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American Academy of Pediatrics
SUPPLEMENT ARTICLE

Assessing BMI in West Virginia Schools: Parent Perspectives and the Influence of Context

Carole V. Harris and William A. Neal
Pediatrics September 2009, 124 (Supplement 1) S63-S72; DOI: https://doi.org/10.1542/peds.2008-3586I
Carole V. Harris
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William A. Neal
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    FIGURE 1

    Images of 3 prepubescent boys with BMI values ranging from normal weight to obese. BMI percentiles for the boys are, from left to right, 55, 75, and 95.

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    TABLE 1

    Description of Percentage in Each Weight Category According to Percent of Participants in Each Risk-Factor Group

    Risk Factor (% of Students Tested in Each Group)Normal or Underweight, %Overweight, %Obese, %Morbidly Obese, %
    Elevated blood pressure (19.1%)12.918.324.738.9
    Elevated TC (11.9%)8.412.617.6a17.8a
    Low HDL (18.5%)10.119.128.840.2
    Elevated LDL (8.8%)6.210.112.9b12.5b
    Elevated TRIG (8.7%)2.98.416.822.7
    Positive for AN (5.7%)1.73.78.322.8
    Elevated insulin level (4.9%)c0.51.26.322.8
    • Weight categories were defined as: normal or underweight, BMI at <85th percentile; overweight, BMI at ≥85th and <95th percentile; obese, BMI at ≥95th and <99th percentile; and morbidly obese, BMI at >99th percentile.

    • ↵a,b Numbers with the same superscript letter do not significantly differ from one another; all other comparisons according to weight category were significant (P < .05).

    • ↵c Only tested positive for AN.

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    TABLE 2

    Comparison of Parent Perception and Measured Weight Status in 2 Ages of Children

    Measured BMI and Child ParticipantsParent Perception
    Underweight, %aAbout Right, %Overweight, %bObese, %
    Underweight
        Preschool (n = 1)—100——
        5th grade (n = 1)—100——
    Healthy weight
        Preschool (n = 51)11.888.2——
        5th grade (n = 113)8.089.42.7—
    Overweight
        Preschool (n = 19)—94.745.3—
        5th grade (n = 31)—74.225.8—
    Obese
        Preschool (n = 16)6.275.018.7—
        5th grade (n = 51)—31.466.6—
    • — indicates that no BMI values and parent perceptions fell in these categories.

    • ↵a Somewhat and moderately underweight were combined as underweight.

    • ↵b Somewhat and moderately overweight were combined as overweight.

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Pediatrics
Vol. 124, Issue Supplement 1
1 Sep 2009
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Assessing BMI in West Virginia Schools: Parent Perspectives and the Influence of Context
Carole V. Harris, William A. Neal
Pediatrics Sep 2009, 124 (Supplement 1) S63-S72; DOI: 10.1542/peds.2008-3586I

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Assessing BMI in West Virginia Schools: Parent Perspectives and the Influence of Context
Carole V. Harris, William A. Neal
Pediatrics Sep 2009, 124 (Supplement 1) S63-S72; DOI: 10.1542/peds.2008-3586I
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    • CORONARY ARTERY RISK DETECTION IN APPALACHIAN COMMUNITIES
    • WEIGHT-RELATED HEALTH BELIEFS AND PERCEPTIONS
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