Evidence map›Paper›PMID 40049218›Full record

ArticlePediatrics2025

Remote Assessment of Pediatric Anthropometrics.

Emily H Ho, Berivan Ece, Zutima Tuladhar, Anne Zola, Magdalena Ewa Kupczyk, Linda Adair, Richard Gershon

Abstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
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

7 authors.

Emily H HoDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Berivan EceDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Zutima TuladharDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Anne ZolaDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Magdalena Ewa KupczykDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Linda AdairDepartment of Nutrition, Gillings School of Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Richard GershonDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Funding

The ECHO Measurement Core: A Framework and Resource for Assessing Environmental Exposure and Child HealthU24OD023319 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Courtney K Blackwell, RICHARD GERSHON · 2016 to 2026
$43.7M
NIH HHS U24 OD023319
6 · The paper itself

Abstract

objectiveTo assess the reliability and fidelity of caregiver- and examiner-administered anthropometric measurements in English- and Spanish-speaking children aged 0-17 years.

methodsParticipants (N = 199; median age, 4.69 years; interquartile range, 1.58-10.37; 46.7% male) were recruited in 6 sites across the United States in May-August 2023. Examiners were trained by a pediatric nurse; caregivers received well-developed administration materials. The key anthropometric outcomes assessed were infant length/child height, weight, percent body fat (PBF), head size, and waist circumference. Concordance between caregiver/examiner measurements was assessed using interrater reliability estimates, technical error of measurement (TEM), and mean absolute difference (MAD). Secondary outcomes included reported ease of use and language used.

resultsHigh concordance was observed between caregivers and examiners, with reliability coefficients ranging from 0.91 to >0.99 and intraclass correlation coefficient values from 0.92 to >0.99 across all assessments and age groups. The TEM was low (height = 2.10 cm, weight = 0.39 kg, PBF = 2.33%; head circumference = 0.73 cm, waist circumference = 3.65 cm) as were MAD estimates (height = 2.12 cm, 95% confidence interval [CI], 1.82-2.42; weight = 0.35 kg, 95% CI, 0.29-0.41; PBF = 2.39%, 95% CI, 1.89-2.88; head size = 0.71 cm, 95% CI, 0.54-0.89; waist circumference = 3.15 cm, 95% CI, 2.41-3.88).

conclusionsAcross multiple metrics, there was high concordance between caregiver- and examiner-administered measurements, providing evidence of interchangeability between remote and in-person assessments of anthropometric outcomes. Remote anthropometric assessment appears feasible and low burden and has comparably high validity and reliability to in-person methods.

Indexed as

AnthropometryAdolescentBody HeightBody WeightCaregiversChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleObserver VariationReproducibility of ResultsUnited StatesWaist Circumference

Identifiers

PMID40049218
PMCPMC12917953

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.