Childhood obesity: Do parents recognize this health risk

excess weight as a health risk, knowledge of healthy eating habits, and recognition of obesity in their children. Research Methods and Procedures: An anonymous ques-tionnaire was distributed during well-care visits involving children 4 to 8 years of age at a pediatric faculty practice. Parents indicated their level of concern about excess weight and other familiar health risks using a four-point Likert scale, answered multiple-choice questions concerning healthy eating patterns, and communicated their percep-tions about their child’s weight using a visual analog scale. A parent’s perception was considered “accurate ” if it deviated from the child’s growth chart percentile by 30 points. Results: Of the 83 parents surveyed, 23 % (19/83) had overweight children (95th percentile of age- and gender-specific BMI growth charts). These parents did not differ from other parents in their level of concern about excess weight as a health risk or in their knowledge of healthy eating patterns, but the two groups of parents did differ in the accuracy of their perceptions about their children’s weight. Only 10.5 % of parents of overweight children (2/ 19) perceived their child’s weight accurately compared with 59.4 % of other parents (38/64; p 0.001). Parents of overweight children invariably underestimated their chil-dren’s weight. The median difference between their percep-tion and the growth chart percentile was 45 points. Discussion: Given that most parents of overweight children fail to recognize that their child has a weight problem, pediatricians should develop strategies to help these parents correct their misperceptions. Key words: child, body weight, caregivers, weight per-ception, health-risk appraisa