Overweight and obese children do not consult their general practitioner more often than normal weight children for musculoskeletal complaints during a 2-year follow-up

Leeuwen, Janneke van; Middelkoop, Marienke van; Paulis, Winifred D.; Bueving, Herman; Bindels, Patrick J E; Koes, Bart W.

doi:10.1136/archdischild-2017-313118

Cited by 10 publications

(14 citation statements)

References 21 publications

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“…32,34 However, this does not mean that a true association between SES and MSK pain is lacking because the association between lower SES and health problems is well known, and shown to be present for pain too. 40 The association between overweight and MSK complaints, that is clearly present in adults 3,33,35 but debated in previous literature on children, 29,31,43 was not found in this study. An explanation might be that the children in this study are of a young age, and a longer period of exposure is needed to experience the negative consequences of a higher BMI.…”

Section: Discussioncontrasting

confidence: 57%

Musculoskeletal pain in 6-year-old children: the Generation R Study

Heuvel

Jansen

Bindels

et al. 2020

Pain

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Musculoskeletal (MSK) pain is frequently reported among adolescents and children and is a common reason for consultation in primary care. Our aim is to examine its prevalence in 6-year-old children in a general population and to assess associations with physical and psychosocial factors. Data from the Generation R Study, a population-based cohort, was used. Prevalence and characteristics of MSK pain were assessed with parent-reported questionnaires at 6 years of age (N 5 6200). Demographics and data on physical activity, sedentary behaviors, previous reported MSK pain, and behavioral problems were extracted from questionnaires. The body mass index SD score was calculated from objectively measured weight and height. A 3-month prevalence of 10.0% was found for MSK pain in children, of which one-third was chronic, and 44.6% experienced together with pain at other sites. Univariate analyses showed that boys and children with lower socioeconomic status reported MSK pain more frequently compared to other pain and no pain. Although no associations were found between MSK pain and children's body mass index and physical activity level, children with MSK pain were more likely to watch television $2 hours/day. Multivariable analysis showed significant associations for MSK pain at 3 years of age (odds ratio 5.10, 95% confidence interval 3.25-7.98) and behavioral problems (odds ratio 2.10, 95% confidence interval 1.19-3.72) with the presence of MSK pain. So, MSK pain is already common in young children and is often chronic or recurrent. Previous reported MSK pain and behavioral problems are independently associated with MSK pain in the studied population.

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Section: Discussioncontrasting

confidence: 57%

Musculoskeletal pain in 6-year-old children: the Generation R Study

Heuvel

Jansen

Bindels

et al. 2020

Pain

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“…This study is a longitudinal cohort study with a follow-up of one week using a subsample from the DOERAK (Determinants of (sustained) Overweight and complaints; Epidemiological Research among Adolescents and Kids in general practice) study [ 9 ]. The DOERAK study is a prospective cohort study including 733 children with a two-year follow-up, that studied differences between children with and without overweight that consulted the general practitioner (GP) [ 10 ]. The DOERAK study was primarily designed to study differences between with- and without overweight, in the number of consultations at the GP, the type of complaints, quality of life, and levels of physical activity.…”

Section: Methodsmentioning

confidence: 99%

“…By assigning every fifth child with overweight and every fifteenth child of normal-weight to the subsample used in the current study, we tried to minimize selection bias. The subsample did not differ from the DOERAK cohort in basic demographics [10]. However, when we compare our subsample to the most recent numbers of the overall Dutch population, parents from our cohort were more highly educated (45.3% vs 32%) [24].…”

Section: Strength and Limitationsmentioning

confidence: 96%

No differences in physical activity between children with overweight and children of normal-weight

et al. 2020

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Background The aim of this study was to investigate the differences in objectively measured physical activity and in self-reported physical activity between overweight and normal-weight children. Methods Data from a prospective cohort study including children, presenting at the participating general practices in the south-west of the Netherlands, were used. Children (aged 4–15 years) were categorized as normal-weight or overweight using age- and sex specific cut-off points. They wore an ActiGraph accelerometer for one week to register physical activity, and filled out a diary for one week about physical activity. Results A total of 57 children were included in this study. Overweight children spent significantly less percentage time per day in sedentary behavior (β − 1.68 (95%CI -3.129, − 0.07)). There were no significant differences in percentage time per day spent in moderate to vigorous physical activity (β 0.33 (− 0.11, 0.78)). No significant differences were found between children of normal-weight and overweight in self-reported measures of physical activity. Conclusions Overweight children are not less physically active than normal-weight children, which may be associated with the risen awareness towards overweight/obesity and with implemented interventions for children with overweight/obesity.

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“…By assigning every fifth child with overweight and every fifteenth child of normal-weight to the subsample used in the current study, we tried to minimize selection bias. The subsample did not differ from the DOERAK cohort in basic demographics (10). However, when we compare our subsample to the most recent numbers of the overall Dutch population, parents from our cohort were more highly educated (45.3% vs 32%) (22).…”

Section: Strength and Limitationsmentioning

confidence: 76%

“…This study is a longitudinal cohort study with a follow-up of one week using a subsample from the DOERAK study (9). The DOERAK study is a prospective cohort study including 733 children with a twoyear follow-up, that studied differences between children with and without overweight that consulted the general practitioner (GP) (10). The DOERAK study was primarily designed to study differences between with-and without overweight, in the number of consultations at the GP, the type of complaints, quality of life, and levels of physical activity.…”

Section: Methodsmentioning

confidence: 99%

Children with overweight are not less physically active than children of normal-weight

Leeuwen

Koes

Paulis

et al. 2019

Preprint

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Background The aim of this study was to investigate the differences in objectively measured physical activity and in self-reported physical activity between overweight and normal-weight children. Methods Data from a prospective cohort study including children, presenting at the participating general practices in the south-west of the Netherlands, were used. Children (aged 4-15 years) were categorized as normal-weight or overweight using age- and sex specific cut-off points. They wore an ActiGraph accelerometer for one week to register physical activity, and filled out a diary for one week about physical activity. Results A total of 57 children were included in this study. Overweight children spent significantly less percentage time per day in sedentary behavior (β -1.68 (95%CI -3.129, -0.07)). There were no significant differences in percentage time per day spent in light to moderate physical activity (β 1.52 (-0.01, 3.04)), and in moderate to vigorous physical activity (β 0.33 (-0.11, 0.78)). No significant differences were found between children of normal-weight and overweight in self-reported measures of physical activity. Conclusions Overweight children are not less physically active than normal-weight children, which may be associated with the risen awareness towards overweight/obesity and with implemented interventions for children with overweight/obesity.

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Overweight and obese children do not consult their general practitioner more often than normal weight children for musculoskeletal complaints during a 2-year follow-up

Abstract: No association was seen between childhood weight status and the frequency and type of musculoskeletal consultations at the GP during a 2-year follow-up.

Cited by 10 publications

References 21 publications

Musculoskeletal pain in 6-year-old children: the Generation R Study

Musculoskeletal pain in 6-year-old children: the Generation R Study

No differences in physical activity between children with overweight and children of normal-weight

Children with overweight are not less physically active than children of normal-weight

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