a high-precision protocol for identification of preschool children at risk for persisting obesity学龄前儿童的高精度协议识别的风险持续肥胖.pdfVIP
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a high-precision protocol for identification of preschool children at risk for persisting obesity学龄前儿童的高精度协议识别的风险持续肥胖
A High-Precision Protocol for Identification of Preschool Children at Risk for Persisting Obesity 1,2 1,2 3 ¨ 3 ¨ 3 2 Toomas Timpka *, Marianne Angbratt , Per Bolme , Goran Hermansson , Anders Hager , Lars Valter ¨ ¨ 1 Section of Social Medicine and Public Health, Department of Health and Society, Linkoping University, Linkoping, Sweden, 2 Centre for Public ¨ ¨ ¨ ¨ ¨ Health, Ostergotland County Council, Linkoping, Sweden, 3 Department of Paediatrics, Linkoping University Hospital, Linkoping, Sweden Background. Recent studies suggest that adolescent adiposity is established already in preadolescence. Earlier studies have confirmed a strong tracking of obesity from adolescence to adulthood. Our aim was to examine the diagnostic accuracy of a population-derived protocol for identification of preschool children at risk for obesity in preadolescence. Methodology/ Principal Findings. We analysed data obtained for child health surveillance up to age 5 from 5778 children born in a Swedish county in 1991. The basic data set included age, sex, and weight and height measurements from the regular checkups between ages 1.5 and 5. Data not routinely collected in the child health centre setting were disregarded. The children were at age 10 randomly assigned to protocol derivation and validation cohorts and assessed for obesity according to IOTF criteria. The accuracy of predicting obesity in the validation cohort was measured using decision precision, specificity, and sensitivity. The decision protocol selected 1.4% of prescho
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