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Journal of Public Health Advance Access originally published online on October 30, 2006
Journal of Public Health 2006 28(4):330-336; doi:10.1093/pubmed/fdl070
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© The Author 2006, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.

Measuring children and monitoring obesity: surveys of English Primary Care Trusts 2004–06



Lesley Patterson
, Research Associate1

Paul Jarvis
, PhD Student1

Arpana Verma
, Specialist Registrar1

Roger Harrison
, Senior Research Fellow1,2

Iain Buchan
, Director & Clinical Senior Lecturer1
1 Medical School, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK
2 Bolton Primary Care Trust, St. Peter’s House, Silverwell Street, Bolton BL1 1PP, UK


Address correspondence to Iain Buchan, E-mail: buchan{at}manchester.ac.uk

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 Design: Questionnaire-based surveys. Setting:Primary Care Trusts (PCTs) in United Kingdom. Participants: Two hundred and forty-seven (82%) PCTs in 2004 and 240 (79%) in 2006. Main measures: 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.

Keywords: child health, obesity, surveillance


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