Article ; Online: Are children living with obesity more likely to experience musculoskeletal symptoms during childhood? A linked longitudinal cohort study using primary care records.
Archives of disease in childhood
2024 Volume 109, Issue 5, Page(s) 414–421
Abstract: Objective: To assess whether there is a higher incidence of musculoskeletal consultations in general practice among children with obesity.: Design: Longitudinal SETTING: 285 north-east London general practitioners (GPs).: Participants: 63 418 (50 ... ...
Abstract | Objective: To assess whether there is a higher incidence of musculoskeletal consultations in general practice among children with obesity. Design: Longitudinal SETTING: 285 north-east London general practitioners (GPs). Participants: 63 418 (50.9% boys) Reception and 55 364 (50.8% boys) Year 6 National Child Measurement Programme (NCMP) participants, linked to GP electronic health records (EHRs). Main outcome measure: A GP consultation with a recorded musculoskeletal symptom or diagnosis. Methods: We calculated proportions with a musculoskeletal consultation by ethnic-adjusted weight status (underweight <2nd; overweight ≥91st; obese ≥98th centile), sex, ethnicity, and area-level deprivation. We estimated mutually-adjusted hazard ratios (HR) and 95% confidence intervals (95% CI) using Cox's proportional regression models stratified by school year and sex. Results: We identified 1868 (3.0%) Reception and 4477 (8.1%) Year 6 NCMP participants with at least one musculoskeletal consultation. In adjusted analyses, Reception year girls with a body mass index (BMI) classified as overweight (HR 1.24, 95% CI 1.02 to 1.52) or obese (HR 1.67, 95% CI 1.35 to 2.06) were more likely to have at least one musculoskeletal consultation. Year 6 girls with obesity were more likely (HR 1.20, 95% CI 1.07 to 1.35), and boys with a BMI in the underweight range were less likely (HR 0.39, 95% CI 0.21 to 0.73), to have a musculoskeletal consultation. Conclusions: Girls living with obesity at the start or end of primary school are more likely to attend their GP for a musculoskeletal consultation. Routine linkage of NCMP data to EHRs provides useful insights into childhood health conditions related to excess weight in early childhood. Recognition of obesity as a contributing factor for musculoskeletal symptoms may inform clinical management, particularly in girls. |
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MeSH term(s) | Male ; Child ; Female ; Humans ; Child, Preschool ; Overweight/epidemiology ; Longitudinal Studies ; Thinness/epidemiology ; Obesity/epidemiology ; Body Mass Index ; Primary Health Care ; Pediatric Obesity/epidemiology |
Language | English |
Publishing date | 2024-04-18 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 524-1 |
ISSN | 1468-2044 ; 0003-9888 ; 1359-2998 |
ISSN (online) | 1468-2044 |
ISSN | 0003-9888 ; 1359-2998 |
DOI | 10.1136/archdischild-2023-326407 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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