Evidence map›Paper›PMID 31950165›Full record

ArticleJournal of public health (Oxford, England)2020

Is child weight status correctly reported to parents? Cross-sectional analysis of National Child Measurement Programme data using ethnic-specific BMI adjustments.

Nicola Firman, Kambiz Boomla, Mohammed T Hudda, John Robson, Peter Whincup, Carol Dezateux

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicola FirmanCentre for Primary Care & Public Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.
Kambiz BoomlaCentre for Primary Care & Public Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.
Mohammed T HuddaPopulation Health Research Institute, St George's, University of London, London SW17 0RE, UK.
John RobsonCentre for Primary Care & Public Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.
Peter WhincupPopulation Health Research Institute, St George's, University of London, London SW17 0RE, UK.
Carol DezateuxCentre for Primary Care & Public Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.

Funding

British Heart Foundation FS/17/76/33286British Heart Foundation PG/15/19/31336Chief Scientist OfficeMedical Research Council MR/S037527/1Wellcome Trust
6 · The paper itself

Abstract

backgroundBMI underestimates and overestimates body fat in children from South Asian and Black ethnic groups, respectively.

methodsWe used cross-sectional NCMP data (2015-17) for 38 270 children in three inner-London local authorities: City & Hackney, Newham and Tower Hamlets (41% South Asian, 18.8% Black): 20 439 4-5 year-olds (48.9% girls) and 17 831 10-11 year-olds (49.1% girls). We estimated the proportion of parents who would have received different information about their child's weight status, and the area-level prevalence of obesity-defined as ≥98th centile-had ethnic-specific BMI adjustments been employed in the English National Child Measurement Programme (NCMP).

resultsHad ethnic-specific adjustment been employed, 19.7% (3112/15 830) of parents of children from South Asian backgrounds would have been informed that their child was in a heavier weight category, and 19.1% (1381/7217) of parents of children from Black backgrounds would have been informed that their child was in a lighter weight category. Ethnic-specific adjustment increased obesity prevalence from 7.9% (95% CI: 7.6, 8.3) to 9.1% (8.7, 9.5) amongst 4-5 year-olds and from 17.5% (16.9, 18.1) to 18.8% (18.2, 19.4) amongst 10-11 year-olds.

conclusionsEthnic-specific adjustment in the NCMP would ensure equitable categorization of weight status, provide correct information to parents and support local service provision for families.

Indexed as

Body WeightEthnicityBody Mass IndexChildChild, PreschoolCross-Sectional StudiesFemaleHumansLondonMaleParentschildrenethnicityobesity

Identifiers

PMID31950165
PMCPMC7685848

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