Agreement between parent-report and EMR height, weight, and BMI among rural children
IntroductionRemote anthropometric surveillance has emerged as a strategy to accommodate lapses in growth monitoring for pediatricians during coronavirus disease 2019 (COVID-19). The purpose of this investigation was to validate parent-reported anthropometry and inform acceptable remote measurement p...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-03-01
|
| Series: | Frontiers in Nutrition |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2024.1279931/full |
| _version_ | 1797289714299961344 |
|---|---|
| author | Benjamin A. Potts G. Craig Wood Lisa Bailey-Davis |
| author_facet | Benjamin A. Potts G. Craig Wood Lisa Bailey-Davis |
| author_sort | Benjamin A. Potts |
| collection | DOAJ |
| description | IntroductionRemote anthropometric surveillance has emerged as a strategy to accommodate lapses in growth monitoring for pediatricians during coronavirus disease 2019 (COVID-19). The purpose of this investigation was to validate parent-reported anthropometry and inform acceptable remote measurement practices among rural, preschool-aged children.MethodsParent-reported height, weight, body mass index (BMI), BMI z-score, and BMI percentile for their child were collected through surveys with the assessment of their source of home measure. Objective measures were collected by clinic staff at the child’s well-child visit (WCV). Agreement was assessed using correlations, alongside an exploration of the time gap (TG) between parent-report and WCV to moderate agreement. Using parent- and objectively reported BMI z-scores, weight classification agreement was evaluated. Correction equations were applied to parent-reported anthropometrics.ResultsA total of 55 subjects were included in this study. Significant differences were observed between parent- and objectively reported weight in the overall group (−0.24 kg; p = 0.05), as well as height (−1.8 cm; p = 0.01) and BMI (0.4 kg/m2; p = 0.02) in the ≤7d TG + Direct group. Parental reporting of child anthropometry ≤7d from their WCV with direct measurements yielded the strongest correlations [r = 0.99 (weight), r = 0.95 (height), r = 0.82 (BMI), r = 0.71 (BMIz), and r = 0.68 (BMI percentile)] and greatest classification agreement among all metrics [91.67% (weight), 54.17% (height), 83.33% (BMI), 91.67% (BMIz), and 33.33% (BMI percentile)]. Corrections did not remarkably improve correlations.DiscussionRemote pediatric anthropometry is a valid supplement for clinical assessment, conditional on direct measurement within 7 days. In rural populations where socioenvironmental barriers exist to care and surveillance, we highlight the utility of telemedicine for providers and researchers. |
| first_indexed | 2024-03-07T19:09:59Z |
| format | Article |
| id | doaj.art-066ab150708b4d73a1b1babdc71f6591 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-07T19:09:59Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-066ab150708b4d73a1b1babdc71f65912024-03-01T04:42:12ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-03-011110.3389/fnut.2024.12799311279931Agreement between parent-report and EMR height, weight, and BMI among rural childrenBenjamin A. PottsG. Craig WoodLisa Bailey-DavisIntroductionRemote anthropometric surveillance has emerged as a strategy to accommodate lapses in growth monitoring for pediatricians during coronavirus disease 2019 (COVID-19). The purpose of this investigation was to validate parent-reported anthropometry and inform acceptable remote measurement practices among rural, preschool-aged children.MethodsParent-reported height, weight, body mass index (BMI), BMI z-score, and BMI percentile for their child were collected through surveys with the assessment of their source of home measure. Objective measures were collected by clinic staff at the child’s well-child visit (WCV). Agreement was assessed using correlations, alongside an exploration of the time gap (TG) between parent-report and WCV to moderate agreement. Using parent- and objectively reported BMI z-scores, weight classification agreement was evaluated. Correction equations were applied to parent-reported anthropometrics.ResultsA total of 55 subjects were included in this study. Significant differences were observed between parent- and objectively reported weight in the overall group (−0.24 kg; p = 0.05), as well as height (−1.8 cm; p = 0.01) and BMI (0.4 kg/m2; p = 0.02) in the ≤7d TG + Direct group. Parental reporting of child anthropometry ≤7d from their WCV with direct measurements yielded the strongest correlations [r = 0.99 (weight), r = 0.95 (height), r = 0.82 (BMI), r = 0.71 (BMIz), and r = 0.68 (BMI percentile)] and greatest classification agreement among all metrics [91.67% (weight), 54.17% (height), 83.33% (BMI), 91.67% (BMIz), and 33.33% (BMI percentile)]. Corrections did not remarkably improve correlations.DiscussionRemote pediatric anthropometry is a valid supplement for clinical assessment, conditional on direct measurement within 7 days. In rural populations where socioenvironmental barriers exist to care and surveillance, we highlight the utility of telemedicine for providers and researchers.https://www.frontiersin.org/articles/10.3389/fnut.2024.1279931/fullremote anthropometryparent-report anthropometrychild weight classificationchild growth monitoringpediatric telemedicineBMI corrections |
| spellingShingle | Benjamin A. Potts G. Craig Wood Lisa Bailey-Davis Agreement between parent-report and EMR height, weight, and BMI among rural children Frontiers in Nutrition remote anthropometry parent-report anthropometry child weight classification child growth monitoring pediatric telemedicine BMI corrections |
| title | Agreement between parent-report and EMR height, weight, and BMI among rural children |
| title_full | Agreement between parent-report and EMR height, weight, and BMI among rural children |
| title_fullStr | Agreement between parent-report and EMR height, weight, and BMI among rural children |
| title_full_unstemmed | Agreement between parent-report and EMR height, weight, and BMI among rural children |
| title_short | Agreement between parent-report and EMR height, weight, and BMI among rural children |
| title_sort | agreement between parent report and emr height weight and bmi among rural children |
| topic | remote anthropometry parent-report anthropometry child weight classification child growth monitoring pediatric telemedicine BMI corrections |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2024.1279931/full |
| work_keys_str_mv | AT benjaminapotts agreementbetweenparentreportandemrheightweightandbmiamongruralchildren AT gcraigwood agreementbetweenparentreportandemrheightweightandbmiamongruralchildren AT lisabaileydavis agreementbetweenparentreportandemrheightweightandbmiamongruralchildren |