Perceived severity: a mediator of parental nutrition knowledge and overweight/obesity in adolescents
Authors: Guan Lijun , Chen Fangyuan 
Published: December 2024

PurposeThe debate surrounding the influence of parental nutritional knowledge on offspring’s susceptibility to overweight/obesity persists, with a dearth of research elucidating the mechanisms involved. This study aims to explore if and how parental nutrition knowledge affects adolescents' overweight and obesity, by highlighting the mediating effect of parental perceived severity of obesity.Design/methodology/approachA questionnaire was conducted in Zhejiang Province, China, with a sample of 2,298 students as well as their parents during November–December 2022. Logistic regression and propensity score matching methods was used to validate the relationship between parental nutrition knowledge and adolescents' overweight/obesity, while the multiplication coefficient method was used to test the mediation effect.FindingsParental nutrition knowledge significantly reduces the odds ratio for adolescent obesity, without affecting the likelihood of overweight. The perceived severity of obesity fully mediates the relationship between parental nutrition knowledge and adolescents' overweight and obesity.Research limitations/implicationsBy exploring mediating factors, the analysis offers an innovative explanation of the process by which nutritional knowledge influences health behaviors. Lack of relevant motivation or beliefs is an important reason for the failure of nutritional knowledge. If parents do not have sufficient awareness of the dangers of overweight or obesity, they will have inadequate motivation to apply nutritional knowledge in guiding dietary or exercise decisions. We also supplement the literature by demonstrating the health belief model in highlighting the mediating mechanism of perceived severity in the relationship between parental nutrition knowledge and adolescents' obesity.Practical implicationsExtending the research focus on subjective beliefs and cognitive motivation bears important policy implications for designing education campaigns to effectively restrain the obesity rate. Considering that many Chinese parents have insufficient awareness of the dangers of childhood overweight and obesity, even considering “chubby children” as symbols of “cuteness” and “health”. This can largely undermine their motivation to apply nutritional knowledge to restrain adolescents' overweight and obesity. Consequently, education campaigns, public health professionals and government agencies can be developed aiming to increase parental nutrition knowledge, especially on the hazards of obesity.Social implicationsWith the prevalence of overweight and obesity among adolescents, it is critical to control students' weight and health. Families, especially parents, are vital to the physical and mental health of adolescents. This research confirmed that improving parental nutrition knowledge is necessary for maintaining a healthy weight for adolescents. Results also emphasized that the association between parental nutritional knowledge and adolescents' overweight or obesity was mediated by parental perceived severity. This indicates that interventions designed to enhance parental nutritional knowledge should pay more attention to strengthening parental cognition of and beliefs in obesity.Originality/valueThis paper added to the debate on the impact of parental nutritional knowledge on adolescent’s overweight and obesity. Based on the health belief model, it also identified a novel pathway and mechanism by highlighting the importance of subjective motivations and beliefs such as the perceived severity of obesity in influencing overweight/obesity. Conclusions bear important policy implications for designing education campaigns to effectively restrain the obesity rate.