Academic Pediatrics
Volume 9, Issue 3 , Pages 172-178 , May 2009

How Pediatricians Can Improve Diet and Activity for Overweight Preschoolers: A Qualitative Study of Parental Attitudes

  • Christopher Bolling, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Christopher Bolling, MD, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, ML 7035, 3333 Burnet Avenue, Cincinnati, Ohio 45229.
    • ,
  • Lori Crosby, PsyD
    • ,
  • Richard Boles, PhD
    • ,
  • Lori Stark, PhD

Received 26 June 2008 ,Accepted 30 January 2009.

References 

  1. Tudor-Locke C, Kronenfeld JJ, Kim SS, et al. A geographical comparison of prevalence of overweight school-aged children: the National Survey of Children's Health 2003. Pediatrics. 2007;120:e1043–e1050
  2. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA. 2002;288:1728–1732
  3. Ogden CL, Carroll MD, Flegal KM. High body mass index for age among US children and adolescents, 2003–2006. JAMA. 2008;299:2401–2405
  4. Borra ST, Kelly L, Shirreffs MB, et al. Developing health messages: qualitative studies with children, parents, and teachers help identify communications opportunities for healthful lifestyles and the prevention of obesity. J Am Diet Assoc. 2003;103:721–728
  5. Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120(Suppl 4):S164–S192
  6. Davis MM, Gance-Cleveland B, Hassink S, et al. Recommendations for prevention of childhood obesity. Pediatrics. 2007;120(Suppl 4):S229–S253
  7. Krebs NF, Himes JH, Jacobson D, et al. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S193–S228
  8. Spear BA, Barlow SE, Ervin C, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S254–S288
  9. Koplan JP, Liverman CT, Kraak VA. Preventing Childhood Obesity: Health in the Balance. Washington, DC: National Academies Press; 2005;
  10. Krebs NF, Jacobson MS. Prevention of pediatric overweight and obesity. Pediatrics. 2003;112:424–430
  11. Gidding SS, Dennison BA, Birch LL, et al. Dietary recommendations for children and adolescents: a guide for practitioners. Pediatrics. 2006;117:544–559
  12. Nader PR, O'Brien M, Houts R, et al. Identifying risk for obesity in early childhood. Pediatrics. 2006;118:e594–e601
  13. Whitaker RC, Wright JA, Pepe MS, et al. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337:869–873
  14. Chien A, Coker T, Choi L, et al. What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambul Pediatr. 2006;6:352–355
  15. Pagnini DL, Wilkenfeld RL, King LA, et al. Mothers of pre-school children talk about childhood overweight and obesity: the Weight of Opinion Study. J Paediatr Child Health. 2007;43:806–810
  16. Jain A, Sherman SN, Chamberlin LA, et al. Why don't low-income mothers worry about their preschoolers being overweight?. Pediatrics. 2001;107:1138–1146
  17. Eneli IU, Kalogiros ID, McDonald KA, Todem D. Parental preferences on addressing weight-related issues in children. Clin Pediatr (Phila). 2007;46:612–618
  18. Schwartz RP, Hamre R, Dietz WH, et al. Office-based motivational interviewing to prevent childhood obesity: a feasibility study. Arch Pediatr Adolesc Med. 2007;161:495–501
  19. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York, NY: Guilford Press; 2002;
  20. Shortell SM. The emergence of qualitative measures in health services research. Health Serv Res. 1999;34:1083–1090
  21. Devers KJ. How will we know good qualitative research when we see it? Beginning the dialogue in health services research. Health Serv Res. 1999;34:1153–1188
  22. Morgan DL, Krueger RA. The Focus Group Kit. Thousand Oaks, Calif: Sage Publications; 1997;
  23. Mitchell MJ, Kawchak DA, Stark LJ, et al. Brief report: parent perspectives of nutritional status and mealtime behaviors in children with sickle cell disease. J Pediatr Psychol. 2004;29:315–320
  24. Hollingshead A. Four-Factor Index of Social Status. New Haven, Conn: Yale University; 1974;
  25. Styles JL, Meier A, Sutherland LA, Campbell MK. Parents’ and caregivers’ concerns about obesity in young children: a qualitative study. Fam Community Health. 2007;30:279–295
  26. Jordan AB, Hersey JC, McDivitt JA, Heitzler CD. Reducing children's television-viewing time: a qualitative study of parents and their children. Pediatrics. 2006;118:e1303–e1310
  27. Wadden TA, Didie E. What's in a name? Patients’ preferred terms for describing obesity. Obes Res. 2003;11:1140–1146
  28. Cohen ML, Tanofsky-Kraff M, Young-Hyman D, Yanovski JA. Weight and its relationship to adolescent perceptions of their providers (WRAP): a qualitative and quantitative assessment of teen weight-related preferences and concerns. J Adolesc Health. 2005;37:163
  29. He M, Irwin JD, Sangster Bouck LM, et al. Screen-viewing behaviors among preschoolers parents’ perceptions. Am J Prev Med. 2005;29:120–125
  30. Irwin JD, He M, Bouck LM, et al. Preschoolers’ physical activity behaviours: parents’ perspectives. Can J Public Health. 2005;96:299–303
  31. Tucker P, Irwin JD, Sangster Bouck LM, et al. Preventing paediatric obesity; recommendations from a community-based qualitative investigation. Obes Rev. 2006;7:251–260
  32. Fox MK, Pac S, Devaney B, Jankowski L. Feeding infants and toddlers study: what foods are infants and toddlers eating?. J Am Diet Assoc. 2004;104(1 Suppl. 1):s22–s30
  33. Reifsnider E, Flores-Vela AR, Beckman-Mendez D, et al. Perceptions of children's body sizes among mothers living on the Texas-Mexico border (La Frontera). Public Health Nurs. 2006;23:488–495
  34. Killion L, Hughes SO, Wendt JC, et al. Minority mothers’ perceptions of children's body size. Int J Pediatr Obes. 2006;1:96–102

PII: S1876-2859(09)00011-4

doi: 10.1016/j.acap.2009.01.010

Academic Pediatrics
Volume 9, Issue 3 , Pages 172-178 , May 2009

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