Accuracy of parent-reported information for estimating prevalence of overweight and XXXX in a race-ethnically diverse pediatric clinic population aged 3 to 12.

@entity1 @entity28
BACKGROUND: There is conflicting evidence about the accuracy of estimates of @entity28 based on parent-reported data. We assessed accuracy of @entity1 height, weight, and overweight/ @entity28 classification in a pediatric clinic population based on parent data to learn whether accuracy differs by @entity1 age and race/ethnicity. METHODS: Parents of @entity1 ages 3-12 (n   =   1,119) completed a waiting room questionnaire that asked about their @entity1 's height and weight. @entity1 's height and weight was then measured and entered into the electronic health record (EHR) by clinic staff. The @entity1 's EHR and questionnaire data were subsequently linked. Accuracy of parent-reported height, weight, overweight/ @entity28 classification, and parent perception of @entity1 's weight status were assessed using EHR data as the gold standard. Statistics were calculated for the full sample, two age groups (3-5, 6-12), and four racial/ethnic groups (nonHispanic White, Black, Latino, Asian). RESULTS: A parent-reported height was available for 59.1% of the @entity1 , weight for 75.6%, and weight classification for 53.0%. Data availability differed by race/ethnicity but not age group. Parent-reported height was accurate for 49.2% of @entity1 and weight for 58.2%. Latino @entity1 were less likely than nonHispanic Whites to have accurate height and weight data, and weight data were less accurate for 6-12 year than 3-5 year olds. Concordance of parent- and EHR-based classifications of the @entity1 as overweight/ @entity28 and @entity28 was approximately 80% for all subgroups, with kappa statistics indicating moderate agreement. Parent-reported data significantly overestimated prevalence of overweight/ @entity28 (50.2% vs. 35.2%) and @entity28 (32.1% vs. 19.4%) in the full sample and across all age and racial/ethnic subgroups. However, the percentages of parents who perceived their @entity1 to be overweight or very overweight greatly underestimated actual prevalence of overweight/ @entity28 and @entity28 . Missing data did not bias parent-based overweight/ @entity28 estimates and was not associated with @entity1 's EHR weight classification or parental perception of @entity1 's weight. CONCLUSIONS: While the majority of parents of overweight or @entity28 @entity1 tend to be unaware that their @entity1 is overweight, use of parent-reported height and weight data for young @entity1 and pre-teens will likely result in overestimates of prevalence of youth overweight and @entity28 .
