. (2007) Sib-size, birth order and risk of overweight in junior high school students in Japan: results of the Toyama Birth Cohort Study. Preventive Medicine, 44, 45-51. doi:10.1016/j.ypmed.2006.07.015
[29]	Maruyama, K., Sato, S., Ohira, T., Maeda, K., Noda, H., Kubota, Y., Nishimura, S., Kitamura, A., Kiyama, M., Okada, T., Imano, H., Nakamura, M., Ishikawa, Y., Kurokawa, M., Sasaki, S. and Iso, H. (2008) The joint impact on being overweight of self reported behaviours of eating quickly and eating until full: Cross sectional survey. BMJ, 337, a2002. doi:10.1136/bmj.a2002
[30]	Suka, M., Sugimori, H., Yoshida, K., Sekine, M., Yamagami, T. and Kagamimori, S. (2002) Parental influence on the development of obesity in 9-year-old Japanese children: The Toyama birth cohort study. Environmental Health and Preventive Medicine, 7, 173-175. doi:10.1007/BF02897947
[31]	Burke, V., Beilin, L.J. and Dunbar, D. (2001) Family lifestyle and parental body mass index as predictors of body mass index in Australian children: A longitudinal study. International Journal of Obesity and Related Metabolic Disorders, 25, 147-157. doi:10.1038/sj.ijo.0801538
[32]	Lissau, I. and S?rensen, T.I. (1994) Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet, 343, 324-327. doi:10.1016/S0140-6736(94)91163-0
[33]	Akhtar-Danesh, N., Dehghan, M., Morrison, K.M. and Fonseka, S. (2011) Parents’ perceptions and attitudes on childhood obesity: A Q-methodology study. Journal of the American Academy of Nurse Practitioners, 23, 67-75. doi:10.1111/j.1745-7599.2010.00584.x
[34]	Mizutani, T., Suzuki, K., Kondo, N. and Yamagata, Z. (2007) Association of maternal lifestyles including smoking during pregnancy with childhood obesity. Obesity, 15, 3133-3139. doi:10.1038/oby.2007.373
[35]	Adamo, K.B., Papadakis, S., Dojeiji, L., Turnau, M., Simmons, L., Parameswaran, M., Cunningham, J., Pipe, A.L. and Reid, R.D. (2010) Using path analysis to understand parents’ perceptions of their children’s weight, physical activity and eating habits in the Champlain region of Ontario. Paediatrics and Child Health, 15, e33-41. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3009571/
[36]	Wake, M., Nicholson, J.M., Hardy, P. and Smith, K. (2007) Preschooler obesity and parenting styles of mothers and fathers: Australian national population study. Pediatrics, 12, e1520-1527. doi:10.1542/peds.2006-3707
[37]	Del Duca, G.F., González-Chica, D.A., Santos, J.V., Knuth, A.G., Camargo, M.B. and Araújo, C.L. (2012) Self-reported weight and height for determining nutritional status of adults and elderly: Validity and implications for data analysis. Cadernos de Saúde Pública, 28, 75-85. doi:10.1590/S0102-311X2012000100008