Relationship between youth cardiometabolic health and physical activity in medical records
Bethany Forseth, Janelle R. Noel-MacDonnell, Sarah Hampl, Jordan A. Carlson, Kelsee Halpin, Ann Davis, Tarin Phillips, Robin P. Shook
Abstract
Thers is limited research examining modifiable cardiometabolic risk factors with a single-item health behavior question obtained during a clinic visit. Such information could support clinicians in identifying patients at risk for adverse cardiometabolic health.
Introduction
Engaging in physical activity and reducing sedentary behaviors (eg, screen time) improves cardiometabolic health and weight status in children [1, 2]. The prevalence of cardiometabolic diseases, including obesity, type 2 diabetes, and hypertension are rising among youth in the United States [3–7]. Due to the overwhelming research supporting the benefits of engaging in healthy lifestyle behaviors.
Materials and Methods
This cross-sectional study reviewed EMRs data from January 1, 2013, through December 30, 2017. EMR data were obtained from a large midwestern pediatric primary care clinic based in a tertiary care children’s hospital.
Result
Once data were merged and cleaned, the final sample included 63,676 visits from 30,698 unique children (Fig 1). Patients in the dataset had between 1 to 7 well child visits; most patients only had one visit (41.1%) followed by two visits (27.9%) or three visits (18.5%) within the observed time period.
Discussion
There is a high prevalence of children with overweight and obesity and many of them have or are at risk for developing cardiometabolic diseases [29]. Primary care pediatricians are responsible for screening for these diseases but have limited time during each visit.
Conclusion
Healthcare professionals have a unique opportunity to impact health and provide counseling on lifestyle behaviors. Results from this study support the benefits of physical activity on cardiometabolic health in children.
Citation: Forseth B, Noel-MacDonnell JR, Hampl S, Carlson JA, Halpin K, Davis A, et al. (2024) Relationship between youth cardiometabolic health and physical activity in medical records. PLoS ONE 19(6): e0303583. https://doi.org/10.1371/journal.pone.0303583
Editor: Toby Edward Mansell, Murdoch Children’s Research Institute, AUSTRALIA
Received: January 2, 2024; Accepted: April 28, 2024; Published: June 6, 2024
Copyright: © 2024 Forseth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: Data cannot be shared publicly because of it is identifiable patient data from electronic medical records. Data may be requested from the Children's Mercy Hospital Institutional Data Access / Ethics Committee (contact bhanson4@kumc.edu for more details and guidance) for researchers who meet the criteria for access to confidential data. Resubmission update: Thank you for supporting transparency with data and publicly available data. Our dataset was created from electronic medical records from one hospital (the hospital is identified by name in the paper on the ethics approval line) and contains many data aspects that may compromise patient privacy. We did reach out to our IRB to identify best options for sharing the data. The IRB responded that our study was not approved to share patient data. We are able to share deidentified data with other researchers who complete a data user sharing agreement with Children’s Mercy; this agreement will need to be completed with the Children’s Mercy Office of Research Business Partners. As corresponding author, if another researchers requests the data I am happy to help with working through this process the data user agreement with the Children’s Mercy Institution.
Funding: The author(s) received no specific funding for this work.
Competing interests: "The authors have read the journal’s policy and have the following competing interests: BF received salary support from the National Institutes of Health for research not directly related to this project (F32DK128982). This does not alter our adherence to PLOS ONE policies on sharing data and materials."
Source: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0303583#abstract0
