Objective. To examine the relationship between parents’ underestimation of their child’s weight status and concerns about their child’s weight and health. Methods. We conducted interviews with parents in an urban pediatric clinic (January through June 2006). Children’s height and weight were measured at the visit using standard techniques. Results. 193 children were included (response rate 87%, 18 months-9 years, 70% black); 31% of parents underestimated their child’s weight status (46% of overweight children, 24% of normal weight). Parents of normal-weight children who underestimated were more likely to be concerned about their child’s weight (39% vs 2.9%, P < .001) than those who did not underestimate. Parents of overweight children who underestimated were less likely to be concerned about their child’s weight (7.7% vs 59%, P < .001) than those who recognized their children as overweight. Conclusions. Many parents continue to underestimate their child’s weight status. These perceptions may present a barrier to the prevention of childhood obesity.
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