Original ArticleA Systematic Review of Parental Perception of Overweight Status in ChildrenParry, Lauren L. MBBS, BSc; Netuveli, Gopalakrishnan PhD; Parry, Jody BSc; Saxena, Sonia MBBS, MD, MSc, MRCGPAuthor Information From the Department of Primary Care and Social Medicine, Imperial College, London, United Kingdom. Corresponding author: Lauren L. Parry, MBBS, BSc, Department of Primary Care and Social Medicine, Imperial College Faculty of Medicine, Reynolds Bldg, St. Dunstan's Rd, London W6 8RP, United Kingdom (e-mail: [email protected]). The authors thank Ashley Black for translating studies and Marie-Ange Coxhead for assistance in reviewing studies. S.S. is funded by an NIHR postdoctoral award from the UK Department of Health. G.N. is funded by an ESRC fellowship: RES-163-27-1004. The Department of Primary Care and Social Medicine is grateful for support from the NIHR Biomedical Research Centre funding scheme. Journal of Ambulatory Care Management: July 2008 - Volume 31 - Issue 3 - p 253-268 doi: 10.1097/01.JAC.0000324671.29272.04 Buy Metrics Abstract To systematically review the proportion of parents able to recognize overweight status in their children who were recorded as being overweight by internationally recognized standards. Two independent reviewers searched electronic databases including MEDLINE, EMBASE, PSYCHINFO, and CINAHL for studies from inception to August 2007 using search terms related to childhood overweight and parents. Twenty-three studies satisfied inclusion criteria, representing 3864 overweight children from 7 countries and 5 distinct standard definitions of overweight status. Seventeen of 23 studies employed either greater than 95th centile or the International Obesity Task Force criteria. Parental recognition of their child's overweight status ranged from 6.2% to 73%, but in 19 of 23 studies, it was less than 50%. More than half of parents cannot recognize when their child is overweight. Relying on parents to seek help for their overweight children is likely to be ineffective, and hence population-based screening may be justified. © 2008 Lippincott Williams & Wilkins, Inc.