title: Trends of Child's Weight Perception by Children, Parents, and Healthcare Professionals during the Time of Terminology Change in Childhood Obesity in the United States, 2005-2014.
abstract: To investigate the changes on self- and parental weight perceptions and parental communication with healthcare professionals (HCPs) in the United States during the mid-2000s period when the terminology changed for classifications of childhood obesity/overweight.
  
  
  
  A repeated cross-sectional study was conducted with 6799 children aged 8-15 years with the National Health and Nutrition Examination Survey 2005-2014. BMI was calculated from objectively measured heights and weights, and children were classified as normal/underweight, overweight or obese, using the new terminology. Children reported their own weight status. Parents reported their child's weight status and reported how HCPs described their children's weight status. Logistic regressions were used to investigate changes in weight perceptions among overweight/obese children themselves and their parents and parental communication with HCPs about children's overweight/obesity status during the time of the terminology change.
  
  
  
  The proportion of parents told by HCPs about children's weight status increased for overweight children [6.8% in 2005-2006 to 18.8% in 2013-2014, p for trend (ptrend= 0.02)], and marginally increased between 2005-2006 (37.1%) and 2007-2008 (45.4%) for obese children (p = 0.09). However, parental perceptions for obese/overweight children did not change. Also, obese children's weight perception did not change, and the proportion of overweight children who perceived their weight status accurately declined in 2005-2012 (25.9%-16.4%, ptrend= 0.02).
  
  
  
  Although the terminology change about childhood obesity/overweight was associated with increased communication about child's weight status by HCPs, the accuracy of weight perceptions among obese/overweight children or their parents did not improve or declined.
authors.affiliation: 1 Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine , Tokyo, Japan .|2 Department of Public Health/Health Policy, Graduate School of Medicine, the University of Tokyo , Tokyo, Japan .
authors.forename: Takehiro
authors.initials: T
authors.lastname: Sugiyama
authors.affiliation: 3 UCLA Center for Cancer Prevention and Control Research , Los Angeles, CA.|4 Department of Community Health Sciences, UCLA Fielding School of Public Health , Los Angeles, CA.
authors.forename: Masako
authors.initials: M
authors.lastname: Horino
authors.affiliation: 5 Department of Endocrinology and Metabolism, the Institute for Adult Diseases , Asahi Life Foundation, Tokyo, Japan .
authors.forename: Kaori
authors.initials: K
authors.lastname: Inoue
authors.affiliation: 2 Department of Public Health/Health Policy, Graduate School of Medicine, the University of Tokyo , Tokyo, Japan .
authors.forename: Yasuki
authors.initials: Y
authors.lastname: Kobayashi
authors.affiliation: 6 Department of Health Policy and Management, UCLA Fielding School of Public Health , Los Angeles, CA.|7 Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine at UCLA , Los Angeles, CA.
authors.forename: Martin F
authors.initials: MF
authors.lastname: Shapiro
authors.affiliation: 3 UCLA Center for Cancer Prevention and Control Research , Los Angeles, CA.|6 Department of Health Policy and Management, UCLA Fielding School of Public Health , Los Angeles, CA.
authors.forename: William J
authors.initials: WJ
authors.lastname: McCarthy
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D009749:Nutrition Surveys; D010290:Parents / Q000193:education / Q000523:psychology*; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D012959:Socioeconomic Factors; D009626:Terminology as Topic; D014481:United States / Q000453:epidemiology / Q000208:ethnology
keywords: NHANES; children; obesity; overweight; perception; terminology change