ESPE Abstracts (2016) 86 P-P2-521

Construction of Remote Monitoring System of Children with Tall or Short Stature and Overweight or Poor Weight Gain from the Elementary School Health Checkup Data

Takanori Motokia, Ichiro Miyataa, Maki Kariyazakib & Satoko Tsurub

aThe Jikei University School of Medicine, Tokyo, Japan; bThe University of Tokyo, Tokyo, Japan

Background: A school nurse and a school physician do screening of short stature and overweight by height and weight measured in the school health examination. Furthermore, in the municipality, practitioners are doing medical examination to preventing for children’s unhealthy lifestyle to applicants. However the pediatric endocrinologists of the ward sometimes examine the first visit patients with short stature, highly obese or type 2 diabete patients who have passed a few years from the onset.

Objective and hypotheses: To reveal how many children who have the extent physique problems from height and weight data obtained from school health check of the ward there are. To build a regional cooperation system not to miss the patients who hospital consultation from the onset becomes too late.

Method: We analyzed the height and weight data which had been input to the academic affairs system and which were the total of 11 times in the school medical examination from September 2012 to April 2014. Sharing the results with the Medical Association, the Board of Education and school nurse, we talked about future challenges.

Results: We were able to obtain the data of 10,022 children to sixth graders from fourth graders who belonged to the public elementary school of the ward. Height analysis subjects 9511 patients (94.9%), degree of obesity analysis subjects were 9837 patients (98.2%). 254 students with tall stature (Total 2.67%: 4th Grade 2.55%, 5th 2.79%, 6th 2.36%), 147 students with short stature (Total 1.55%: 1.27%, 1.58%, 1.59%), 740 obese students (Total 7.52%: 7.50%, 7.58%, 7.54%), 560 slimming students (Total 0.17%: 0.06%, 0.18%, 0.27%). According to ‘2014 School Health Survey’ conducted by the Ministry of Education, Culture, Sports, Science and Technology, percentage of obesity trend students was 8.88% (8.14%, 9.07%, 9.44%), that of slimming trend students was 2.55% (1.92%, 2.68%. 3.05%).

Conclusion: Unlike propotion of the tall stature, that of short stature was about 1.6% not follow a normal distribution. According to the school year it goes up, because the students that have problems in physique (poor weight gain, obesity, short stature) was observed tends to increase, there is a need for early intervention.

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