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BMC Primary Care
Published in: BMC Primary Care 1/2012

Open Access 01-12-2012 | Study protocol

Determinants of (sustained) overweight and complaints in children and adolescents in primary care: the DOERAK cohort study design

Authors: Winifred D Paulis, Marienke van Middelkoop, Herman Bueving, Pim A J Luijsterburg, Johannes C van der Wouden, Bart W Koes

Published in: BMC Primary Care | Issue 1/2012

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Abstract

Background

Almost half of the adult Dutch population is currently overweight and the prevalence of overweight children is rising at alarming rates as well. Obese children consult their general practitioner (GP) more often than normal weight children. The Dutch government has assigned a key role to the GP in the prevention of overweight.
The DOERAK cohort study aims to clarify differences between overweight and non-overweight children that consult the GP; are there differences in number of consultations and type and course of complaints? Is overweight associated with lower quality of life or might this be influenced by the type of complaint? What is the activity level of overweight children compared to non-overweight children? And is (sustained) overweight of children associated with parameters related to the energy balance equation?

Methods/Design

A total of 2000 overweight (n = 500) and non-overweight children (n = 1500) aged 2 to 18 years who consult their GP, for any type of complaint in the South-West of the Netherlands are included.
At baseline, height, weight and waist circumference are measured during consultation. The number of GP consultations over the last twelve months and accompanying diagnoses are acquired from the medical file. Complaints, quality of life and parameters related to the energy balance equation are assessed with an online questionnaire children or parents fill out at home. Additionally, children or parents keep a physical activity diary during the baseline week, which is validated in a subsample (n = 100) with an activity monitor. Parents fill out a questionnaire about demographics, their own activity behaviour and perceptions on dietary habits and activity behaviour, health and weight status of their child. The physical and lifestyle behaviour questions are repeated at 6, 12 and 24 months follow-up.
The present study is a prospective observational cohort in a primary care setting.

