Research Article

Parental Misperception of Their Child's Body Weight Status Impedes the Assessment of the Child's Lifestyle Behaviors

Table 3

Comparison of physical activity level and fitness of children within a given body weight group perceived accurately or not.

UnderweightNormal weightOverweight/obese
UW(=)UW(+) valueNW(=)NW(−) valueOW/OB(=)OW/OB(−) value

In your opinion, how physically active is your child compared to other children the same age and sex?
Much or moderately more15 (41)10 (22).064235 (33)52 (39).1617 (15)58 (37).004
Equally, moderately or much less22 (59)36 (78)475 (67)80 (61)40 (85)97 (63)

In the last 12 months, outside of school hours, how often has your child taken part in sports with a coach or instructor (except dance or gymnastics)?
Most days or a few times a week4 (11)7 (15).556108 (15)18 (14).6469 (19)23 (15).478
About once a week or less33 (89)39 (85)603 (85)114 (86)38 (81)132 (85)

In the last 12 months, outside of school hours, how often has your child taken lessons or instruction in other organized physical activities with a coach or instructor such as dance, gymnastics, martial arts or circus arts?
Most days or a few times a week4 (11)4 (9).74655 (8)9 (7).7155 (11)11 (7).431
About once a week or less33 (89)42 (91)656 (92)123 (93)42 (89)144 (93)

In the last 12 months, outside of school hours, how often has your child taken part in unorganized sports or physical activities without a coach or instructors?
Most days or a few times a week19 (51)34 (74).034478 (67)81 (61).19027 (57)99 (64).426
About once a week or less18 (49)12 (26)233 (33)51 (39)20 (43)56 (36)

Compared to other children of your child’s age and sex, how do you consider the physical fitness level of your child?
Much or moderately more12 (32)6 (13).033231 (33)49 (67).3049 (19)54 (35).042
Equally, moderately or much less25 (68)40 (87)479 (67)83 (63)38 (81)101 (65)

Measured physical fitness
Sit ups7.3
(5.6–9.1)
6.4
(5.6–9.1)
.3707.4
(7.1–7.8)
6.7
(5.7–7.6)
.1055.2
(3.8–6.5)
6.4
(5.6–7.1)
.128
Long jump88.7
(80.4–96.9)
87.5
(80.9–94.1)
.82396.3
(94.5–98.1)
94.6
(89.9–99.2)
.47484.7
(77.9–91.4)
92.0
(87.8–96.3)
.084

Categorical values are (% per category of parental perception, i.e., −, = or +); continuous values are mean score (95% confidence interval) UW: underweight; NW: normal weight; OW/OB: overweight or obese; (−): perceived leaner than they are; (=): perceived accurately; (+): perceived bigger than they are. : subjective assessment; : objective assessment.