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Updated: Jul 14, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Exploring Associations Between Abnormal Weight Classifications and Child Maltreatment Diagnoses
Debra Esernio-Jenssen1,2,3, Alfred Morrobel4, Susan E Hansen2,5
1Department of Pediatrics, Lehigh Valley Health Network, Allentown, PA, USA.
Insights
Child maltreatment, a form of toxic stress, is linked to abnormal pediatric weight. This study found that neglect and multiple diagnoses correlate with being underweight, overweight, or obese, signaling a need for clinical screening.
Area of Science:
- Pediatric Health
- Child Psychology
- Public Health
Background:
- Child maltreatment causes toxic stress, increasing long-term health risks.
- Pediatricians require guidance for screening occult injuries indicative of maltreatment.
- Abnormal pediatric weight may signal underlying adversity.
Purpose of the Study:
- To investigate the association between child maltreatment type and number of diagnoses with abnormal pediatric weight.
- To determine if weight classification is a biologic signal for child maltreatment.
Main Methods:
- Retrospective cohort study of 855 pediatric patients diagnosed with child maltreatment.
- Analysis of diagnoses and weight classification at intake from medical records.
- Statistical examination of correlations between maltreatment characteristics and weight status.
Main Results:
- Statistically significant associations found between weight classification and child maltreatment type and diagnosis count.
- Neglect was the most common diagnosis.
- Children with two or more diagnoses were more likely to be underweight, overweight, or obese.
Conclusions:
- Abnormal pediatric weight serves as a potential biologic indicator of adversity.
- Clinical safety screening is warranted when abnormal pediatric weight is observed.
- Weight status can aid in identifying children experiencing maltreatment.
Abstract:
Child maltreatment poses not only immediate danger, but as a type of toxic stress, it creates higher risk of biologic dysfunction later in life. Pediatricians are in a unique position to diagnose child maltreatment, but they need evidence-based guidance for when to initiate screening when injury is occult. In this retrospective cohort study of 855 pediatric patients diagnosed with child maltreatment, researchers explored whether type or number of diagnoses was associated with abnormal pediatric weight in either direction. Diagnoses and weight assessed at intake were extracted from medical records for analysis. Statistically significant associations were found between weight classification and child maltreatment type as well as diagnosis count. Neglect was most frequently diagnosed, and children with ≥2 diagnoses were more likely to be classified as underweight, overweight, or obese. Findings support abnormal pediatric weight as a biologic signal of adversity that warrants safety screening in the clinical setting.
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