The Jesse Z and Sara Lea Shafer Institute for Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Acta Paediatr. 2021 Nov;110(11):3040-3045. doi: 10.1111/apa.16034. Epub 2021 Jul 27.
The COVID-19 pandemic prompted the rapid development of remote medical services. During lockdown periods, children's growth data were obtained from parents' home assessments. This study aimed to assess the accuracy of home height and weight measurements and analyse their utility in clinical decision-making.
A retrospective, single-centre observational study. Children aged 3-18 years were measured for weight and height at home using guidance provided to parents on proper measurements techniques before subsequent professional re-evaluation at our endocrine institution clinic. The two sets of measurements were compared and analysed according to various clinical parameters.
Height measurements at home and in the clinic were comparable (diff = 0.1 ± 1.3cm, p = 0.42) amongst the 107 children (mean age 10.2 ± 3.7, 56.1% males) participating in the study, except in overweight and obese children where they were significantly higher in the clinic (diff = 0.86 ± 1.48cm, p = 0.018). Weight and BMI were significantly higher in the clinic (diff = 0.45 ± 0.8kg and diff = 0.3 ± 0.6kg/m , p<0.001 and p<0.001, respectively).
Height measurements of children by their parents were accurate except in obese and overweight children, whereas weight measurements tended to be lower than in the clinic. With proper guidance, parents' home measurements of height and weight are accurate and suitable for clinical decision-making.
新冠疫情推动了远程医疗服务的快速发展。在封锁期间，儿童的生长数据是由家长在家中评估获得的。本研究旨在评估家庭身高和体重测量的准确性，并分析其在临床决策中的应用。
这是一项回顾性、单中心观察研究。在向家长提供正确测量技术的指导后，让 107 名年龄在 3-18 岁的儿童在家中测量体重和身高，随后在我们的内分泌机构诊所进行专业重新评估。根据各种临床参数比较和分析两组测量值。
在参与研究的 107 名儿童（平均年龄 10.2 ± 3.7 岁，56.1%为男性）中，除了超重和肥胖儿童外，在家中和诊所测量的身高结果相似（差值=0.1 ± 1.3cm，p=0.42），而在超重和肥胖儿童中，诊所测量的身高明显更高（差值=0.86 ± 1.48cm，p=0.018）。在诊所中，体重和 BMI 明显更高（差值=0.45 ± 0.8kg 和差值=0.3 ± 0.6kg/m2，p<0.001 和 p<0.001）。
除了肥胖和超重儿童外，父母对儿童的身高测量是准确的，而体重测量结果往往低于诊所。通过适当的指导，家长在家中测量身高和体重是准确的，适用于临床决策。
