Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort
Introduction School readiness is a multidimensional construct that includes cognitive, behavioural and emotional aspects of a child’s development. School readiness is strongly associated with a child’s future school success and well-being. The Early Development Instrument (EDI) is a reliable and val...
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2019-11-01
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| author | Peter Szatmari Mark S Tremblay Peter Jüni Christopher Allen Julia Thompson Kevin Thorpe Douglas Campbell Andreas Laupacis Elise Mok Catherine S Birken Jessica A Omand Kim M Nurse Cornelia M Borkhoff Jonathon L Maguire Muhammad Mamdani Patricia C Parkin Janis Randall Simpson Eric Duku Caroline Reid-Westoby Magdalena Janus Catherine S. Birken Jonathon L. Maguire Ronald Cohn Cornelia M. Borkhoff Charles Keown-Stoneman Christine Kowal Dalah Mason Jillian Baker Denis Leduc Patricia Li Navindra Persaud Susan Shepherd Carolyn Taylor Farnaz Bazeghi Imaan Bayoumi Sarah Carsley Patricia Raso Amanda Offord |
| author_facet | Peter Szatmari Mark S Tremblay Peter Jüni Christopher Allen Julia Thompson Kevin Thorpe Douglas Campbell Andreas Laupacis Elise Mok Catherine S Birken Jessica A Omand Kim M Nurse Cornelia M Borkhoff Jonathon L Maguire Muhammad Mamdani Patricia C Parkin Janis Randall Simpson Eric Duku Caroline Reid-Westoby Magdalena Janus Catherine S. Birken Jonathon L. Maguire Ronald Cohn Cornelia M. Borkhoff Charles Keown-Stoneman Christine Kowal Dalah Mason Jillian Baker Denis Leduc Patricia Li Navindra Persaud Susan Shepherd Carolyn Taylor Farnaz Bazeghi Imaan Bayoumi Sarah Carsley Patricia Raso Amanda Offord |
| author_sort | Peter Szatmari |
| collection | DOAJ |
| description | Introduction School readiness is a multidimensional construct that includes cognitive, behavioural and emotional aspects of a child’s development. School readiness is strongly associated with a child’s future school success and well-being. The Early Development Instrument (EDI) is a reliable and valid teacher-completed tool for assessing school readiness in children at kindergarten age. A substantial knowledge gap exists in understanding how early child growth, health behaviours, nutrition, cardiometabolic risk and development impact school readiness. The primary objective was to determine if growth patterns, measured by body mass index trajectories in healthy children aged 0–5 years, are associated with school readiness at ages 4–6 years (kindergarten age). Secondary objectives were to determine if other health trajectories, including health behaviours, nutrition, cardiometabolic risk and development, are associated with school readiness at ages 4–6 years. This paper presents the Fit for School Study protocol.Methods and analysis This is an ongoing prospective cohort study. Parents of children enrolled in the The Applied Health Research Group for Kids (TARGet Kids!) practice-based research network are invited to participate in the Fit for School Study. Child growth, health behaviours, nutrition, cardiometabolic risk and development data are collected annually at health supervision visits and linked to EDI data collected by schools. The primary and secondary analyses will use a two-stage process: (1) latent class growth models will be used to first determine trajectory groups, and (2) generalised linear mixed models will be used to examine the relationship between exposures and EDI results.Ethics and dissemination The research ethics boards at The Hospital for Sick Children, Unity Health Toronto and McMaster University approved this study, and research ethics approval was obtained from each school board with a student participating in the study. The findings will be presented locally, nationally and internationally and will be published in peer-reviewed journals.Trial registration number NCT01869530. |
| format | Article |
| id | doaj-art-1e3e9e83955849f7b9d32764729eefe8 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1e3e9e83955849f7b9d32764729eefe82024-11-27T10:20:08ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-030709Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohortPeter Szatmari0Mark S Tremblay1Peter Jüni2Christopher Allen3Julia Thompson4Kevin Thorpe5Douglas Campbell6Andreas Laupacis7Elise Mok8Catherine S Birken9Jessica A Omand10Kim M Nurse11Cornelia M Borkhoff12Jonathon L Maguire13Muhammad Mamdani14Patricia C Parkin15Janis Randall Simpson16Eric Duku17Caroline Reid-Westoby18Magdalena Janus19Catherine S. Birken20Jonathon L. Maguire21Ronald Cohn22Cornelia M. Borkhoff23Charles Keown-Stoneman24Christine Kowal25Dalah Mason26Jillian Baker27Denis LeducPatricia Li28Navindra Persaud29Susan Shepherd30Carolyn Taylor31Farnaz Bazeghi32Imaan Bayoumi33Sarah Carsley34Patricia RasoAmanda Offord1 Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, Ontario, Canada2 Active Healthy Kids Global Alliance, Ottawa, Ontario, Canadaprofessor6 The Applied Health Research Centre of the Li Ka Shing Knowledge Institute, St Michael`s Hospital, Toronto, Ontario, Canada5 Children and Young People’s Public Health Team, Sheffield City Council, Sheffield, UKDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaSt. Michael`s Hospital/Unity Health Toronto, Toronto, Ontario, CanadaprofessorResearch Institute of the McGill University Health Centre, Montreal, QC, CanadaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaChild Health Evaluative Sciences, Hospital for Sick Children