ArticleJournal of public health (Oxford, England)2026
Parental beliefs and practices around child weight in London, England: insights from qualitative photo-elicitation interviews.
Article in Journal of public health (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChildhood overweight and obesity remain global public health concerns, yet caregiver engagement with prevention and support services is often limited. Understanding caregiver beliefs and everyday practices may help improve communication and service uptake.
methodsSeventeen parents from diverse backgrounds across London, England, participated in autophotographic photo-elicitation interviews exploring daily routines. Interview data were analysed using interpretive critical discourse analysis to identify norms and beliefs surrounding children's weight and weight-related behaviours.
resultsFive discourses were identified: (i) 'Food at the Centre of Weight'; (ii) 'Body Mass Index (BMI) as an Indicator, not a Diagnosis'; (iii) 'Homecooked Food as Nourishment'; (iv) 'Negotiating Challenges for a 'Balanced Diet'; and (v) 'Activity for Enjoyment and Development-not Health'. Parents viewed children's weight as primarily shaped by food and diet, and rejected BMI as a standalone measure of healthy weight. Dietary practices centred on balancing nourishing home cooking with less nourishing foods, while physical activity was valued for its developmental benefits.
conclusionsCaregiver discourse revealed tensions between everyday norms and dominant public health messaging around children's weight. In England, communications may be strengthened by acknowledging the limitations of BMI categories, resisting diet-centric framings, and aligning more closely with caregiver perspectives on food and activity.
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