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Children's overweight and obesity: Local and national monitoring using electronic health records
1 Centre for Health Equity Studies, CHESS, Stockholm
University/Karolinska Institutet, Stockholm, Sweden,Department
of Public Health Sciences, Karolinska Institutet, Stockholm,
Sweden,Swedish National Institute of Public Health, Östersund,
Sweden
* To whom correspondence should be addressed.
Aim: To test the feasibility of a system for monitoring children's obesity and overweight based on data from electronic health records in the school health services. Methods: Data on weight and height from electronic health records at school health services were collected for 10-year-olds in 2003–2004, 2004–2005 and 2005–2006. School health personnel extracted group-level data with a simple program installed on the computer containing the health records. Four Swedish municipalities were included in the study: Karlstad, Umeå, Västerås, and Ystad. Results: The system achieved coverage of 92–96% of all children in 2005–2006. The overall prevalence rates were 4.2% (3.8–4.7%) obese and 22.0% (21.1–23.0%) overweight, including obesity. Conclusions: A system based on electronic health records from the school health services can successfully provide data. The system has practical, economical and ethical strengths. Key Words: Child, medical records, obesity, population surveillance, school health services
First published on January 5, 2009, doi:10.1177/1403494808098507 |
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