Research Institute, Toronto, Ontario, CanadaDivision of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, Ontario, CanadaThe Hospital for Sick Children, Toronto, Ontario, CanadaNutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaThe Li Ka Shing Centre for Healthcare Analytics Research & Training, Unity Health Toronto - St Michaels Hospital, Toronto, Ontario, CanadaDepartment of Paediatrics, Hospital for Sick Children, Toronto, Ontario, CanadaDepartment of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, CanadaDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, CanadaThe Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, CanadaOfford Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada4 Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada1 Li Ka Shing Knowledge Institute, St. Michael`s Hospital, Unity Health Toronto, Toronto, Ontario, CanadaDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, Ontario, CanadaDivision of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, Ontario, Canada3 Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Ontario, Canada8 SickKids Research Institute, Toronto, Ontario, Canada8 SickKids Research Institute, Toronto, Ontario, CanadaPediatrics, St. Michael`s Hospital, Toronto, Ontario, CanadaPediatrics, McGill University, Montreal, Quebec, Canada1 Department of Family and Community Medicine, St Michael`s Hospital, Toronto, Ontario, CanadaLeeds NIHR Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UKLa Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia1 Institute for Health Systems Solutions and Virtual Care, Women`s College Hospital, Toronto, Ontario, CanadaDepartment of Family Medicine, Queen`s University, Kingston, New York, Canada1 Health Promotion, Chronic, Disease and Injury Prevention, Public Health Ontario, Toronto, Ontario, CanadaIntroduction School readiness is a multidimensional construct that includes cognitive, behavioural and emotional aspects of a child’s development. School readiness is strongly associated with a child’s future school success and well-being. The Early Development Instrument (EDI) is a reliable and valid teacher-completed tool for assessing school readiness in children at kindergarten age. A substantial knowledge gap exists in understanding how early child growth, health behaviours, nutrition, cardiometabolic risk and development impact school readiness. The primary objective was to determine if growth patterns, measured by body mass index trajectories in healthy children aged 0–5 years, are associated with school readiness at ages 4–6 years (kindergarten age). Secondary objectives were to determine if other health trajectories, including health behaviours, nutrition, cardiometabolic risk and development, are associated with school readiness at ages 4–6 years. This paper presents the Fit for School Study protocol.Methods and analysis This is an ongoing prospective cohort study. Parents of children enrolled in the The Applied Health Research Group for Kids (TARGet Kids!) practice-based research network are invited to participate in the Fit for School Study. Child growth, health behaviours, nutrition, cardiometabolic risk and development data are collected annually at health supervision visits and linked to EDI data collected by schools. The primary and secondary analyses will use a two-stage process: (1) latent class growth models will be used to first determine trajectory groups, and (2) generalised linear mixed models will be used to examine the relationship between exposures and EDI results.Ethics and dissemination The research ethics boards at The Hospital for Sick Children, Unity Health Toronto and McMaster University approved this study, and research ethics approval was obtained from each school board with a student participating in the study. The findings will be presented locally, nationally and internationally and will be published in peer-reviewed journals.Trial registration number NCT01869530.https://bmjopen.bmj.com/content/9/11/e030709.full |
| spellingShingle | Peter Szatmari Mark S Tremblay Peter Jüni Christopher Allen Julia Thompson Kevin Thorpe Douglas Campbell Andreas Laupacis Elise Mok Catherine S Birken Jessica A Omand Kim M Nurse Cornelia M Borkhoff Jonathon L Maguire Muhammad Mamdani Patricia C Parkin Janis Randall Simpson Eric Duku Caroline Reid-Westoby Magdalena Janus Catherine S. Birken Jonathon L. Maguire Ronald Cohn Cornelia M. Borkhoff Charles Keown-Stoneman Christine Kowal Dalah Mason Jillian Baker Denis Leduc Patricia Li Navindra Persaud Susan Shepherd Carolyn Taylor Farnaz Bazeghi Imaan Bayoumi Sarah Carsley Patricia Raso Amanda Offord Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort BMJ Open |
| title | Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort |
| title_full | Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort |
| title_fullStr | Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort |
| title_full_unstemmed | Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort |
| title_short | Fit for School Study protocol: early child growth, health behaviours, nutrition, cardiometabolic risk and developmental determinants of a child’s school readiness, a prospective cohort |
| title_sort | fit for school study protocol early child growth health behaviours nutrition cardiometabolic risk and developmental determinants of a child s school readiness a prospective cohort |
| url | https://bmjopen.bmj.com/content/9/11/e030709.full |
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