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Predictive factors for accuracy of perception of parents regarding their overweight or obese children in Taiwan

台灣家長對體重過重或肥胖兒童體重感知準確性的預測因數

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摘要


背景與目的:在台灣,有關家長對於兒童體重及健康狀態的感知準確性的預測因數目前仍不清楚。方法與研究設計:本研究以國家衛生研究院2005年國民健康訪問暨藥物濫用調查資料庫之3-12歲兒童為研究資料。本研究的體重感知定義為兒童身體質量指數與家長對兒童體重的感知狀態兩者間的相互對照,另以問卷方式調查個案的背景變項,並以logistic迴歸方式檢驗家長的背景變項與體重感知錯誤間的關聯性。結果:研究結果發現,在體重過重或肥胖兒童中有一半的家長皆有體重感知錯誤的現象,其中年紀較輕的家長、年齡較小的兒童或過重與肥胖的兒童方面皆有較高的體重感知錯誤比例。事實上,在體重感知錯誤的對象中,只有1.7%體重過重或肥胖的兒童有進行體重控制與管理的行為。結論:大部分的家長認為體重過重的兒童健康狀態較體重正常兒童者為佳。家長年齡、兒童年齡以及是否進行體重控制與管理等因素可能可以作為家長是否能正確感知兒童體重過重或肥胖的預測因數。

關鍵字

兒童肥胖 健康狀態 感知 體重管理 台灣

並列摘要


Background and Objectives: Predictive factors for parental accuracy in perception of their children's weight and state of health have been unknown in Taiwan. Methods and Study Design: Data were obtained on children aged 3-12 years from the 2005 Taiwan National Health Interview Survey (NHIS). The comparison of measured BMI and parents' perception of their children's weight operationalized "weight perception". A structured questionnaire ascertained demographic characteristics, and logistic regression determined demographic variables associated with a weight misperception. Results: The prevalence of parental misperception of children who were overweight or obese was 50%; the ratio was higher in younger parents, parents with younger children, and those with overweight or obese children. In fact, only 1.7% of children whose parents misperceived overweight or obesity were engaged in weight management. Conclusions: Most parents viewed excessive weight in their children as better health than normal weight. Parental age, children's age, and weight loss management may be predictive factors in parents' perceptive accuracy regarding children who are overweight or obese.

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