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Published online November 13, 2007
Diabetes Care 31:227-229, 2008
DOI: 10.2337/dc07-1214
© 2008 by the American Diabetes Association
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Clinical Care/Education/Nutrition/Psychosocial Research
Original Research

Accuracy of Perceptions of Overweight and Relation to Self-Care Behaviors Among Adolescents With Type 2 Diabetes and Their Parents

Asheley Cockrell Skinner, PHD1,2, Morris Weinberger, PHD1,3, Shelagh Mulvaney, PHD4, David Schlundt, PHD4 and Russell L. Rothman, MD, MPP4

1 Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
2 Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
3 Center for Health Services Research, Durham VA Medical Center, Durham, North Carolina
4 Vanderbilt Diabetes Research and Training Center, Vanderbilt University Medical Center, Nashville, Tennessee

Address correspondence and reprint requests to Dr. Skinner, University of North Carolina at Chapel Hill, CB 7411, Chapel Hill, NC 27599-7411. E-mail: asheley{at}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.

Abbreviations: CDC, Centers for Disease Control


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Copyright © 2008 by the American Diabetes Association.