De betrouwbaarheid van de groeigegevens bij 1-21 jarigen van de Gezondheidsmonitor Volwassenen en Ouderen en de Gezondheidsenquête
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Introduction. The aim is to determine whether the Health Monitor for Adults and the Elderly (GM V&O) and the Health Survey (GE) are sufficiently reliable for policymaking decisions regarding height and overweight in 1-21-year-olds. Methods. Height and body mass index (BMI) of 21-year-olds from GM V&O in 2012 and 1-20-year-olds from GE in 1997, 2009, and 2010 were compared with the growth references of the fourth and fifth national growth studies. The data collection methodology for the GE differed in 2009 from that in 2010, which was the reason these data were also analyzed. Results Within the GM V&O data, the mean and standard deviation (SD) of height and BMI closely matched the growth references. Within the GE data, height was generally slightly overestimated and BMI underestimated, with high variability, especially among young children. Within the growth studies, we observed an increase in the percentage of overweight across all age groups between 1997-2009, while this was not the case or less pronounced within the GE data. The mean height and BMI SDS were not comparable for all ages between 2009 and 2010. Discussion Final height and BMI in young adulthood are likely reliably estimated using GM V&O. The GE data, particularly for younger age groups, deviated and thus do not seem to provide reliable information on point estimates and trends. These findings raise important questions about the reliability of self- or parent-reported data in children and their use for policy purposes.
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TNO Identifier
1006759
Source
JGZ Tijdschrift voor Jeugdgezondheidszorg, 57