Maternal perception of their child's nutritional status and the actual nutritional status of children under 3 years of age in an urban district of Lima
DOI:
https://doi.org/10.20453/rmh.v36i3.5680Keywords:
nutritional status, Maternal nutrition, Breastfeeding, Overweight, ObesityAbstract
Objectives: Determining the degree of agreement between maternal perception of their child's nutritional status and the actual nutritional status, as well as the relationship between maternal perception, nutritional status, and sociodemographic characteristics in children under 3 years of age in an urban district of Lima Metropolitana. Methods: Observational cross-sectional study in a non-random stratified sample from the RIS Rímac, including 367 children and their mothers. Data were collected on maternal perception of nutritional status, age, and educational level; weight and height of mothers and children were measured for concordance analysis. Results: 60.76% of mothers were at risk of being overweight, and more than 50% of mothers of overweight and obese children did not correctly identify their child's nutritional status. A kappa index of 0.0304 was found between maternal perception and the child's nutritional status. Conclusions: Very high rates of overweight were found among mothers, with no agreement between maternal perception and the actual nutritional status of their children, and a significant discrepancy between maternal perception and the nutritional status of both the child and the mother.
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UNICEF. Estado Mundial de la Infancia 2019. Niños, alimentos y nutrición: Crecer bien en un mundo en transformación. [Internet]. New York: UNICEF; 2019. [Citado el 20 de abril de 2021]. Disponible en: https://www.unicef.org/media/62486/file/Estado-mundial-de-la-infancia-2019.pdf
Tarqui C, Sánchez J, Alvarez D, Gómez G, Valdivia S. Tendencia del sobrepeso, obesidad y exceso de peso en el Perú. Rev. Perú Epidemiol [Internet]. 2013 [Citado el 20 de abril de 2021]; 17(3):1-7. Disponible en: https://www.redalyc.org/articulo.oa?id=203129459004
Instituto Nacional de Estadística e Informática. Enfermedades no transmisibles y transmisibles, 2019. INEI [Internet]. 2020. [Citado 19 de mayo de 2021]. Disponible en: https://observateperu.ins.gob.pe/images/archivos/sala_nutricional/2020/3_1_tendencia_sobrepeso_obesidad_ninas_ninos_menores_cinco_anos.pdf
Pajuelo Ramírez J. La obesidad en el Perú. An Fac med. 2017;78(2):179-185. doi: 10.15381/ anales.v78i2.13214.
Ministerio de Salud. Centro Nacional de Alimentación y Nutrición. Situación de sobrepeso y obesidad en la población peruana. [Internet]. MINSA-CENAN, 2020 [Citado el 10 dic. 2021]. Disponible en: https://observateperu.ins.gob.pe/images/archivos/sala_nutricional/2020/3_1_tendencia_sobrepeso_obesidad_ninas_ninos_menores_cinco_anos.pdf
Organización Mundial de la Salud. Malnutrición. [Internet]. OMS; 2020 [Citado el 6 de mayo de 2021]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/malnutrition
Swinburn B, Sacks G, Lo S, Westerterp K, Rush E, Rosenbaum M, et al. Estimating the changes in energy flux that characterize the rise in obesity prevalence. Am J Clin Nutr. Junio 2009; 89(6): 1723-8. doi: 10.3945/ajcn.2008.27061.
Juonala M, Magnussen C, Berenson G, Venn A, Burns T, Sabin M, et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med [Internet]. 2011; 365(20):1876–85. doi: 10.1056/NEJMoa1010112
Dattilo A. Modifiable Risk Factors and Interventions for Childhood Obesity Prevention within the First 1,000 Days. Nestle Nutr Inst Workshop Ser. 2017; 87:183-96. doi: 10.1159/000448966
Osorio J, Weisstaub G, Castillo C. Desarrollo de la conducta alimentaria en la infancia y sus alteraciones. Rev. chil. nutr. 2002; 29(3):280-5. doi: http://dx.doi.org/10.4067/S0717-75182002000300002
Duarte L, Fujimori E, Minagawa Á, Teixeira C, Lima P, Vilela A. Maternal perception of their child's nutritional status at less than three years old. Rev esc enferm USP. 2016; 50(5):771-8. doi: 10.1590/S0080-623420160000600009
Parry L, Netuveli G, Parry J, Saxena S. A systematic review of parental perception of overweight status in children. J Ambul Care Manage. julio-septiembre 2008; 31(3):253-68. doi: 10.1097/01.JAC.0000324671.29272.04
Francescatto C, Santos N, Coutinho V, Costa R. Mothers' perceptions about the nutritional status of their overweight children: a systematic review. J Pediatr (Rio J). 2014; 90(4): 332-43. doi: 10.1016/j.jped.2014.01.009
Park S. Asian Parents’ Perception of Child Weight Status: A Systematic Review. J Child Fam Stud. 2017; 26: 2363–73. doi: 10.1007/s10826-017-0765-x
Loret de Mola C, Quispe R, Valle G, Poterico J. Nutritional Transition in Children under Five Years and Women of Reproductive Age: A 15-Years Trend Analysis in Peru. PLoS One. 2014; 9(3):1-10.
