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A new age-based formula for estimating weight of Korean children
Jungho Park1, Young Ho Kwak, Do Kyun Kim
1Department of Emergency Medicine, Incheon Sarang Hospital, Inchoen, Republic of Korea.
Insights
A new age-based formula accurately estimates Korean children's body weight, outperforming existing methods. This simple formula aids in pediatric assessments for better health outcomes.
Area of Science:
- Pediatrics
- Biostatistics
- Anthropometry
Background:
- Accurate estimation of body weight is crucial for pediatric health assessments and clinical decision-making.
- Existing weight estimation formulas may lack precision for specific pediatric populations, necessitating the development of region-specific tools.
Purpose of the Study:
- To develop and validate a novel age-based formula for estimating body weight in Korean children.
- To compare the accuracy of the new formula against established weight estimation methods.
Main Methods:
- Utilized a large dataset (124,095 children) from a 2005 Korean Pediatric Society survey.
- Employed regression analysis to derive age-specific equations for infants, preschool-aged, and school-aged children.
- Validated the formula using a separate dataset and compared its performance against APLS, Shann, Leffler, Nelson, Best Guess, and Broselow tape methods.
Main Results:
- Developed three simplified equations for different age groups: infants, preschool-aged, and school-aged children.
- The new formula demonstrated a mean percentage error of +0.9%, significantly lower than other compared methods.
- The estimated weights were slightly lower than actual weights (0.4kg difference), with high statistical significance (p<0.001).
Conclusions:
- The newly developed age-based formula provides a simple and more accurate method for estimating body weight in Korean children.
- This formula offers a valuable tool for pediatricians, potentially improving the accuracy of weight-based medical assessments.
- Caution is advised when applying the formula to older children due to observed variations in estimated weight.
Objectives:
The objective of this study was to develop and validate a new age-based formula for estimating body weights of Korean children.
Methods:
We obtained body weight and age data from a survey conducted in 2005 by the Korean Pediatric Society that was performed to establish normative values for Korean children. Children aged 0-14 were enrolled, and they were divided into three groups according to age: infants (<12 months), preschool-aged (1-4 years) and school-aged children (5-14 years). Seventy-five percent of all subjects were randomly selected to make a derivation set. Regression analysis was performed in order to produce equations that predict the weight from the age for each group. The linear equations derived from this analysis were simplified to create a weight estimating formula for Korean children. This formula was then validated using the remaining 25% of the study subjects with mean percentage error and absolute error. To determine whether a new formula accurately predicts actual weights of Korean children, we also compared this new formula to other weight estimation methods (APLS, Shann formula, Leffler formula, Nelson formula and Broselow tape).
Results:
A total of 124,095 children's data were enrolled, and 19,854 (16.0%), 40,612 (32.7%) and 63,629 (51.3%) were classified as infants, preschool-aged and school-aged groups, respectively. Three equations, (age in months+9)/2, 2×(age in years)+9 and 4×(age in years)-1 were derived for infants, pre-school and school-aged groups, respectively. When these equations were applied to the validation set, the actual average weight of those children was 0.4kg heavier than our estimated weight (95% CI=0.37-0.43, p<0.001). The mean percentage error of our model (+0.9%) was lower than APLS (-11.5%), Shann formula (-8.6%), Leffler formula (-1.7%), Nelson formula (-10.0%), Best Guess formula (+5.0%) and Broselow tape (-4.8%) for all age groups.
Conclusion:
We developed and validated a simple formula to estimate body weight from the age of Korean children and found that this new formula was more accurate than other weight estimating methods. However, care should be taken when applying this formula to older children because of a large standard deviation of estimated weight.
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