Table 1.
Outcome measures at 11 years.
| Category, method | Measure | Child (11 years old) | Parent | |
| Anthropometry |
|
|
|
|
|
|
International Growth Reference [50] | Height, weight, BMI-for-age z score | √ | N/Aa |
|
|
International Growth Reference [50] | BMI | √ | N/A |
|
|
Calculated BMI z-score ≥85th but ≤95th percentile | Prevalence of overweight | √ | N/A |
|
|
BMI z-score ≥95th percentile [50] | Prevalence of obesity | √ | N/A |
| Blood pressure (BP) | ||||
|
|
Automated BP Monitor (Omron) | Systolic and diastolic BP | √ | N/A |
| Body composition and bone health |
|
|
|
|
|
|
DXAb scan | Body fat (g) | √ | N/A |
|
|
DXA scan | Lean mass (g) | √ | N/A |
|
|
DXA scan | Bone mass (g) | √ | N/A |
|
|
DXA scan | Bone mineral content (g/cm2) | √ | N/A |
| Mental health and wellbeing |
|
|
|
|
|
|
Strengths and Difficulties Questionnaire (SDQ) [51] | Emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, prosocial, behavior problems | √ | √ |
|
|
Child Health Utility 9D instrument [52,53] | Health-related quality of life | √ | N/A |
|
|
The WHOc-5 Well-Being Index [54] | Current mental wellbeing | √ | N/A |
| Family functioning | ||||
|
|
McMaster Family Assessment Device (FAD) 12-item General Functioning Scale [55] | General functioning | N/A | √ |
| Sleep |
|
|
|
|
|
|
AX3 accelerometer | Sleep timing, duration, and awakenings | √ | N/A |
|
|
Adolescent Sleep Hygiene Scale [61] | Sleep hygiene | √ | N/A |
|
|
PROMISd Pediatric Sleep Disturbance [62] | Sleep disturbances | √ | √ |
|
|
PROMIS Pediatric Sleep Impairment [62] | Sleep problems | √ | √ |
| Physical activity and sedentary behavior | ||||
|
|
AX3 accelerometer | Physical activity and sedentary behavior | √ | N/A |
| Dietary intake |
|
|
|
|
|
|
24-hour dietary recall [56] | Food and nutrient intake | √ | N/A |
|
|
Camera (food images) | Food and nutrient intake | N/A | √ |
|
|
Child Eating Behavior Questionnaire [57] | Eating behaviors | N/A | √ |
| Screen time |
|
|
|
|
|
|
Bedtime and electronic devices recall | Pre-bed and in-bed screen use | √ | N/A |
|
|
Wearable and bedroom camera | Pre-bed and in-bed screen use | √ | N/A |
|
|
Youth Activity Profile [58] | Total daily screen use | N/A | √ |
| Economic analyses |
|
|
|
|
|
|
BMI z-score at 2, 3.5, 5, and 11 years of age | Retrospective cost-effectiveness analysis | N/A | N/A |
|
|
BMI z-score at 2, 3.5, 5, and 11 years of age | Incremental cost-effectiveness ratios | N/A | N/A |
|
|
Child Health Utility 9D instrument [52,53] | Numbers and percentages | N/A | N/A |
aN/A: not applicable.
bDXA: dual-energy x-ray absorptiometry.
cWHO: World Health Organization.
dPROMIS: Patient-Reported Outcomes Measurement Information System.