Table 1. Participant and descriptive data classified by maternal awareness of child’s physical activity level Child Characteristics Number of participants (Female) Age (years) BMI (kgm-2) BMI z-score Has an older sibling living at home Has a younger sibling living at home Attends nursery Full-time Part-time Maternal Characteristics Age (years) BMI (kgm-2) Age leaving full-time education (years) >16 years 17-18 years >18 years Physical activity level Inactive Moderately inactive Moderately active Active Maternal Perception† Child is outgoing Strongly/disagree/ neither Strongly/Agree Child is restless Strongly /disagree/ neither Strongly/Agree Child is well behaved Strongly/disagree/neither Strongly/Agree Child enjoys PA Disagree/ neither Strongly/ agree n (%) or mean± SD Realistic inactive Under-estimators Realistic Active Over-estimators 20 (16) 4.1 ± 0.1 16.6 ± 1.8 0.56 ± 1.1 9 (45) 10 (50) 20 (10) 4.1 ± 0.1 15.9 ± 2.0 0.02 ± 1.3 9 (45) 13 (65) 263 (129) 4.1 ± 0.1 15.9 ± 1.3 0.08 ± 0.93 137 (52) 109 (41) 175 (97) 4.1 ± 0.1 16.0 ± 1.3 0.14 ± 0.98 69 (39) 79 (45) 2 (10) 18 (90) 0 (0) 20 (100) 14 (5) 246 (95) 20 (11) 152 (89) 34.8 ± 3.1 26.3 ± 5.8 34.3 ± 3.5 27.7 ± 7.5 35.3 ± 3.6 26.5 ± 5.2 35.2 ± 2.7 26.5 ± 5.7 3 (15) 5 (25) 12 (60) 8 (40) 6 (30) 6 (30) 86 (33) 87 (33) 84 (32) 52 (30) 71 (41) 51 (29) 3 (15) 8 (40) 7 (35) 2 (10) 4 (20) 10 (50) 2 (10) 4 (20) 43 (16) 106 (40) 52 (20) 56 (21) 31 (18) 69 (39) 44 (25) 25 (14) 10 (50) 10 (50) 11 (55) 9 (45) 63 (25) 191 (75) 46 (27) 124 (73) 14 (70) 6 (30) 9 (45) 11 (55) 138 (54) 117 (46) 100 (59) 70 (41) 4 (20) 16 (80) 6 (30) 14 (70) 69 (27) 185 (73) 30 (18) 140 (82) 17 (85) 3 (15) 16 (80) 4 (20) 85 (32) 178 (68) 62 (35) 113 (65) PA is important Disagree/ neither 9 (45) 12 (60) Strongly/agree 11 (55) 8 (40) Physical activity is limited because: Child is not interested in physical activity Never 3 (15) 4 (20) Rarely/Sometimes/often/very often 17 (85) 16 (80) Child doesn’t have the skills Never 10 (50) 10 (50) Rarely/ Sometimes/often/very often 10 (50) 10 (50) † Variables dichotomised; SD, standard deviation; BMI, Body Mass Index; PA, Physical Activity 78 (30) 184 (70) 49 (28) 124 (72) 125 (49) 129 (51) 85 (49) 90 (51) 186 (73) 69 (27) 110 (63) 65 (37) Table 2. Associations between child and maternal characteristics and maternal overestimation of their child's physical activity level Variable Child characteristics Sex (ref: Male) Age (in years) BMI z-score Has an older sibling living at home (ref: no older sibling) Has a younger sibling living at home (ref: no younger sibling) Attends nursery (ref: part-time) Full-time Maternal Characteristics Age (in years) BMI (kgm-2) Age leaving full-time education (ref: 16 or younger) 17 or 18 years 19 years or older Physical Activity level (ref: Inactive) Moderately inactive Moderately active Active Maternal Perception Child is outgoing (ref: Strongly/disagree/neither) Strongly/ Agree Child is restless (ref: Strongly disagree/disagree/neither) Strongly/ Agree Child is well behaved (ref: disagree/neither) Strongly/ Agree Child enjoys PA (ref: Disagree/ neither) Strongly/ Agree PA is important ((ref: Disagree/ neither) Strongly/Agree Physical activity is limited because: Child is not interested in physical activity (ref: never) Rarely/ Sometimes/often/very often Child doesn’t have the skills (ref: never) Rarely/Sometimes/often/very often Unadjusted RR (95% CI) 1.17 (0.93, 1.47) 0.74 (0.12, 4.64) 1.05 (0.93, 1.18) 0.73 (0.57, 0.93)* 1.08 (0.86, 1.37) 1.54 (1.13, 2.10)* Adjusted RR (95% CI) 0.71 (0.56, 0.90)** 1.53 (1.14, 2.04)** 1.00 (0.97, 1.03) 1.00 (0.98, 1.02) 1.19 (0.91, 1.57) 1.00 (0.74, 1.36) 0.94 (0.68, 1.30) 1.09 (0.77, 1.55) 0.74 (0.48, 1.12) 0.93 (0.72, 1.21) 0.85 (0.68, 1.09) 1.42 (1.03, 1.97)* 0.92 (0.73, 1.17) 1.04 (0.81, 1.35) 1.02 (0.81, 1.28) 1.31 (1.04, 1.64)* 1.29 (1.03, 1.63)* *p≤0.05 **p<0.005; RR, rate ratio; CI, confidence interval; ref, reference category, BMI; body mass index; PA, physical activity. Model 2: Adjusted for nursery attendance, older sibling at home and maternal perception of physical activity skills