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Kamel M, Smith BT, Wahi G, Carsley S, Birken CS, Anderson LN. Continuous cardiometabolic risk score definitions in early childhood: a scoping review. Obes Rev 2018; 19:1688-1699. [PMID: 30223304 DOI: 10.1111/obr.12748] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 06/25/2018] [Accepted: 07/06/2018] [Indexed: 02/06/2023]
Abstract
BACKGROUND Cardiometabolic risk (CMR) in young children has been measured using various approaches, including a continuous summary score that incorporates components such as adiposity, lipids, metabolic factors and blood pressure. OBJECTIVES The objective of this study was to comprehensively review definitions of continuous CMR scores in children <10 years of age. METHODS A scoping review was conducted using a systematic search of four scientific databases up to June 2016. Inclusion criteria were children <10 years of age and report of a continuous CMR score. RESULTS Ninety-one articles were included. Most studies were published from 2007 to 2016 (96%). Nearly all continuous CMR scores (90%) were calculated using the sum or the mean of z-scores, and many articles age-standardized and sex-standardized components within their own population. The mean number of variables included in the risk scores was 5 with a range of 3-11. The most commonly included score components were waist circumference (52%), triglycerides (87%), high-density lipoprotein cholesterol (67%), glucose (43%) and systolic blood pressure (52%). IMPORTANCE Continuous CMR scores are emerging frequently in the child health literature and are calculated using numerous methods with diverse components. This heterogeneity limits comparability across studies. A harmonized definition of CMR in childhood is needed.
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Affiliation(s)
- M Kamel
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - B T Smith
- Public Health Ontario, Toronto, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - G Wahi
- Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
| | - S Carsley
- Public Health Ontario, Toronto, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - C S Birken
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - L N Anderson
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
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Carsley S, Liang LY, Chen Y, Parkin P, Maguire J, Birken CS. The impact of daycare attendance on outdoor free play in young children. J Public Health (Oxf) 2018; 39:145-152. [PMID: 26860698 DOI: 10.1093/pubmed/fdw006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background Outdoor free play is important for healthy growth and development in early childhood. Recent studies suggest that the majority of time spent in daycare is sedentary. The objective of this study was to determine whether there was an association between daycare attendance and parent-reported outdoor free play. Methods Healthy children aged 1-5 years recruited to The Applied Research Group for Kids! (TARGet Kids!), a primary care research network, were included. Parents reported daycare use, outdoor free play and potential confounding variables. Multivariable linear regression was used to determine the association between daycare attendance and outdoor free play, adjusted for age, sex, maternal ethnicity, maternal education, neighborhood income and season. Results There were 2810 children included in this study. Children aged 1 to <3 years (n = 1388) and ≥3 to 5 years (n = 1284) who attended daycare had 14.70 min less (95% CI -20.52, -8.87; P < 0.01) and 9.44 min less (95% CI -13.67, -5.20; P < 0.01) per day of outdoor free play compared with children who did not attend daycare, respectively. Conclusions Children who spend more time in daycare have less parent-reported outdoor free play. Parents may be relying on daycare to provide opportunity for outdoor free play and interventions to promote increased active play opportunities outside of daycare are needed.
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Affiliation(s)
- S Carsley
- Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, The Hospital for Sick Children, Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada M5G 0A4.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada M5T 3M6
| | - L Y Liang
- Department of Family Medicine, McMaster University, Hamilton, ON, CanadaL8S 4L8
| | - Y Chen
- The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, ON, CanadaM5B 1M8
| | - P Parkin
- Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, The Hospital for Sick Children, Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada M5G 0A4.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada M5T 3M6.,Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1X8
| | - J Maguire
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada M5T 3M6.,The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, ON, Canada M5B 1M8.,Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1X8.,Department of Pediatrics, St. Michael's Hospital, 2nd Floor St. Michael's Health Centre, Toronto, ON, Canada M5C 2T2
| | - C S Birken
- Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, The Hospital for Sick Children, Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada M5G 0A4.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada M5T 3M6.,Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1X8
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van den Heuvel M, Chen Y, Abdullah K, Maguire JL, Parkin PC, Birken CS. The concurrent and longitudinal associations of temperament and nutritional risk factors in early childhood. Pediatr Obes 2017; 12:431-438. [PMID: 27273610 DOI: 10.1111/ijpo.12161] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Revised: 04/22/2016] [Accepted: 05/09/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Early childhood temperament is increasingly recognized as an important attribute that may impact screen time use, outdoor play and childhood obesity. The relationship between temperament and nutrition in preschool children is less clear. OBJECTIVE The objective of the study is to investigate if temperament dimensions (negative affectivity, effortful control and surgency) in early childhood are associated with nutritional risk factors. METHODS Six hundred seventy-eight children were followed (mean age at baseline visit 3.1 years; mean time to follow-up 16.5 months). Parents reported on child temperament and nutritional risk factors during regularly scheduled well-child clinic visits. RESULTS A mixed effect model demonstrated a significant association between higher negative affectivity (1.03; 95% CI 0.69 to 1.37) and higher effortful control (-0.88; 95% CI -1.27 to -0.49) on concurrent nutritional risk, independent of covariates. Multivariate linear regression analysis identified that higher effortful control, and not negative affectivity, was significantly associated with a decrease in nutritional risk (-0.67; 95% CI -1.10 to -0.24) over time, independent of covariates. There was no relationship identified between surgency and nutritional risk. CONCLUSION Three-year-old children with higher effortful control had reduced nutritional risk at 5 years of age. Future nutritional risk prevention strategies may benefit from interventions to increase effortful control in early childhood.
