dc.contributor.author | Firman, N | |
dc.contributor.author | Robson, J | |
dc.contributor.author | Ahmed, Z | |
dc.contributor.author | Boomla, K | |
dc.contributor.author | Dezateux, C | |
dc.date.accessioned | 2021-02-09T17:09:36Z | |
dc.date.available | 2021-01-06 | |
dc.date.available | 2021-02-09T17:09:36Z | |
dc.date.issued | 2021-01-25 | |
dc.identifier.citation | Firman, N, Robson, J, Ahmed, Z, Boomla, K, Dezateux, C. Completeness and representativeness of body mass index in children's electronic general practice records: Linked cross‐sectional study in an ethnically‐diverse urban population in the United Kingdom. Pediatric Obesity. 2021;e12772. https://doi.org/10.1111/ijpo.12772 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/70238 | |
dc.description.abstract | OBJECTIVE: To assess completeness and accuracy of children's body mass index (BMI) recorded in general practice electronic health records (GP-EHRs). METHODS: We linked National Child Measurement Programme (NCMP) records from 29 839 5-year-olds and 26 660 11-year-olds attending state schools in inner London to GP-EHRs (95% linked; 49.1% girls). We estimated adjusted odds (aOR) of at least one GP-BMI record by sex, ethnic background, area-level deprivation, weight-status and long-term conditions. We examined within-child BMI differences and compared obesity prevalence from these sources. RESULTS: 10.5% (2964/28330) and 26.0% (6598/25365) of 5- and 11-year-olds respectively had at least one GP-BMI record. Underweight (aOR;95% CI:1.71;1.34,2.19), obesity (1.45;1.27,1.65), South Asian background (1.55;1.38,1.74), presence of a long-term condition (8.15;7.31,9.10), and residence in deprived areas (Wald statistic 38.73; P-value<0.0001) were independently associated with at least one GP-BMI record. NCMP-BMI and GP-BMI differed by +0.45(95% Limits of Agreement -1.60,+2.51) and + 0.16(-2.86,+3.18) in 5- and 11-year-olds, respectively. The prevalence of obesity based on GP-BMI was 18.2%(16.1,20.5) and 35.9%(33.9,38.0) in 5- and 11-year-olds respectively, compared to 12.9%(12.5,13.3) and 26.9%(26.4,27.4) based on NCMP-BMI. CONCLUSION: Child BMI is not comprehensively recorded in urban general practice. Linkage to school measurement records is feasible and enables assessment of health outcomes of obesity. | en_US |
dc.format.extent | e12772 - ? | |
dc.language | eng | |
dc.language.iso | en | en_US |
dc.publisher | John Wiley & Sons Ltd on behalf of World Obesity Federation. | en_US |
dc.relation.ispartof | Pediatric Obesity | |
dc.rights | Creative Commons Attribution-NonCommercial License | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
dc.subject | BMI | en_US |
dc.subject | childhood | en_US |
dc.subject | electronic health records | en_US |
dc.subject | general practice | en_US |
dc.title | Completeness and representativeness of body mass index in children's electronic general practice records: Linked cross-sectional study in an ethnically-diverse urban population in the United Kingdom. | en_US |
dc.type | Article | en_US |
dc.rights.holder | © 2021 The Authors. Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation | |
dc.identifier.doi | 10.1111/ijpo.12772 | |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/33496075 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
dcterms.dateAccepted | 2021-01-06 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |