Accuracy of Weight Perception Among Urban Early Adolescents with Uncontrolled Asthma and Their Caregivers

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• 作者：Melanie Jay M.D ; M.S (1)
  Cesalie Stepney Ed.M (2)
  N. Ari Wijetunga M.S (3)
  Grace Akinrinade B.A. (4)
  Karen Dorsey M.D ; Ph.D (5)
  Jean-Marie Bruzzese Ph.D (6)
  
• 关键词：Asthma ; Obesity ; Perception ; Ethnic minority ; Inner city ; Early adolescents
• 刊名：Annals of Behavioral Medicine
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：45
• 期：2
• 页码：239-248
• 全文大小：241KB
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• 作者单位：Melanie Jay M.D, M.S (1)
  Cesalie Stepney Ed.M (2)
  N. Ari Wijetunga M.S (3)
  Grace Akinrinade B.A. (4)
  Karen Dorsey M.D, Ph.D (5)
  Jean-Marie Bruzzese Ph.D (6)
  
  1. VA New York Harbor and Division of General Internal Medicine, NYU School of Medicine, New York, NY, USA
  2. Department of Psychology, Rutgers University, Piscataway, NJ, USA
  3. Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA
  4. Department of Child and Adolescent Psychiatry, NYU School of Medicine, New York, NY, USA
  5. Department of Pediatrics, Yale University, School of Medicine, New Haven, CT, USA
  6. Department of Child and Adolescent Psychiatry, Child Study Center, NYU School of Medicine, One Park Avenue, 7th Floor, New York, NY, 10016, USA
  

文摘

Background Obesity is associated with poor asthma outcomes; weight loss improves such outcomes. Inaccurate recognition of obesity may impede weight control. Purpose We examined perception of weight by early adolescents with uncontrolled asthma and their caregivers, and tested the relationship between medical visit frequency and accuracy of perceived weight status. Methods A total of 373 adolescents and their caregivers reported the adolescent’s height/weight and weight perception; caregivers reported healthcare utilization. We measured height/weight. Logistic regression modeled accuracy of weight perception. Results A total of 43.7?% of the overweight/obese adolescents and caregivers accurately perceived weight status. BMI percentile [odds ratio (OR)--.19, confidence interval (CI)--.10-.28] and total medical visits (OR--.18, CI--.05-.33) were associated with higher accuracy in caregivers. Total medical visits (OR--.84, CI--.74-.96) was associated with lower accuracy in adolescents. Conclusions Accurate perception of weight status was poor for overweight adolescents with uncontrolled asthma and their caregivers. Frequent medical visits were associated with improved caregivers-but not adolescents-perceptions.