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Posts Tagged ‘Behavior

Parents In Denial About Their Children’s Weight Problems

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In a study of 104 children under treatment for type 2 diabetes at the Vanderbilt Eskind Pediatric Diabetes Clinic, the children and their parents were surveyed about their perceptions of the child’s weight, dietary and exercise practices, as well as barriers to improving diet and exercise habits.

https://i0.wp.com/www.bbc.co.uk/blogs/worldhaveyoursay/obese_child203.jpg

Quite often, both the children and their parents underestimated the child’s weight status.

“You could argue the first step for overcoming obesity is recognition,” said Russell Rothman, M.D., assistant professor of Internal Medicine and Pediatrics at the Vanderbilt Center for Health Services Research, and senior author on the study in February’s Diabetes Care.

“This is a group that is already getting treatment for type 2 diabetes, including education about exercise and nutrition. If anything, you might expect them to be more aware about weight issues. This should send up a red flag about how challenging it is to treat obesity in this population, if many of the parents and patients in this group don’t even recognize the problem.”

The parents and children were surveyed by telephone and were asked, among other things, “do you think your child’s/your weight is very overweight, slightly overweight, about right, slightly thin or very thin.”

While 87 percent of the children surveyed were obese by the most recent Centers for Disease Control and Prevention (CDC) standards, only 41 percent of parents, and 35 percent of the children reported themselves “very overweight.” Among parents who reported their child’s weight as “about right,” 40 percent had children who actually were at or over the 95th percentile for weight and were considered obese by government standards.

Girls were more likely than boys to underestimate their weight, and parents underestimated their children’s weight more often than the children did themselves. Additionally, those who underreported weight were more likely to report a poor diet and exercise than those who correctly reported their weight status. Those with misperceptions about weight also reported more barriers to better exercise and diet behaviors.

There have been other studies showing parents and children in the general population often don’t accurately perceive weight. However, Rothman said this is the first study to examine weight perception among children with type 2 diabetes — a population that should already have been informed of their weight status and its contribution to diabetes from their health care providers.

“As health care providers we need to take a step back and realize these families need better guidance about understanding their weight status before we can convince them to make lifestyle changes to improve their health,” said Rothman, who also serves as director of the Vanderbilt Program on Effective Health Communication. “We need to do a better job as providers to work on shared communication, using more clear language, goal setting with families about key behavior changes, identifying barriers and setting realistic goals.”

Diabetes Care. 2008 Feb;31(2):227-9. Epub 2007 Nov 13.
Accuracy of perceptions of overweight and relation to self-care behaviors among adolescents with type 2 diabetes and their parents.
Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7411, USA. asheley@unc.edu
OBJECTIVE: To examine how adolescents with type 2 diabetes and their parents/primary caregivers perceive the adolescents’ weight and the relationship of those perceptions to diet and exercise behaviors and perceived barriers to healthy behaviors. RESEARCH DESIGN AND METHODS: Interviews were conducted with adolescents and their parents about perceptions of the adolescents’ weight, diet, and exercise behaviors, as well as barriers to engaging in healthy diet and exercise behaviors. Interviews were linked with clinic records to provide BMI. RESULTS: A total of 104 parent-adolescent dyads participated. Parents and adolescents typically perceived the adolescents’ weight as less severe than it actually was. For parents and adolescents, underestimating the adolescents ‘ weight was associated with poorer diet behaviors and more perceived barriers to following healthy diet or exercise behaviors. CONCLUSIONS: Addressing misperceptions of weight by adolescents and their parents may be an important first step to improving weight in these patients.
for bodyweight perception in adults see:

 

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Written by huehueteotl

March 5, 2008 at 12:14 pm

Cognition

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The term cognition is used in several loosely related ways to refer to a faculty for the human-like processing of information, applying knowledge and changing preferences.

Cognition or cognitive processes can be natural and artificial, conscious and not conscious; therefore, they are analyzed from different perspectives and in different contexts, in anesthesia, neurology, psychology, philosophy, systemics and computer science.

The concept of cognition is closely related to such abstract concepts as mind, reasoning, perception, intelligence, learning, and many others that describe numerous capabilities of human mind and expected properties of artificial or synthetic intelligence.

Cognition is an abstract property of advanced living organisms; therefore, it is studied as a direct property of a brain or of an abstract mind on subsymbolic and symbolic levels. In psychology and in artificial intelligence, it is used to refer to the mental functions, mental processes and states of intelligent entities (humans, human organizations, highly autonomous robots), with a particular focus toward the study of such mental processes as comprehension, inferencing, decision-making, planning and learning (see also cognitive science and cognitivism).

Recently, advanced cognitive researchers have been especially focused on the capacities of abstraction, generalization, concretization/specialization and meta-reasoning which descriptions involve such concepts as beliefs, knowledge, desires, preferences and intentions of intelligent individuals/objects/agents/systems. The term “cognition” is also used in a wider sense to mean the act of knowing or knowledge, and may be interpreted in a social or cultural sense to describe the emergent development of knowledge and concepts within a group that culminate in both thought and action..

For more information about the topic Cognition, read the full article at Wikipedia.org, or see the following related articles:

Social cognition — Social cognition is the study of how people process social information, especially its encoding, storage, retrieval, and application to social … > read more

Cognitive psychology — Cognitive Psychology is the school of psychology that examines internal mental processes such as problem solving, memory, and language. It had its … > read more

Psychopathology — Psychopathology is a term which refers to either the study of mental illness or mental distress or the manifestation of behaviours and experiences … > read more

Thought — Thought or thinking is a mental process which allows beings to model the world, and so to deal with it effectively according to their goals, plans, … > read more

Source: Material licensed under the GNU Free Documentation License. It uses material from the article Cognition at Wikipedia.org. See the Wikipedia copyright page for more details.

Written by huehueteotl

October 22, 2007 at 3:13 pm