Carrillo R, Bernabe A, Miranda J, Xue H, Wang Y. Children's weight changes according to maternal perception of the child's weight and health: A prospective cohort of Peruvian children. PLoS One. 2017; 12(4):1-12. doi: 10.1371/journal.pone.0175685
Budge S. Maternal perceptions of child weight and height and the double burden of malnutrition: Young Lives, Peru. Student paper [MSc in Demography and Health]. London School of Hygiene and Tropical Medicine. 2015. [Citado el el 10 dic. 2021]. Disponible en: https://www.younglives.org.uk/sites/default/files/migrated/YL-SP-Budge-Double%20burden%20of%20malnutrition.pdf
Revilla L, Alvarado C, Alvarez D, Tarqui C, Gómez G, Jacoby E, et al. Un gordo problema: sobrepeso y obesidad en el Perú. MINSA. 2012. p:16-18.
Doolen J, Alpert P, Miller S. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Assoc Nurse Pract. 2009;21(3):160–6. doi: 10.1111/j.1745-7599.2008.00382.x
Tovar S, Gonzales B, Alcántara D. Percepción materna del estado nutricional en niños de 6 meses a 3 años en un distrito urbano de Lima [tesis de pregrado]. Lima: Universidad Peruana Cayetano Heredia; 2022: Disponible en: https://hdl.handle.net/20.500.12866/11518
Sugiyama T, Horino M, Inoue K, Kobayashi Y, Shapiro M, McCarthy W. 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. Child Obes. 2016;12(6):463-73. doi: 10.1089/chi.2016.0128
Rietmeijer-Mentink M, Paulis W, van Middelkoop M, Bindels P, van der Wouden J. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2012;9(1):3-22. doi: 10.1111/j.1740-8709.2012.00462.x
Gauthier K, Gance-Cleveland B. Hispanic Parental Perceptions of Child Weight in Preschool-Aged Children: An Integrated Review. Child Obes. 2015;11(5):549-59. doi: 10.1089/chi.2014.0152
Blanchet R, Kengneson C, Bodnaruc A, Gunter A, Giroux I. Factors Influencing Parents' and Children's Misperception of Children's Weight Status: a Systematic Review of Current Research. Curr Obes Rep. 2019;8(4):373-412. doi: 10.1007/s13679-019-00361-1
Bado R, Varas N, Medina A. Percepción materna del estado nutricional infantil de niños menores de tres años en el distrito de Ocongate, Cusco. Paediatrica [Internet]. 2007 [citado el 19 de mayo de 2021]; 9(2):55-62. Disponible en: https://sisbib.unmsm.edu.pe/bvrevistas/paediatrica/v09_n2/pdf/a02v9n2.pdf
Floyd M, Dago R. La importancia de buena comunicación entre el médico y el niño, la familia, y otros profesionales. Rev Educ Incl. 2014 [Citado el 19 de mayo de 2021]; 7(3): 1889-4208. Disponible en: https://dialnet.unirioja.es/descarga/articulo/4992036.pdf
Encina C, Gallegos D, Ulloa A, Luman M, Moena B, Canales T, et al. Concordancia entre la percepción materna y el estado nutricional de sus hijos antes y después de una intervención educativa. Rev. chil. nutr. 2017; 44(4):318-24. doi: 10.4067/s0717-75182017000400318.
Dowd K, Kirwan R, Hannigan A, Purtill H, O'Gorman C. The association between maternal perceptions of own weight status and weight status of her child: results from a national cohort study. Arch Dis Child. 2016;101(1):28-32. doi: 10.1136/archdischild-2015-308721
Pedroso J, Toral N, Gubert M. Maternal perception of children's nutritional status in the Federal District, Brazil. PLoS One. 2017;12(4):e0176344.doi: 10.1371/journal.pone.0176344
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Copyright (c) 2025 ALEXANDER ALARCON TENORIO, SOFIA DEL ROSARIO TOVAR RAMIREZ, BRENDA VANESSA GONZALES ASENCIO, DIANA SOFÍA ALCÁNTARA VILLANUEVA, EMILIO ANDRÉS CABELLO MORALES, LUIS FERNANDO LLANOS ZAVALAGA
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