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Evaluating national guidelines for monitoring early growth using routinely collected data in Bergen, Norway.
Balthasar, Melissa R; Roelants, Mathieu; Brannsether-Ellingsen, Bente; Stangenes, Kristine M; Magnus, Maria C; HÅberg, Siri E; Øverland, Simon N; JÚlÍusson, PÉtur B.
Afiliação
  • Balthasar MR; Department of Paediatric and Adolescent Medicine, Stavanger University Hospital, Norway.
  • Roelants M; Department of Clinical Science, University of Bergen, Norway.
  • Brannsether-Ellingsen B; Department of Public Health and Primary Care, KU Leuven, University of Leuven, Belgium.
  • Stangenes KM; Department of Paediatric and Adolescent Medicine, Stavanger University Hospital, Norway.
  • Magnus MC; Department of Health Registry and Development, Norwegian Institute of Public Health, Norway.
  • HÅberg SE; Centre for Fertility and Health, Norwegian Institute of Public Health, Norway.
  • Øverland SN; Centre for Fertility and Health, Norwegian Institute of Public Health, Norway.
  • JÚlÍusson PB; Section for Health Care Collaboration, Haukeland University Hospital, Norway.
Scand J Public Health ; : 14034948231187513, 2023 Jul 27.
Article em En | MEDLINE | ID: mdl-37496420
AIMS: The overarching aim of this study was to evaluate the Norwegian guidelines for growth monitoring using routinely collected data from healthy children up to five years of age. We analysed criteria for both status (size for age) and change (centile crossing) in growth. METHODS: Longitudinal data were obtained from the electronic health record (EHR) at the well-baby clinic for 2130 children included in the Bergen growth study 1 (BGS1). Measurements of length, weight, weight-for-length, body mass index (BMI) and head circumference were converted to z-scores and compared with the World Health Organization (WHO) growth standards and the national growth reference. RESULTS: Using the WHO growth standard, the proportion of children above +2SD was generally higher than the expected 2.3% for all traits at birth and for length at all ages. Crossing percentile channels was common during the first two years of life, particularly for length/height. By the age of five years, 37.9% of the children had been identified for follow-up regarding length/height, 33% for head circumference and 13.6% for high weight-for-length/BMI. CONCLUSIONS: The proportion of children beyond the normal limits of the charts is higher than expected, and a surprisingly large number of children were identified for rules concerning length or growth in head circumference. This suggests the need for a revision of the current guidelines for growth monitoring in Norway.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article