Accuracy of Weight Perception Among Urban Early Adolescents with Uncontrolled Asthma and Their Caregivers
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ORIGINAL ARTICLE
Accuracy of Weight Perception Among Urban Early Adolescents with Uncontrolled Asthma and Their Caregivers Melanie Jay, M.D, M.S & Cesalie Stepney, Ed.M & N. Ari Wijetunga, M.S & Grace Akinrinade, B.A. & Karen Dorsey, M.D, Ph.D & Jean-Marie Bruzzese, Ph.D
Published online: 26 January 2013 # The Society of Behavioral Medicine 2012
Abstract 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)01.19, confidence interval (CI)01.10–1.28] and total medical visits (OR01.18, CI0 1.05–1.33) were associated with higher accuracy in caregivers. Total medical visits (OR00.84, CI00.74–0.96) 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.
M. Jay VA New York Harbor and Division of General Internal Medicine, NYU School of Medicine, New York, NY, USA e-mail: [email protected]
G. Akinrinade Department of Child and Adolescent Psychiatry, NYU School of Medicine, New York, NY, USA e-mail: [email protected]
C. Stepney Department of Psychology, Rutgers University, Piscataway, NJ, USA e-mail: [email protected]
K. Dorsey Department of Pediatrics, Yale University, School of Medicine, New Haven, CT, USA e-mail: [email protected]
N. A. Wijetunga Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA e-mail: [email protected]
J.-M. Bruzzese (*) Department of Child and Adolescent Psychiatry, Child Study Center, NYU School of Medicine, One Park Avenue, 7th Floor, New York, NY 10016, USA e-mail: [email protected]
Keywords Asthma . Obesity . Perception . Ethnic minority . Inner city . Early adolescents
Introduction Childhood obesity is highly prevalent, particularly among ethnic minorities [1–3], and is comorbid with asthma [4–6]. While this relationship is potentially bidirectional, most recently, it has been concluded that obesity usually precedes and worsens asthma [7, 8]. Overweight and obese youth with asthma have more frequent and more severe asthma symptoms [4, 9], are prescribed more asthma medications [4, 9, 10], have worsened lung functioning [4, 11, 12], have more Emergency Department visits and hospitalizations [9,
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