Discussion

The DOERAK cohort study is the first prospective study that investigates a large cohort of overweight and non-overweight children in primary care. The total study population is expected to be recruited by 2013, results will be available in 2015.
Appendix
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Literature
1.
James PT, Leach R, Kalamara E, Shayeghi M: The worldwide obesity epidemic. Obes Res. 2001, 9 (Suppl 4): 228S-233S.CrossRefPubMed
2.
Lobstein T, Baur L, Uauy R, TaskForce IIO: Obesity in children and young people: a crisis in public health. Obes Rev. 2004, 5 (Suppl 1): 4-104.CrossRefPubMed
3.
Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP: Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr. 2005, 94 (4): 496-498.CrossRefPubMed
4.
5.
Hirasing RA, Fredriks AM, van Buuren S, Verloove-Vanhorick SP, Wit JM: Increased prevalence of overweight and obesity in Dutch children, and the detection of overweight and obesity using international criteria and new reference diagrams. Ned Tijdschr Geneeskd. 2001, 145 (27): 1303-1308.PubMed
6.
Schokker DF, Visscher TL, Nooyens AC, van Baak MA, Seidell JC: Prevalence of overweight and obesity in the Netherlands. Obes Rev. 2007, 8 (2): 101-108.CrossRefPubMed
7.
8.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000, 320 (7244): 1240-1243.CrossRefPubMedPubMedCentral
9.
Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ: Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008, 9 (5): 474-488.CrossRefPubMed
10.
La Vecchia C, Giordano SH, Hortobagyi GN, Chabner B: Overweight, Obesity, Diabetes, and Risk of Breast Cancer: Interlocking Pieces of the Puzzle. Oncologist. 2011, 16  (6): 726-729.CrossRefPubMedPubMedCentral
11.
Peeters A, Barendregt JJ, Willekens F, Mackenbach JP: Al Mamun A, Bonneux L, Nedcom tNEaDCoMRG: Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 2003, 138 (1): 24-32.CrossRefPubMed
12.
Krul M, van der Wouden JC, Schellevis FG, van Suijlekom-Smit LW, Koes BW: Musculoskeletal problems in overweight and obese children. Ann Fam Med. 2009, 7 (4): 352-356.CrossRefPubMedPubMedCentral
13.
14.
Langens F, Dapper T, Nuboer R, van Weel C, van Binsbergen J: Co-morbidity obese children in family practice in The Netherlands: the results of a pilot study. Fam Pract. 2008, 25 (Suppl 1): i75-i78.CrossRefPubMed
15.
Thompson DR, Obarzanek E, Franko DL, Barton BA, Morrison J, Biro FM, Daniels SR, Striegel-Moore RH: Childhood overweight and cardiovascular disease risk factors: the National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr. 2007, 150 (1): 18-25.CrossRefPubMedPubMedCentral
16.
Otters H: Childhood Morbidity in Dutch General Practice (Chapter 7, Thesis). 2004, Thesis, Erasmus MC
17.
Puhl RM, Latner JD: Stigma, obesity, and the health of the nation's children. Psychol Bull. 2007, 133 (4): 557-580.CrossRefPubMed
18.
Tang-Peronard JL, Heitmann BL: Stigmatization of obese children and adolescents, the importance of gender. Obes Rev. 2008, 9 (6): 522-534.CrossRefPubMed
19.
Swallen KC, Reither EN, Haas SA, Meier AM: Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005, 115 (2): 340-347.CrossRefPubMed
20.
Williams J, Wake M, Hesketh K, Maher E, Waters E: Health-related quality of life of overweight and obese children. Jama. 2005, 293 (1): 70-76.CrossRefPubMed
21.
Gauthier BM, Hickner JM, Ornstein S: High prevalence of overweight children and adolescents in the Practice Partner Research Network. Arch Pediatr Adolesc Med. 2000, 154 (6): 625-628.CrossRefPubMed
22.
Wijga AH, Scholtens S, Bemelmans WJ, de Jongste JC, Kerkhof M, Schipper M, Sanders EA, Gerritsen J, Brunekreef B, Smit HA: Comorbidities of obesity in school children: a cross-sectional study in the PIAMA birth cohort. BMC Publ Health. 2010, 10: 184-CrossRef
23.
Nota Overgewicht 2009. 2009, Rijksoverheid, Den Haag
24.
Van Binsbergen JJLF, Dapper ALM, Van Halteren MM, Glijsteen R, Cleyndert GA, Mekenkamp-Oei SN, Van Avendonk MJP: NHG-Standaard Obesitas. Huisarts en Wetenschap. 2010, 53 (11): 609-625.
25.
van der Linden MW, Schellevis FG, van der Wouden JC, vS-SLWA: Tweede nationale studie naar ziekten en verrichtingen in de huisartspraktijk Het kind in de Huisartspraktijk. 2004, NIVEL / Erasmus MC, Utrecht / Rotterdam
26.
Cole TJ, Flegal KM, Nicholls D, Jackson AA: Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007, 335 (7612): 194-CrossRefPubMedPubMedCentral
27.
