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Examining growth monitoring practices for children in primary care
  1. Sarah Carsley1,2,3,
  2. Catherine S Birken1,4,
  3. Karen Tu1,5,6,
  4. Eleanor Pullenayegum2,3,
  5. Patricia C Parkin1,4
  1. 1 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
  2. 2 Division of Paediatric Medicine, Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada
  3. 3 Division of Paediatric Medicine, Pediatric Outcomes Research Team (PORT), The Hospital for Sick Children, Toronto, Ontario, Canada
  4. 4 Department of Pediatric Medicine, University of Toronto, Toronto, Ontario, Canada
  5. 5 Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada
  6. 6 Toronto Western Hospital Family Health Team, University Health Network, Toronto, Ontario, Canada
  1. Correspondence to Dr Patricia C Parkin, Division of Paediatric Medicine, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, ON M5G 0A4, Canada; patricia.parkin{at}sickkids.ca

https://doi.org/10.1136/archdischild-2017-314016

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    Growth monitoring is the long-standing practice used to identify children who fall outside healthy growth parameters. It has been proposed as a key activity for childhood obesity prevention.1 Accurate growth monitoring requires specific techniques and equipment and plotting measurements on a growth chart. The objective of this study was to determine if primary care providers follow recommended growth monitoring practices, including measurement techniques, standardised equipment and use of appropriate growth charts at all health visits.

    An electronic survey was distributed between December 2016 and February 2017. The sampling frame was health professionals (physicians, dietitians, nurses) most responsible for growth measurement in primary care practices in the province of Ontario, Canada. The survey assessed the following: measurement equipment, technique, growth chart use and timing (scheduled and/or …

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    Footnotes

    • Contributors SC conceptualised the study design, analysed the data and drafted the manuscript. CSB, PCP and KT provided input on the study design and results. EP contributed to the data analysis plan and provided input on the study design and results. All authors critically reviewed the draft manuscript and approved the final manuscript as submitted.

    • Competing interests None declared.

    • Ethics approval Sick Kids Research Ethics Board.

    • Provenance and peer review Not commissioned; internally peer reviewed.