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How well can poor child health and development be predicted by data collected in early childhood?

BACKGROUND: Identifying children at risk of poor developmental outcomes remains a challenge, but is important for better targeting children who may benefit from additional support. We explored whether data routinely collected in early life predict which children will have language disability, overwe...

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Autores principales: Straatmann, Viviane S, Pearce, Anna, Hope, Steven, Barr, Benjamin, Whitehead, Margaret, Law, Catherine, Taylor-Robinson, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252371/
https://www.ncbi.nlm.nih.gov/pubmed/30242060
http://dx.doi.org/10.1136/jech-2018-211028
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author Straatmann, Viviane S
Pearce, Anna
Hope, Steven
Barr, Benjamin
Whitehead, Margaret
Law, Catherine
Taylor-Robinson, David
author_facet Straatmann, Viviane S
Pearce, Anna
Hope, Steven
Barr, Benjamin
Whitehead, Margaret
Law, Catherine
Taylor-Robinson, David
author_sort Straatmann, Viviane S
collection PubMed
description BACKGROUND: Identifying children at risk of poor developmental outcomes remains a challenge, but is important for better targeting children who may benefit from additional support. We explored whether data routinely collected in early life predict which children will have language disability, overweight/obesity or behavioural problems in later childhood. METHODS: We used data on 10 262 children from the UK Millennium Cohort Study (MCS) collected at 9 months, 3, and 11 years old. Outcomes assessed at age 11 years were language disability, overweight/obesity and socioemotional behavioural problems. We compared the discriminatory capacity of three models: (1) using data currently routinely collected around the time of birth; (2) Model 1 with additional data routinely collected at 3 years; (3) a statistically selected model developed using a larger set of early year’s risk factors for later child health outcomes, available in the MCS—but not all routinely collected. RESULTS: At age 11, 6.7% of children had language disability, 26.9% overweight/obesity and 8.2% socioemotional behavioural problems. Model discrimination for language disability was moderate in all three models (area under the curve receiver-operator characteristic 0.71, 0.74 and 0.76, respectively). For overweight/obesity, it was poor in model 1 (0.66) and moderate for model 2 (0.73) and model 3 (0.73). Socioemotional behavioural problems were also identified with moderate discrimination in all models (0.71; 0.77; 0.79, respectively). CONCLUSION: Language disability, socioemotional behavioural problems and overweight/obesity in UK children aged 11 years are common and can be predicted with moderate discrimination using data routinely collected in the first 3 years of life.
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spelling pubmed-62523712018-12-10 How well can poor child health and development be predicted by data collected in early childhood? Straatmann, Viviane S Pearce, Anna Hope, Steven Barr, Benjamin Whitehead, Margaret Law, Catherine Taylor-Robinson, David J Epidemiol Community Health Research Report BACKGROUND: Identifying children at risk of poor developmental outcomes remains a challenge, but is important for better targeting children who may benefit from additional support. We explored whether data routinely collected in early life predict which children will have language disability, overweight/obesity or behavioural problems in later childhood. METHODS: We used data on 10 262 children from the UK Millennium Cohort Study (MCS) collected at 9 months, 3, and 11 years old. Outcomes assessed at age 11 years were language disability, overweight/obesity and socioemotional behavioural problems. We compared the discriminatory capacity of three models: (1) using data currently routinely collected around the time of birth; (2) Model 1 with additional data routinely collected at 3 years; (3) a statistically selected model developed using a larger set of early year’s risk factors for later child health outcomes, available in the MCS—but not all routinely collected. RESULTS: At age 11, 6.7% of children had language disability, 26.9% overweight/obesity and 8.2% socioemotional behavioural problems. Model discrimination for language disability was moderate in all three models (area under the curve receiver-operator characteristic 0.71, 0.74 and 0.76, respectively). For overweight/obesity, it was poor in model 1 (0.66) and moderate for model 2 (0.73) and model 3 (0.73). Socioemotional behavioural problems were also identified with moderate discrimination in all models (0.71; 0.77; 0.79, respectively). CONCLUSION: Language disability, socioemotional behavioural problems and overweight/obesity in UK children aged 11 years are common and can be predicted with moderate discrimination using data routinely collected in the first 3 years of life. BMJ Publishing Group 2018-12 2018-09-21 /pmc/articles/PMC6252371/ /pubmed/30242060 http://dx.doi.org/10.1136/jech-2018-211028 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Research Report
Straatmann, Viviane S
Pearce, Anna
Hope, Steven
Barr, Benjamin
Whitehead, Margaret
Law, Catherine
Taylor-Robinson, David
How well can poor child health and development be predicted by data collected in early childhood?
title How well can poor child health and development be predicted by data collected in early childhood?
title_full How well can poor child health and development be predicted by data collected in early childhood?
title_fullStr How well can poor child health and development be predicted by data collected in early childhood?
title_full_unstemmed How well can poor child health and development be predicted by data collected in early childhood?
title_short How well can poor child health and development be predicted by data collected in early childhood?
title_sort how well can poor child health and development be predicted by data collected in early childhood?
topic Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252371/
https://www.ncbi.nlm.nih.gov/pubmed/30242060
http://dx.doi.org/10.1136/jech-2018-211028
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