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Affiliation(s)
- M van den Heuvel
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Department of Paediatric, St. Michael's Hospital, Toronto, Ontario.,Department of Paediatric, Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - Y Chen
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario
| | - K Abdullah
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario
| | - J L Maguire
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.,The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, Ontario.,Department of Paediatric, St. Michael's Hospital, Toronto, Ontario.,Department of Paediatric, Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - P C Parkin
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.,Department of Paediatric, Faculty of Medicine, University of Toronto, Toronto, Ontario
| | - C S Birken
- Paediatric Outcomes Research Team (PORT), Division of Paediatric Medicine, Department of Paediatric, The Hospital for Sick Children, Toronto, Ontario.,Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.,The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, Ontario.,Department of Paediatric, Faculty of Medicine, University of Toronto, Toronto, Ontario
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Luca P, Dettmer E, Khoury M, Grewal P, Manlhiot C, McCrindle BW, Birken CS, Hamilton JK. Adolescents with severe obesity: outcomes of participation in an intensive obesity management programme. Pediatr Obes 2015; 10:275-82. [PMID: 25236943 DOI: 10.1111/ijpo.261] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2014] [Revised: 06/30/2014] [Accepted: 07/22/2014] [Indexed: 01/01/2023]
Abstract
BACKGROUND Most interventions for childhood obesity are randomized controlled studies. Less is known about the effectiveness of clinical obesity programmes. OBJECTIVE To assess outcomes in adolescents participating in the SickKids Team Obesity Management Program (STOMP) vs. a comparison group of obese adolescents. METHODS Severely obese adolescents (n = 75) in STOMP (15.1 ± 1.8 years, body mass index [BMI] 44.8 ± 7.8 kg m(-2) ) were compared with adolescents (n = 41) not in the programme (14.9 ± 2.0 years, BMI 34.5 ± 8.0 kg m(-2) ). Outcomes were change in BMI, cardiometabolic, psychological and health behaviour measures. RESULTS At 6 months, STOMP patients' BMI was unchanged (0.08 ± 0.3; P = 0.79) and they reported improvements in quality of life and depression (-3.6 ± 1.4; P = 0.009), and increases in measures of readiness to change (RTC). Between-group differences in change between 0 and 6 months, in favour of STOMP patients, were observed for homeostatic measurement assessment-insulin resistance (HOMA-IR; -2.7 ± 1.0; P = 0.007), depression scores (-3.5 ± 1.7; P = 0.04), diet-RTC (0.6 ± 0.2; P < 0.001) and physical activity (1.7 ± 0.9; P = 0.05). At 12 months, STOMP patients increased BMI (0.8 ± 0.5; P = 0.07), but they exhibited decreased waist circumference (-7.4 ± 2.1 cm; P = 0.001) and HOMA-IR (-1.9 ± 0.6; P = 0.002). Between-group differences in change between 0 and 12 months, in favour of STOMP patients, were observed for waist circumference (-5.9 ± 2.4 cm; P = 0.01), HOMA-IR (-2.9 ± 0.7; P < 0.001) and diet-RTC (0.9 ± 0.2; P < 0.001). CONCLUSIONS STOMP participants did not experience a significant reduction in BMI but did have improvements in cardiometabolic, psychological and health behaviour outcomes. Evaluation of paediatric clinical obesity programmes using multiple measures is essential to understanding real-world outcomes.
