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        ORIGINAL RESEARCH

        American Indian Parents’ Assessment of and Concern About Their Kindergarten Child’s Weight Status, South Dakota, 2005-2006

        Level of Concern Measured Weight Status of Child
        Underweight (n = 18) Normal Weight (n = 268) Overweight (n = 61) Obese (n = 12) Extremely Obese (n = 51)
        Not concerned, % 55.6 72.8 86.9 50.0 43.1
        A little concerned, % 27.8 17.5 8.2 25.0 29.4
        Concerned, % 16.7 8.2 4.9 25.0 11.8
        Very concerned, % 0 1.5 0 0 15.7

        Figure 1. Parents’ level of concern about their child’s current weight status and child’s measured weight among American Indians, South Dakota, 2005-2006. Weight status was based on body mass index percentiles from the 2000 Centers for Disease Control and Prevention Growth Charts (20). Very underweight: <5th percentile; underweight: 5th to ≤15th percentile; normal weight: 15th to <85th percentile; overweight: 85th to <95th percentile; obese: 95th percentile to <97th percentile; extremely obese: ≥97th percentile. The categories “very underweight” and “underweight” were combined. Parents were unaware of child’s measured height and weight.

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        Level of Concern Parents’ Assessment of Child’s Weight
        Underweight (n = 38) Right Weight (n = 330) Slightly Overweight (n = 38) Very Overweight (n = 4)
        Not concerned, % 31.6 79.7 29.0 0
        A little concerned, % 42.1 12.1 50.0 0
        Concerned, % 21.0 7.3 10.5 25.0
        Very concerned, % 5.3 0.9 10.5 75.0

        Figure 2. Parents’ level of concern about their child’s current weight status and assessment of child’s weight among American Indians, South Dakota, 2005-2006. The categories “slightly underweight” and “very underweight” were combined.

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