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Evaluating national guidelines for monitoring early growth using routinely collected data in Bergen, Norway.


ABSTRACT:

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

SUBMITTER: Balthasar MR 

PROVIDER: S-EPMC11308290 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Publications

Evaluating national guidelines for monitoring early growth using routinely collected data in Bergen, Norway.

Balthasar Melissa R MR   Roelants Mathieu M   Brannsether-Ellingsen Bente B   Stangenes Kristine M KM   Magnus Maria C MC   Håberg Siri E SE   Øverland Simon N SN   Júlíusson Pétur B PB  

Scandinavian journal of public health 20230727 6


<h4>Aims</h4>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.<h4>Methods</h4>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-l  ...[more]

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