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



METHODS
Questionnaire-based surveys.


METHODS
Primary Care Trusts (PCTs) in United Kingdom.


METHODS
Two hundred and forty-seven (82%) PCTs in 2004 and 240 (79%) in 2006.


METHODS
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.
Patterson
Lesley
L
Medical School, University of Manchester, Manchester M13 9PT, UK.
Jarvis
Paul
P
Verma
Arpana
A
Harrison
Roger
R
Buchan
Iain
I
D000886:Anthropometry; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004739:England / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D009765:Obesity / Q000453:epidemiology* / Q000517:prevention & control; D011159:Population Surveillance / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D012572:School Health Services; D013222:State Medicine; D011795:Surveys and Questionnaires