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Parental concerns about childhood obesity and the strategies employed to prevent unhealthy weight gain in children

  • David Crawford (a1), Anna Timperio (a1), Amanda Telford (a2) and Jo Salmon (a1)



To describe parental concerns about their child's weight, to determine the proportion of parents taking preventive action to avoid obesity in their children and the predictors of taking preventive action, and to describe the strategies adopted by parents.


A cross-sectional survey was conducted. Children's heights and weights were measured, and parents completed a questionnaire that included measures of their own weight status, perceptions of their child's weight, concerns about their child's current weight and future weight as an adolescent and adult, and the strategies used to prevent obesity.


The study was conducted in Melbourne, Australia.


A total of 291 families of children aged 5–6 years and 919 families of children aged 10–12 years participated.


Eighty-nine per cent of parents of overweight 5–6-year-olds and 63% of parents of overweight 10–12-year-olds were unaware their child was overweight. Seventy-one per cent of parents of overweight 5–6-year-olds and 43% of parents of overweight 10–12-year-olds were not concerned about their child's current weight. Although 31% of parents of 5–6-year-olds and 43% of parents of 10–12-year-olds were taking action to prevent unhealthy weight gain in their children, less-educated parents were less likely to do so.


Public health programmes are required to raise parental recognition of childhood overweight and of related risk behaviours, and to provide parents with practical strategies to prevent unhealthy weight gain in their children.


Corresponding author

*corresponding author: Email


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1Crawford, D. Population strategies to prevent obesity. British Medical Journal 2002; 325: 728–9.
2National Audit Office. Tackling Obesity in England. London: The Stationery Office, 2001.
3US Department of Health and Human Services (DHSS). The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. Rockville, MD: DHSS, 2001.
4Magarey, MA, Daniels, LA, Boulton, TJC. Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Medical Journal of Australia 2001; 174: 561–4.
5Fagot-Campagna, A. Emergence of type 2 diabetes mellitus in children: epidemiological evidence. Journal of Pediatric Endocrinology Metabolism 2000; 13S: 1395–402.
6Wolf, AM, Colditz, GA. Current estimates of the economic cost of obesity in the United States. Obesity Research 1998; 6: 97106.
7Reidpath, D, Crawford, D, Tilgner, L, Gibbons, C. Relationship between body mass index and the use of healthcare services in Australia. Obesity Research 2002; 10: 526–31.
8World Health Organization (WHO). Obesity, Preventing and Managing the Global Epidemic. Report of the WHO Consultation on Obesity. Geneva: WHO, 1998.
9Hardus, PM, van Vuuren, CL, Crawford, D, Worsley, A. Public perceptions of the causes and prevention of obesity among primary school children. International Journal of Obesity and Related Metabolic Disorders 2003; 27: 1465–71.
10Davison, KK, Birch, LL. Childhood overweight: a contextual model and recommendations for future research. Obesity Reviews 2001; 2: 159–71.
11Baughcum, EA, Chamberlain, LA, Deeks, CM, Powers, SW, Whitaker, RC. Maternal perceptions of overweight preschool children. Pediatrics 2000; 106: 1380–6.
12Etelson, D, Brand, DA, Patrick, PA, Shirali, A. Childhood obesity: do parents recognize this health risk?. Obesity Research 2003; 11: 1362–8.
13Jeffery, AN, Voss, LD, Metcalf, BS, Alba, S, Wilkin, TJ. Parents' awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). British Medical Journal 2005; 330: 23–4.
14Carnell, S, Edwards, C, Croker, H, Boniface, D, Wardle, J. Parental perceptions of overweight in 3–5 y olds. International Journal of Obesity 2005; 29: 353–5.
15Wake, M, Salmon, L, Waters, E, Wright, M, Hesketh, K. 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 2002; 26: 717–24.
16Smolak, L, Levine, MP, Schermer, F. Parental input and weight concerns among elementary school children. International Journal of Eating Disorders 1999; 25: 263–71.
17Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1240–3.
18Timperio, A, Cameron-Smith, D, Burns, C, Crawford, D. The public's response to the obesity epidemic in Australia: weight concerns and weight-control practices of men and women. Public Health Nutrition 2000; 3: 417–24.
19Jain, A, Sherman, SN, Chamberlin, LA, Carter, Y, Powers, SW, Whitaker, RC. Why don't low-income mothers worry about their preschoolers being overweight? Pediatrics 2001; 107: 1138–46.
20Chamberlin, LA, Sherman, SN, Jain, A, Powers, SW, Whitaker, RC. The challenge of preventing and treating obesity in low-income, preschool children: perceptions of WIC health care professionals. Archives of Pediatrics & Adolescent Medicine 2002; 156: 662–8.
21Glanz, K, Burg, J, van Assema, P. Are awareness of dietary fat and actual fat consumption associated? – a Dutch–American comparison. European Journal of Clinical Nutrition 1997; 51: 542–7.
22Timperio, A, Burns, C, Cameron-Smith, D, Crawford, D. Fattening foods – perceptions and misconceptions. A qualitative and quantitative exploration. Journal of Nutrition and Dietetics 2003; 60: 230–8.
23James, J, Thomas, P, Cavan, D, Kerr, D. Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. British Medical Journal 2004; 328: 1237.
24Robinson, T. Reducing children's television viewing to prevent obesity. Journal of the American Medical Association 1999; 282: 1561–6.
25Commonwealth Department of Health and Ageing. Australia's Physical Activity Recommendations for 5–12 Year Olds. Canberra: Commonwealth of Australia, 2004.



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