Pediatric Obesity/Obesity Comorbidity
Continuous cardiometabolic risk score definitions in early childhood: a scoping review
M. Kamel,
B. T. Smith,
G. Wahi,
S. Carsley,
C. S. Birken,
L. N. Anderson,
M. Kamel
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
Search for more papers by this authorB. T. Smith
Public Health Ontario, Toronto, Ontario, Canada
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Search for more papers by this authorG. Wahi
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
Search for more papers by this authorS. Carsley
Public Health Ontario, Toronto, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Search for more papers by this authorC. S. Birken
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Search for more papers by this authorCorresponding Author
L. N. Anderson
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Address for correspondence: LN Anderson, PhD, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario L8S 4K1, Canada. E-mail: [email protected]Search for more papers by this author
M. Kamel,
B. T. Smith,
G. Wahi,
S. Carsley,
C. S. Birken,
L. N. Anderson,
M. Kamel
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
Search for more papers by this authorB. T. Smith
Public Health Ontario, Toronto, Ontario, Canada
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Search for more papers by this authorG. Wahi
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
Search for more papers by this authorS. Carsley
Public Health Ontario, Toronto, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Search for more papers by this authorC. S. Birken
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Search for more papers by this authorCorresponding Author
L. N. Anderson
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
Address for correspondence: LN Anderson, PhD, Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario L8S 4K1, Canada. E-mail: [email protected]Search for more papers by this authorSummary
Background
Cardiometabolic risk (CMR) in young children has been measured using various approaches, including a continuous summary score that incorporates components such as adiposity, lipids, metabolic factors and blood pressure.
Objectives
The objective of this study was to comprehensively review definitions of continuous CMR scores in children <10 years of age.
Methods
A scoping review was conducted using a systematic search of four scientific databases up to June 2016. Inclusion criteria were children <10 years of age and report of a continuous CMR score.
Results
Ninety-one articles were included. Most studies were published from 2007 to 2016 (96%). Nearly all continuous CMR scores (90%) were calculated using the sum or the mean of z-scores, and many articles age-standardized and sex-standardized components within their own population. The mean number of variables included in the risk scores was 5 with a range of 3–11. The most commonly included score components were waist circumference (52%), triglycerides (87%), high-density lipoprotein cholesterol (67%), glucose (43%) and systolic blood pressure (52%).
Importance
Continuous CMR scores are emerging frequently in the child health literature and are calculated using numerous methods with diverse components. This heterogeneity limits comparability across studies. A harmonized definition of CMR in childhood is needed.
Supporting Information
| Filename | Description |
|---|---|
| obr12748-sup-0001-Table_S1.docxWord 2007 document , 104.1 KB | Supplementary Table 1. Summary of all articles identified that included a continuous cardiometabolic risk score in children. |
| obr12748-sup-0002-Supporting Information.docxWord 2007 document , 410.6 KB | Appendix S1: Search strategy. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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