Fredriks AM, van Buuren S, Fekkes M, Verloove-Vanhorick SP, Wit JM: Are age references for waist circumference, hip circumference and waist-hip ratio in Dutch children useful in clinical practice?. Eur J Pediatr. 2005, 164 (4): 216-222.CrossRefPubMed
28.
International Classification of Primary Care. 2003, OUP, Family Practice
29.
Jellesma FC, Rieffe C, Terwogt MM: The Somatic Complaint List: validation of a self-report questionnaire assessing somatic complaints in children. J Psychosom Res. 2007, 63 (4): 399-401.CrossRefPubMed
30.
Varni JW, Seid M, Kurtin PS: PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001, 39 (8): 800-812.CrossRefPubMed
31.
De Vries SI, Van Hirtum HW, Bakker I, Hopman-Rock M, Hirasing RA, Van Mechelen W: Validity and reproducibility of motion sensors in youth: a systematic update. Med Sci Sports Exerc. 2009, 41 (4): 818-827.CrossRefPubMed
32.
Yildirim M, Verloigne M, de Bourdeaudhuij I, Androutsos O, Manios Y, Felso R, Kovacs E, Doessegger A, Bringolf-Isler B, te Velde SJ, et al: Study protocol of physical activity and sedentary behaviour measurement among schoolchildren by accelerometry–cross-sectional survey as part of the ENERGY-project. BMC Publ Health. 2011, 11: 182-CrossRef
33.
Sleddens EF, Kremers SP, Thijs C: The children's eating behaviour questionnaire: factorial validity and association with Body Mass Index in Dutch children aged 6-7. Int J Behav Nutr Phys Act. 2008, 5: 49-CrossRefPubMedPubMedCentral
34.
Fleiss J: Statistical Methods for Rates and Proportions. 1981, Wiley, New York, 2
35.
Hamajima N, Hirose K, Inoue M, Takezaki T, Kuroishi T, Tajima K: Case-control studies: matched controls or all available controls?. J Clin Epidemiol. 1994, 47 (9): 971-975.CrossRefPubMed
36.
Schonbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, Hirasing RA, van Buuren S: Increase in prevalence of overweight in dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. PLoS One. 2011, 6 (11): e27608-CrossRefPubMedPubMedCentral
37.
Riddoch CJ, Mattocks C, Deere K, Saunders J, Kirkby J, Tilling K, Leary SD, Blair SN, Ness AR: Objective measurement of levels and patterns of physical activity. Arch Dis Child. 2007, 92 (11): 963-969.CrossRefPubMedPubMedCentral
38.
Moons KG, Royston P, Vergouwe Y, Grobbee DE, Altman DG: Prognosis and prognostic research: what, why, and how?. BMJ. 2009, 338: b375-CrossRefPubMed
39.
van der Wouden JC, Blankenstein AH, Huibers MJ, van der Windt DA, Stalman WA, Verhagen AP: Survey among 78 studies showed that Lasagna's law holds in Dutch primary care research. J Clin Epidemiol. 2007, 60 (8): 819-824.CrossRefPubMed
40.
Akhtar-Danesh N, Dehghan M, Merchant AT, Rainey JA: Validity of self-reported height and weight for measuring prevalence of obesity. Open Med. 2008, 2 (3): e83-e88.PubMedPubMedCentral
41.
Revenga-Frauca J, Gonzalez-Gil EM, Bueno-Lozano G, De Miguel-Etayo P, Velasco-Martinez P, Rey-Lopez JP, Bueno-Lozano O, Moreno LA: Abdominal fat and metabolic risk in obese children and adolescents. J Physiol Biochem. 2009, 65 (4): 415-420.CrossRefPubMed
42.
Chen MM, Lear SA, Gao M, Frohlich JJ, Birmingham CL: Intraobserver and interobserver reliability of waist circumference and the waist-to-hip ratio. Obes Res. 2001, 9 (10): 651-CrossRefPubMed
43.
Nadas J, Putz Z, Kolev G, Nagy S, Jermendy G: Intraobserver and interobserver variability of measuring waist circumference. Med Sci Monit. 2008, 14 (1): CR15-CR18.PubMed
44.
Panoulas VF, Ahmad N, Fazal AA, Kassamali RH, Nightingale P, Kitas GD, Labib M: The inter-operator variability in measuring waist circumference and its potential impact on the diagnosis of the metabolic syndrome. Postgraduate medical journal. 2008, 84 (993): 344-347.CrossRefPubMed
45.
Chinapaw MJ, Mokkink LB, van Poppel MN, van Mechelen W, Terwee CB: Physical activity questionnaires for youth: a systematic review of measurement properties. Sports Med. 2010, 40 (7): 539-563.CrossRefPubMed
46.
Rush EC, Valencia ME, Plank LD: Validation of a 7-day physical activity diary against doubly-labelled water. Ann Hum Biol. 2008, 35 (4): 416-421.CrossRefPubMed
47.
Rothman KJ GS: Modern Epidemiology. 1998, Lippincott Williams & Wilkins, Boston, 2
Metadata
Title
Determinants of (sustained) overweight and complaints in children and adolescents in primary care: the DOERAK cohort study design
Authors
Winifred D Paulis
Marienke van Middelkoop
Herman Bueving
Pim A J Luijsterburg
Johannes C van der Wouden
Bart W Koes
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2012
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-13-70

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