Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Short Communication
  • Published:

Improvements in the data quality of a national BMI measuring programme

Abstract

Variations in data collection between collecting regions can affect the outcome measures. This study examines the impact of improvements in data collection on outcome measures in a national monitoring programme between 2007/2008 and 2010/2011. Multilevel analysis of 2007/2008 and 2010/2011 National Child Measurement Programme (NCMP) data estimated the relationship between body mass index (BMI) z-score and data collection variations within coordinating regions, while adjusting for individual-level and school-level factors. The total sample was 2 013 285 students from 17 279 primary schools in 152 coordinating regions in England. Data collection differences accounted for 31.2% of the regional variation in BMI z-score for Reception (aged 4–5 years) students in 2007/2008; this reduced to 12.6% in 2010/2011. For Year 6 (aged 10–11 years) students, it reduced from 5.3% in 2007/2008 to 2.4% in 2010/2011. Digit preference in the rounding of weight measurements showed the largest decreases, from 27.3 to 4.5% for Reception year pupils and from 4.2 to 1.0% for Year 6 pupils. This demonstrates that improvements in data collection variation between regions in the NCMP have led to improvements in data quality.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. DH The National Child Measurement Programme — Guidance for PCTs: 2007–08 school year (Internet). Department of Health: London, UK, 2007. Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078689.

  2. Crowther R, Dinsdale H, Rutter H, Kyffin R . Analysis of the National Childhood Obesity Database 2005–06 (Internet). Department of Health: London, UK, 2007. Available at http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_063783.pdf.

    Google Scholar 

  3. Dinsdale H, Rutter H . National Child Measurement Programme: Detailed Analysis of the 2006/07 National Dataset (Internet). National Obesity Observatory: Oxford, UK, 2008. Available at http://www.noo.org.uk/uploads/doc168_2_NOO_NCMP_report230608.pdf.

    Google Scholar 

  4. Ridler C, Townsend N, Dinsdale H, Mulhall C, Rutter H . National Child Measurement Programme: Detailed Analysis of the 2007/08 National Dataset (Internet). National Obesity Observatory: Oxford, UK, 2009. Available at http://www.noo.org.uk/uploads/doc168_2_noo_NCMPreport1_110509.pdf.

    Google Scholar 

  5. IC National Child Measurement Programme: 2006/07 school year, headline results. (Internet). The Information Centre for Health and Social Care: Leeds, UK, 2008. Available at http://www.ic.nhs.uk/webfiles/publications/ncmp/ncmp0607/NCMP%202006%2007.%20Bulletin%20Final.pdf.

  6. IC National Child Measurement Programme:2007/08 school year, headline results, December 2008. (Internet). NHS Information Centre for Health and Social Care: Leeds, UK, 2008. Available at http://www.ic.nhs.uk/webfiles/publications/ncmp/ncmp0708/NCMP%202007-08%20Report.pdf.

  7. Townsend N, Rutter H, Foster C . Variations in data collection can influence outcome measures of BMI measuring programmes. Int J Pediatr Obes 2011; 6: 491–498.

    Article  Google Scholar 

  8. CGOU Healthy Weight, Healthy Lives: National Child Measurement Programme Guidance for Primary Care Trusts 2009/10 (Internet). Cross Government Obesity Unit: London, UK, 2009. Available at http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_103360.pdf.

  9. Hox J . Multilevel Analysis Techniques and Applications. Lawrence Erlbaum Associates: London, UK, 2002.

    Book  Google Scholar 

  10. Cole TJ, Freeman JV, Preece MA . British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Stat Med 1998; 17: 407–429.

    Article  CAS  Google Scholar 

  11. Cole TJ, Freeman JV, Preece MA . Body mass index reference curves for the UK. Arch Dis Child 1995; 73: 25–29.

    Article  CAS  Google Scholar 

  12. DCLG Indices of Deprivation 2007 (Internet). 2008. Available at http://webarchive.nationalarchives.gov.uk/+/communities.gov.uk/communities/neighbourhoodrenewal/deprivation/deprivation07/.

  13. Clarke A . Schools, Pupils, and their Characteristics, January 2012 (Internet). Department for Education: London, 2012. Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/219260/sfr10-2012.pdf.

    Google Scholar 

Download references

Acknowledgements

The authors acknowledge the NHS by Health and Social Care Information Centre (HSCIC) in providing the NCMP data. NT’s and CF’s positions at Oxford University are fully funded by the British Heart Foundation (BHF). HR’s position at LSHTM is funded by the EU FP7 programme.

Author Contributions

NT was responsible for statistical analysis and writing of the manuscript; he is the guarantor. HR and CF contributed to the development of the study and provided critical review of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to N Townsend.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Townsend, N., Rutter, H. & Foster, C. Improvements in the data quality of a national BMI measuring programme. Int J Obes 39, 1429–1431 (2015). https://doi.org/10.1038/ijo.2015.53

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2015.53

Search

Quick links