Journal
BMC PUBLIC HEALTH
Volume 21, Issue 1, Pages -Publisher
BMC
DOI: 10.1186/s12889-021-10744-6
Keywords
Childhood overweight and obesity; Caregiver; Beliefs; Challenges; Service needs
Categories
Funding
- Canadian Institutes of Health Research (CIHR) [HLT 151517]
- National Natural Science Foundation of China (NSFC) [81661128010]
- Shanghai International Science and Technology Collaborative Foundation [18410711800]
- Fifth Round of the Three-Year Public Health Action Plan of Shanghai [GWV-10.1-XK08]
- Shanghai Municipal Public Health Outstanding Discipline Leadership Program [GWV-10.2-XD10]
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Caregivers in Shanghai tend to underestimate children's weight status and view chubby children as a sign of good parental care. Challenges to preventing childhood overweight and obesity include difficulty controlling children's diet and increasing physical activity, discordant views between parents and grandparents, and barriers to accessing professional guidance. More detailed advice on nutrition intake and physical activity for children is desired, with a preference for online approaches such as mobile phone applications and social media.
BackgroundChildhood overweight and obesity (OWO) has become a major public concern worldwide including in Shanghai, one of the most developed areas of China. Understanding perceptions and challenges of tackling childhood OWO among caregivers of children is critical to provide services in need.MethodsA qualitative descriptive study including in-depth interviews with seven parents and six focus group discussions with a total of 32 parents or grandparents of children zero to 6 years of age. Participants lived in three districts of Shanghai and indexed children included both those with OWO or non-OWO children. Data were analyzed using qualitative thematic analysis.ResultsCaregivers tended to underestimate children's weight status, and to regard chubby children as a sign of good parental care. Some caregivers even suggested that there were positive effects of childhood overweight. Caregivers identified a number of challenges to prevention of OWO in children, including difficulties in controlling dietary intake or increasing children's physical activities; discordant views between parents and grandparents, and barriers to accessing professional guidance. Caregivers desired more detailed advice regarding children's nutrition intake and physical activity, and preferred online approaches.ConclusionsMisconceptions regarding childhood overweight were found in caregivers of children in Shanghai. Professional guidance on childhood weight control for caregivers is desired via digital applications such as mobile phone applications and social media.
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