2 Research suggests that non-growth chart-based approaches should be considered 5 and, given the methods by which parents determine child weight status and their sensitivity to its more visible manifestations, 9 the use of a visual tool to improve recognition warrants further investigation. 8 Identifying methods for improving parental recognition of childhood overweight are therefore urgently needed because, without recognition, parents are unlikely to make appropriate lifestyle changes or seek support. Parental ability to correctly identify childhood overweight in the future may become even more problematic because with increasing levels of childhood overweight at a societal level comes a shift in what constitutes ‘normal’ weight toward heavier weight categories. 1– 4 This may be due to parents using visual assessments of children and comparisons with others, 5– 7 rather than using objective measures such as body mass index (BMI) or growth charts, 6, 7 when determining child weight status.

Evidence indicates that parental recognition of childhood overweight is limited.

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