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Table 3 Parental perceptions and child behaviours, before and after weight feedback, by child’s weight status

From: The benefits and harms of providing parents with weight feedback as part of the national child measurement programme: a prospective cohort study

 

Healthy weight and underweight (n = 1574)

Overweight (n = 180)

Obese (n = 105)

Outcome

Baseline % (95% CI)

Follow-up % (95% CI)

Difference in proportion* % (95% CI)

Baseline % (95% CI)

Follow-up % (95% CI)

Difference in proportion* % (95% CI)

Baseline % (95% CI)

Follow-up % (95% CI)

Difference in proportion* % (95% CI)

Good parental knowledge of the health risks of child overweight†

74.8 (72.5 to 77.1)

81.9 (79.9 to 83.4)

7.1 (4.6 to 9.6)

61.9 (54.2 to 69.7)

70.3 (63.1 to 77.6)

8.4 (−0.4 to 17.2)

57.8 (47.4 to 68.2)

65.6 (55.5 to 75.6)

7.8 (−4.5 to 20.1)

Child achieves a healthy diet‡

49.6 (47.0 to 52.2)

48.9 (46.3 to 51.5)

−0.7 (−3.4 to 2.0)

50.6 (42.8 to 58.4)

46.3 (38.5 to 54.1)

−4.3 (−12.7 to 4.0)

41.3 (31.1 to 51.6)

41.3 (31.1 to 51.6)

0 (−10.6 to 10.6)

Fruit and vegetable consumption (≥5 portions/day)

32.5 (30.2 to 34.8)

33.0 (30.6 to 35.3)

0.5 (−2.0 to 2.8)

27.8(21.2 to 34.4)

25.0 (18.6 to 31.4)

−2.8 (−10.4 to 4.7)

22.9 (14.7 to 31.0)

28.6 (19.8 to 37.4)

5.7 (−3.5 to 14.9)

Sugar sweetened beverage consumption (<1 per day)

71.0 (68.7 to 73.3)

70.0 (67.7 to 72.4)

−1.0 (−3.5 to 1.5)

77.3 (71.0 to 83.5)

75.6 (69.2 to 82.0)

−1.7 (−9.9 to 6.5)

63.6 (54.0 to 73.3)

66.7 (57.2 to 76.1)

3.0 (−8.6 to 14.7)

Child achieves adequate physical activity (≥1 h per day)

38.1 (35.6 to 40.5)

39.1 (36.7 to 41.5)

1.0 (−1.6 to 3.6)

27.9 (21.1 to 34.7)

28.5 (21.7 to 35.3)

0.6 (−6.1 to 7.3)

25.2 (16.7 to 33.8)

37.9 (28.3 to 47.4)

12.6 (2.5 to 22.8)

Child achieves appropriate screen time behaviour (≤2 h per day)

55.4 (52.9 to 57.9)

51.5 (48.9 to 54.0)

−4.0 (−6.6 to −1.4)

45.5 (38.0 to 52.9)

39.2 (31.9 to 46.5)

−6.3 (−14.2 to 17.3)

41.6 (31.8 to 51.4)

31.7 (22.5 to 40.9)

−9.9 (−20.6 to 0.8)

Parental recognition of child overweight

NA

NA

NA

14.0 (8.8 to 19.3)

25.1 (18.6 to 31.7)

11.1 (4.0 to 18.3)

35.3 (25.9 to 44.7)

58.8 (49.1 to 68.5)

23.5 (12.7 to 34.3)

Parental recognition of the health risks associated with child’s overweight

NA

NA

NA

11.1 (6.4 to 15.9)

18.1 (12.3 to 24.0)

7.0 (1.4 to 12.6)

38.0 (28.3 to 47.7)

43.0 (33.1 to 52.9)

5.0 (−6.9 to 16.9)

Weight-related teasing¥

NA

NA

NA

4.3 (−1.7 to 10.2)

10.6 (1.5 to 19.8)

6.4 (−2.7 to 15.5)

19.0 (0.7 to 37.4)

14.3 (−2.0 to 30.6)

−4.8 (−25.6 to 16.0)

Low self-esteem¶

NA

NA

NA

0

0

0

10.0 (−4.4 to 24.4)

5 (−5.5 to 15.5)

−5.0 (−26.8 to 16.8)

  1. *Difference between baseline and follow-up (proportion at follow-up minus proportion at baseline) from McNemars test for differences; †Knowledge score ≥4; ‡Healthy eating score ≥5. Diet score generated as mean of scores for consumption of fruit and vegetables (higher consumption = higher score) and sugary drinks and sweet and savoury snacks (higher consumption = lower score), range 1–7; ¥Score >50 on teasing/marginalisation subscale of the obesity-specific Health-related Quality of Life (HRQOL) scale; ¶Score >50 on emotional function scale of the obesity-specific HRQOL scale.
  2. FOOTNOTE: Weight feedback varies by child’s weight status and therefore direct comparisons between groups may not be appropriate.