Measuring children and monitoring obesity: surveys of English Primary Care Trusts 2004-06.

BACKGROUND Child obesity has unclear determinants and consequences. A precautionary approach requires best-guess interventions and large-scale surveillance. This study was to determine the current measurement activities and the information systems required for child obesity surveillance. METHODS DESIGN Questionnaire-based surveys. SETTING Primary Care Trusts (PCTs) in United Kingdom. PARTICIPANTS Two hundred and forty-seven (82%) PCTs in 2004 and 240 (79%) in 2006. MAIN MEASURES Children's ages at which height and weight are routinely measured, the type of personnel taking the measurements, arrangements for recording data, information systems and uses of the data. RESULTS PCTs measure height/length and weight most commonly at 6 weeks (74%) and 5 years (74%)-also at 6-12 months (58%), 1.5-2.5 years (50%), 2.5-4 years (40%), 11 years (18%) and 7 years (11%). Seventy-seven per cent of PCTs transferred the measurements to a database-26 different information systems were named. Six per cent of PCTs in 2004, rising to 34% in 2006, used the data to produce public health reports. CONCLUSIONS Body mass index (BMI) surveillance requires new arrangements in 25% of PCTs at school entry and 80% at transfer to senior school. Important aspects of child obesity surveillance not yet addressed are pre-school measurement, longitudinal assessment and the public health requirements of (child) electronic health records.

[1]  W. Hardeman,et al.  Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials , 2003, International Journal of Obesity.

[2]  T J Cole,et al.  Body mass index has risen more steeply in tall than in short 3-year olds: serial cross-sectional surveys 1988–2003 , 2007, International Journal of Obesity.

[3]  A. Prentice.  Storing up problems: the medical case for a slimmer nation. , 2004, Clinical medicine.

[4]  C. Bouchard,et al.  Utility of childhood BMI in the prediction of adulthood disease: comparison of national and international references. , 2005, Obesity research.

[5]  E. Waters,et al.  Interventions for treating obesity in children. , 2003, The Cochrane database of systematic reviews.

[6]  T. Cole,et al.  Establishing a standard definition for child overweight and obesity worldwide: international survey , 2000, BMJ : British Medical Journal.

[7]  Audit Cpmmission.  Tackling Child Obesity - First Steps , 2006 .

[8]  M. de Onís,et al.  Worldwide practices in child growth monitoring. , 2004, The Journal of pediatrics.

[9]  T. Cole,et al.  What use is the BMI? , 2006, Archives of Disease in Childhood.

[10]  J. Kleijnen,et al.  Being big or growing fast: systematic review of size and growth in infancy and later obesity , 2005, BMJ : British Medical Journal.

[11]  A. Troxel,et al.  Weight Gain in the First Week of Life and Overweight in Adulthood: A Cohort Study of European American Subjects Fed Infant Formula , 2005, Circulation.

[12]  T. Sørensen,et al.  Maternal prepregnant body mass index, duration of breastfeeding, and timing of complementary food introduction are associated with infant weight gain. , 2004, The American journal of clinical nutrition.

[13]  I. Buchan,et al.  Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies , 2001, BMJ : British Medical Journal.

[14]  Informing Healthier Choices: Information & Intelligence for Healthy Populations - John Newton, Department of Health , 2007 .

[15]  A. Astrup,et al.  Obesity : Preventing and managing the global epidemic , 2000 .

[16]  K. Reddy,et al.  Anthropometric indicators of body composition in young adults: relation to size at birth and serial measurements of body mass index in childhood in the New Delhi birth cohort , 2005 .

[17]  D. Dunger,et al.  Association between postnatal catch-up growth and obesity in childhood: prospective cohort study , 2000, BMJ : British Medical Journal.

[18]  D. Cook,et al.  Effect of Infant Feeding on the Risk of Obesity Across the Life Course: A Quantitative Review of Published Evidence , 2005, Pediatrics.