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Cohort Profile: The Applied Research Group for Kids (TARGet Kids!)
Sarah Carsley1, Cornelia M Borkhoff2, Jonathon L Maguire3
1Pediatric Outcomes Research Team, Department of Pediatrics, Hospital for Sick Children, Toronto, ON, Canada.
Insights
The TARGet Kids! study tracks healthy children from birth to adolescence, linking early exposures to health issues like obesity and developmental problems to improve child health through early interventions.
Area of Science:
- Pediatric Health Research
- Longitudinal Cohort Studies
- Preventive Medicine
Background:
- The Applied Research Group for Kids (TARGet Kids!) is a Canadian primary care-based research network.
- It focuses on healthy children from birth to 5 years, following them into adolescence.
- The study utilizes the established relationship between families, children, and primary care practitioners.
Purpose of the Study:
- To investigate the links between early life exposures and later health problems such as obesity, micronutrient deficiencies, and developmental issues.
- To optimize growth and developmental trajectories in early childhood through preventive interventions.
- To enhance the overall health of Canadian children.
Main Methods:
- An open, longitudinal cohort study design enrolling healthy children aged 0-5 years.
- Data collection includes demographics, physical measurements, lifestyle factors (nutrition, screen time, physical activity), behavior, developmental screening, and blood samples.
- Data are collected biannually until age 2, then annually until age 10 during well-child visits.
Main Results:
- Currently, 5062 children are enrolled in the TARGet Kids! cohort.
- Collected data provide insights into cardiometabolic health, iron and vitamin D status, and trace metal levels.
- The study is establishing a comprehensive dataset for analyzing early life influences on child health outcomes.
Conclusions:
- The TARGet Kids! cohort is a valuable resource for understanding early life determinants of child health.
- Findings will inform evidence-based preventive strategies to improve pediatric health trajectories.
- This research network uniquely integrates child health research within primary care settings.
Abstract:
The Applied Research Group for Kids (TARGet Kids!) is an ongoing open longitudinal cohort study enrolling healthy children (from birth to 5 years of age) and following them into adolescence. The aim of the TARGet Kids! cohort is to link early life exposures to health problems including obesity, micronutrient deficiencies and developmental problems. The overarching goal is to improve the health of Canadians by optimizing growth and developmental trajectories through preventive interventions in early childhood. TARGet Kids!, the only child health research network embedded in primary care practices in Canada, leverages the unique relationship between children and families and their trusted primary care practitioners, with whom they have at least seven health supervision visits in the first 5 years of life. Children are enrolled during regularly scheduled well-child visits. To date, we have enrolled 5062 children. In addition to demographic information, we collect physical measurements (e.g. height, weight), lifestyle factors (nutrition, screen time and physical activity), child behaviour and developmental screening and a blood sample (providing measures of cardiometabolic, iron and vitamin D status, and trace metals). All data are collected at each well-child visit: twice a year until age 2 and every year until age 10. Information can be found at: http://www.targetkids.ca/contact-us/.
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