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Affiliation(s)
- P Luca
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
| | - E Dettmer
- Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada
| | - M Khoury
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - P Grewal
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
| | - C Manlhiot
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Cardiology, The Hospital for Sick Children, Toronto, ON, Canada
| | - B W McCrindle
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Cardiology, The Hospital for Sick Children, Toronto, ON, Canada
| | - C S Birken
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - J K Hamilton
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
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Cox KA, Parkin PC, Anderson L, Chen Y, Birken CS, Maguire JL, MacArthur C, Borkhoff CM. 13: The Association Between Meat and Meat Alternatives Consumption and Iron Stores in Early Childhood. Paediatr Child Health 2015. [DOI: 10.1093/pch/20.5.e35a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wong PD, Parkin PC, Birken CS, Chen Y, Maguire JL. 209: Total Breastfeeding Duration and Dental Cavities in Early Childhood. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Omand J, Darling PB, O'Connor DL, Parkin PC, Birken CS, Lee JG, Thorpe KE, Maguire JL. 102: Validation of a Vitamin D Dietary Intake Screening Questionnaire in Young Children. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Peterson E, Birken CS, Parkin PC, Chen Y, Archibold J, Stover A, Copes R, Maguire JL. 38: Blood Lead, Cadmium and Mercury Levels in Children Receiving Primary Healthcare in Toronto: A Collaborative Study. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sharp JR, Maguire J, Carsley S, Abdullah K, Lebovic G, Chen Y, Parkin PC, Birken CS. 149: Temperament Is Associated with Free Play in Young Children. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abdullah K, Maguire JL, Birken CS, Thorpe KE, Hanley AJ, Fehlings D, Parkin PC. 26: Prevalence, Practice Patterns and Hematological Outcomes of Young Canadian Children Identified with Non-Anemic Iron Deficiency (NAID): Implications of Screening in Primary Care Settings. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Borkhoff CM, Maguire JL, Birken CS, Macarthur R, Carsley S, Chen Y, Parkin PC. 101: Meat and Iron-Rich Food Consumption in Healthy Canadian Infants. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-99] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lee GJ, Birken CS, Parkin PC, Lebovic G, Chen Y, L'abbe MR, Maguire JL. 100: Non-Dairy Milk Consumption is Associated with Lower Serum 25-Hydroxyvitamin D in Early Childhood. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-98] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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13
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Heale L, Borkhoff CM, Maguire JL, Parkin PC, Birken CS. 154: Objectively Measured Physical Activity of Infants, Toddlers, and Preschool-Aged Children Using Accelerometry. Paediatr Child Health 2014. [DOI: 10.1093/pch/19.6.e35-151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Persaud N, Maguire JL, Lebovic G, McCrindle BW, Parkin PC, Birken CS. Feeding Behaviours Predict NON-HDL Levels During Early Childhood: A Target Kids! Study. Paediatr Child Health 2012. [DOI: 10.1093/pch/17.suppl_a.14aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Omand J, Darling PB, Parkin PC, Birken CS, Maguire JL. Preschool Children from Non-Western Immigrant Families have Lower Vitamin D Levels than Children from Western Families: A Target Kids! Study. Paediatr Child Health 2012. [DOI: 10.1093/pch/17.suppl_a.14a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Maguire JL, Birken CS, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team H. The Association Between Prolonged Bottle Use and Screen Time: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.55aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Maguire JL, Birken CS, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team H. Bottle Use, Obesity and Iron Depletion: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.68aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Maguire JL, Birken CS, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team H. Is Prolonged Bottle Use Associated with Child Temperament? a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.68a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Birken CS, Maguire JL, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC. Waist Circumference Is Associated with Nutritional Risk and Bmi in Preschool Children in Primary Care Practice. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.69aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Maguire JL, Birken CS, Khovratovich M, Parkin PC, Kids TARG. Target Kids! - Rationale, Goals and First Steps. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.50aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Birken CS, Maguire JL, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team HISTORY. The in fluence of the Family Meal on Nutritional Risk and Obesity in Healthy Preschool Children: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.54a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Birken CS, Maguire JL, Hamilton J, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team H. Nutritional Risk is Associated with Cholesterol Levels in Preschool Children in Primary Care Practice: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.54ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Beck CE, Boydell K, Breakey V, Birken CS, Stasiulis E, Blanchette VS, Llewellyn-Thomas H, Parkin PC. Exploring the Experience of Acute Itp Through Narratives of Children With Itp, Their Parents, and Health Care Professionals. