Can Adults Accurately Judge Child Weight Status?

Background/objectives: This study addresses two questions: what body sizes/shapes do participants believe correspond to the boundaries of the National Child Measurement Programme (NCMP) weight categories for children aged 4–5 and 10–11 years old, and are these judgements altered by using terminology...

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Main Authors: Bethany J. Ridley, Kristofor McCarty, Robin S. S. Kramer, Martin J. Tovée, Piers L. Cornelissen
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/12/7/836
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author Bethany J. Ridley
Kristofor McCarty
Robin S. S. Kramer
Martin J. Tovée
Piers L. Cornelissen
author_facet Bethany J. Ridley
Kristofor McCarty
Robin S. S. Kramer
Martin J. Tovée
Piers L. Cornelissen
author_sort Bethany J. Ridley
collection DOAJ
description Background/objectives: This study addresses two questions: what body sizes/shapes do participants believe correspond to the boundaries of the National Child Measurement Programme (NCMP) weight categories for children aged 4–5 and 10–11 years old, and are these judgements altered by using terminology encouraging positive action by parents? Methods: The study used photorealistic computer-generated stimuli based on 388 3D scans of children in a method of adjustment task. We first asked participants to estimate the boundaries between weight status categories as described by the NCMP. To test validity, we asked a second set of participants to estimate the body that represented exemplars of each weight category (the exemplars should fall between the boundary estimates). We then recruited a third set of participants to determine whether substituting positive action terminology for the weight status definitions altered the boundary positions. Results: First, validity was confirmed. Second, we found a compressed response range (lower weights overestimated and higher weights underestimated) for the positioning of both categorical boundaries and exemplars. Finally, the use of alternative weight status terminology resulted in an upward shift in the position of all boundaries in the BMI spectrum but failed to remove the compressive stimulus response effect. Discussion: There is a disconnect between the child size that people perceive to correspond to the different weight categories and the size criteria used by health professionals, and it is likely that this gap can only be bridged by training to recognise the medically based categories.
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spelling doaj-art-722e7b574e4d4e209fd0643ca3f0e06b2025-08-20T03:08:09ZengMDPI AGChildren2227-90672025-06-0112783610.3390/children12070836Can Adults Accurately Judge Child Weight Status?Bethany J. Ridley0Kristofor McCarty1Robin S. S. Kramer2Martin J. Tovée3Piers L. Cornelissen4Department of Psychology, Northumbria University, Newcastle upon Tyne NE1 8ST, UKDepartment of Psychology, Northumbria University, Newcastle upon Tyne NE1 8ST, UKSchool of Psychology, University of Lincoln, Lincoln LN6 7TS, UKDepartment of Psychology, Northumbria University, Newcastle upon Tyne NE1 8ST, UKDepartment of Psychology, Northumbria University, Newcastle upon Tyne NE1 8ST, UKBackground/objectives: This study addresses two questions: what body sizes/shapes do participants believe correspond to the boundaries of the National Child Measurement Programme (NCMP) weight categories for children aged 4–5 and 10–11 years old, and are these judgements altered by using terminology encouraging positive action by parents? Methods: The study used photorealistic computer-generated stimuli based on 388 3D scans of children in a method of adjustment task. We first asked participants to estimate the boundaries between weight status categories as described by the NCMP. To test validity, we asked a second set of participants to estimate the body that represented exemplars of each weight category (the exemplars should fall between the boundary estimates). We then recruited a third set of participants to determine whether substituting positive action terminology for the weight status definitions altered the boundary positions. Results: First, validity was confirmed. Second, we found a compressed response range (lower weights overestimated and higher weights underestimated) for the positioning of both categorical boundaries and exemplars. Finally, the use of alternative weight status terminology resulted in an upward shift in the position of all boundaries in the BMI spectrum but failed to remove the compressive stimulus response effect. Discussion: There is a disconnect between the child size that people perceive to correspond to the different weight categories and the size criteria used by health professionals, and it is likely that this gap can only be bridged by training to recognise the medically based categories.https://www.mdpi.com/2227-9067/12/7/836childhood weightoverweightparentsBMI categories
spellingShingle Bethany J. Ridley
Kristofor McCarty
Robin S. S. Kramer
Martin J. Tovée
Piers L. Cornelissen
Can Adults Accurately Judge Child Weight Status?
Children
childhood weight
overweight
parents
BMI categories
title Can Adults Accurately Judge Child Weight Status?
title_full Can Adults Accurately Judge Child Weight Status?
title_fullStr Can Adults Accurately Judge Child Weight Status?
title_full_unstemmed Can Adults Accurately Judge Child Weight Status?
title_short Can Adults Accurately Judge Child Weight Status?
title_sort can adults accurately judge child weight status
topic childhood weight
overweight
parents
BMI categories
url https://www.mdpi.com/2227-9067/12/7/836
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