Healthcare utilisation in overweight and obese children: a systematic review and meta-analysis

Hasan, Taimoor; Ainscough, Tom; West, Jane; Fraser, Lorna

doi:10.1136/bmjopen-2019-035676

Cited by 14 publications

(8 citation statements)

References 73 publications

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“…This could be the main reason why the increased weight‐SDS and obesity rates seen in our study were smaller compared with previous publications, that utilized measurements from a designated growth clinic (Kang et al, 2021), patients with obesity who visited a clinic (Kim et al, 2021), or children who visited outpatient clinics (Jenssen et al, 2021). Another major difference between our study and that of Jenssen et al (2021) is that we only used a single visit by each participant during the study period, in order to avoid over‐sampling of children who are prone to repeated clinics/PED visits, such as children with obesity (Hasan et al, 2020) and other chronic health conditions (Shatin et al, 1998). It is possible that children with obesity or other chronic health conditions used in the previous studies were more affected by the lifestyle effects of lockdowns as compared with our sample.…”

Section: Discussionmentioning

confidence: 99%

Pediatric obesity and body weight following the COVID‐19 pandemic

Dubnov-Raz

Maor

Ziv‐Baran

2021

Child

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Background:The SARS-CoV-19 pandemic and its associated lockdowns affected children's lifestyle dramatically. The effect of such changes on children's weight and obesity status is unknown. The aim of this study was to compare body weight and obesity rates in children from before the pandemic to 6 months after the major periods of lockdowns in Israel. Methods:We used data from medical records of pediatric emergency department visits, where weight is routinely measured, to compare weight and obesity prevalence in the fourth quartile of 2020 (n = 2468) as compared with the fourth quartiles of 2018-2019 (n = 5300). Weight was transformed to age-and sex-specific standarddeviation-scores (SDS) for analysis.Results: Weight-SDS increased by a mean of 0.07 during the first 6 months of the pandemic, yet this was only significant in preschoolers. Obesity rates also increased in this age group only, by 37%, from 8.1% to 11.1% (p = 0.01). Conclusions: Weight-SDS and obesity prevalence increased during the SARS-CoV-19 pandemic, yet only in younger children. Additional studies from other populations are needed.

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Section: Discussionmentioning

confidence: 99%

Pediatric obesity and body weight following the COVID‐19 pandemic

Dubnov-Raz

Maor

Ziv‐Baran

2021

Child

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“…5 Palmer et al and Lane et al defined obesity based on body mass index SD score using WHO age-specific and sex-specific growth standards to define obesity as body mass index z-score ≥3SD scores. 6 Open access of musculoskeletal diagnoses by weight status and ethnic background would be very valuable.…”

Section: Narrative Synthesismentioning

confidence: 99%

“…1 This is of concern, given associations between obesity and a range of adult long-term conditions, including cardiovascular diseases, diabetes, musculoskeletal disorders and cancers. [1][2][3][4][5] While there is evidence of increased healthcare utilisation by children with obesity, 6 there have been few reports of longitudinal associations with specific clinically diagnosed health outcomes with onset during childhood.…”

Section: Introductionmentioning

confidence: 99%

Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review

Firman

Wilk

Harper

et al. 2022

bmjpo

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BackgroundChildren with obesity at school entry are at increased risk of persistent obesity throughout childhood and adulthood. Little is known about associations with adverse health outcomes with onset during childhood including those affecting the musculoskeletal system. We examined the association between obesity present at school entry and adverse musculoskeletal diagnoses with onset during childhood.MethodsWe searched three electronic databases to identify longitudinal studies published in English between January 2000 and June 2022 assessing associations between obesity measured at school entry (around age 5 years) and musculoskeletal diagnoses made before age 20 years. Two reviewers screened titles, abstracts and full-text using EPPI-Reviewer software. Bias and quality of eligible studies were appraised using The Quality Assessment tool for Observational Cohort and Cross-sectional studies and findings synthesised.ResultsWe identified four eligible studies from 291 unique records, three conducted in Spain and one in Scotland. These studies reported on 1 232 895 children (available data: 51.4% boys; none reported ethnic distribution) with study sample sizes ranging from <2000 to 600 000 and length of follow-up from 2 to 13 years. Quantitative synthesis of findings across these four studies was not possible due to differences in outcomes and effect sizes reported. Children with obesity at school entry were more likely to receive diagnoses of slipped capital femoral epiphysis, back pain, fractures and musculoskeletal complaints made in primary care settings. Included studies were assessed as of ‘fair’ to ‘good’ quality.ConclusionThere is good to fair evidence to suggest children with obesity at school entry are more likely to receive a diagnosis of a musculoskeletal condition during childhood. Further research is needed to replicate these findings in ethnically diverse populations and to investigate whether these are causal associations. The implications of this for children’s mobility and quality of life and future musculoskeletal health warrants further assessment.

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“…Childhood obesity has reached epidemic proportions worldwide [1][2][3] and has major consequences for producing short-and long-term adverse health outcomes [4][5][6], detracting from quality of life and creating a huge societal burden in terms of lost productivity and medical costs [7][8][9]. The risk factors that increase the risk of a child developing overweight, known as predictors of child overweight, are important in understanding the multifactorial aetiology of childhood overweight [10].…”

Section: Introductionmentioning

confidence: 99%

Socio-ecological predictors of dietary inflammatory scores and associations with childhood and adolescent adiposity: A protocol for a rapid scoping review of observational studies

et al. 2023

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Introduction Diet-related inflammation is associated with adiposity. Obesity and inflammation in early life may have adverse health outcomes in later life; however, the socio-ecological predictors of a pro-inflammatory diet in childhood and adolescence are not well understood. This rapid scoping review aims to summarise the current state of research from observational studies investigating socio-ecological predictors (childhood, parental, familial, demographic and chronobiological risk factors) and their association with diet-associated inflammation and adiposity in children and adolescents. Methods This scoping review will be conducted using the frameworks based on the Joanna Briggs Institute and Arksey and O’Malley and the Population, Concept and Context (PCC) mnemonic. Searches were conducted in OVID Medline, Cinahl and Embase, with adaptations as required. The piloted study selection process will utilise two reviewers for study selection, with reference lists checked for included studies. A third reviewer will moderate disagreements. Data will be extracted by one reviewer and calibrated by a second reviewer. Results The results will be reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist and PRISMA-ScR flow diagram. The main findings will be synthesised into themes and concepts narratively. Tables and graphs will present frequencies, study details and categorical descriptions. Discussion This scoping review will provide an overview of the research conducted to date regarding predictors of diet-related inflammation in childhood and their associations with adiposity. Better understanding of the factors associated with a more inflammatory diet in childhood may be useful for clinicians and policy makers when designing and implementing health interventions.

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Healthcare utilisation in overweight and obese children: a systematic review and meta-analysis

Cited by 14 publications

References 73 publications

Pediatric obesity and body weight following the COVID‐19 pandemic

Pediatric obesity and body weight following the COVID‐19 pandemic

Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review

Socio-ecological predictors of dietary inflammatory scores and associations with childhood and adolescent adiposity: A protocol for a rapid scoping review of observational studies

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