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.33aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Birken CS, Maguire JL, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team HISTORY. Predictors of Screen Time in Preschool Children: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.72aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Birken CS, Maguire JL, Abdullah K, Khovratovich M, Manlhiot C, McCrindle BW, Parkin PC, Kids TARG, Team HISTORY. Temperament As a Predictor of Screen Time in Preschool Children: a Target Kids! Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.54aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Beck CE, Boydell K, Breakey V, Birken CS, Stasiulis E, Blanchette VS, Llewellyn-Thomas H, Parkin PC. Decision Making in the Management of Children Hospitalized With Acute Itp: Understanding Child, Parent, and Health Care Professional Perspectives. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.34aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Mistry ND, Birken CS, Parkin PC. Is Perceived in jury Risk a Barrier to Physical Activity Participation in Children? Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.66ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Wahi G, Parkin PC, Birken CS. Are in terventions Aimed At Reducing Screen Time Among Children Effective? a Systematic Review and Meta-Analysis of Randomized Controlled Trials. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.70aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Li K, Birken CS, Maguire JL, Mekky M, Burr L, O’Connor DL, Chisamore B, Lau E, Parkin PC. Target Kids! Measuring Nutrition Risk in Young Preschool-Aged Children in the Primary Care Practice Setting. Paediatr Child Health 2009. [DOI: 10.1093/pch/14.suppl_a.47aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Birken CS, Parkin PC, Macarthur C. Evaluation of Clinical Asthma Severity Scores for Preschool Children. Paediatr Child Health 2002. [DOI: 10.1093/pch/7.suppl_a.60aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abstract
OBJECTIVE The objective of this study was to identify the journals that contain the best evidence relating to clinical pediatric practice, thus enabling general pediatricians and pediatric trainees to identify the best quality evidence more efficiently and to select journals for general reading more judiciously. METHODS In the first of three strategies, journal citations from completed systematic reviews using topic headings of pediatric(s), child, infant(s), newborn, neonate(s), neonatology, and adolescent(s) in the Cochrane Database of Systematic Reviews (CDSR) in the 1997, Issue 4, Cochrane Library were collected. In the second strategy, journal citations from American Academy of Pediatrics' (AAP) policy statements from 1994 to 1996 found in the AAP policy reference guide were collected. In the third strategy, journal citations from the Canadian Paediatric Society (CPS) statements from 1990 to 1997 found in Pediatrics and Child Health were collected. Topics related to tertiary neonatology, nonphysician health care professionals, public health policy, ethics, and nonjournal citation sources were excluded. All statements with no references were excluded. Journal citations in CDSR with no pediatric subjects and citation of AAP policy statements cited in AAP policy statements were excluded. The number of citations from the journal cited most frequently, from journals that represented approximately 10% of all citations and from the 10 journals cited most frequently were expressed as a percent of total citations and a 95% CI was calculated. RESULTS Using all three strategies (CDSR, AAP, and CPS), the journal cited most frequently was Pediatrics. Using the CDSR strategy (n = 234), citations from Pediatrics represented 6.0% of the total (95% CI: 3.0%, 9.0%), using the AAP strategy (n = 930), citations from Pediatrics represented 11. 4% of the total (95% CI: 9.4%, 13.4%), and using the CPS strategy (n = 873), citations from Pediatrics represented 11.9% of the total (95% CI: 9.8, 14.1). Using the CDSR strategy, citations from the 10 journals cited most frequently made up 38.9% of the total citations (95% CI: 32.7%, 45.1%), using the AAP strategy, citations from the 10 journals cited most frequently made up 42.3% of the total citations (95% CI: 39.3%, 45.3%), and using the CPS strategy, citations from the 10 journals cited most frequently made up 60.6% of the total citations (95% CI: 57.4, 63.8). In the CPS strategy, citations from the Journal of Pediatrics represented 10.2% of the total citations (95% CI: 8.2, 12.2) and citations from New England Journal of Medicine represented 9.5% of the total citations (95% CI: 7.6, 11.5). A total of 7 journals were found to be among the 10 cited most frequently using all three strategies (in alphabetical order): Archives of Diseases in Childhood, British Medical Journal, Journal of the American Medical Association, Journal of Pediatrics, Lancet, New England Journal of Medicine, and Pediatrics. CONCLUSIONS This study provides the general pediatrician and pediatric trainee with a strategy to identify efficiently a significant proportion of the best evidence on pediatric practice by restricting searches and reading to a limited number of journals. It also highlights the fact that the best quality evidence on pediatric practice is found in a large number of medical journals.
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Affiliation(s)
- C S Birken
- Department of Pediatrics, University of Toronto Faculty of Medicine, Toronoto, Ontario, Canada
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