{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T18:54:44Z","timestamp":1784832884295,"version":"3.55.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100004334","name":"MERCK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004334","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the functionality and feasibility of the GROWIN app for promoting early detection of growth disorders in childhood, supporting early interventions, and improving children\u2019s lifestyle by analyzing data collected over 3 years (2018\u20132020).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We retrospectively assessed the growth parameters (height, weight, body mass index [BMI], abdominal circumference) entered by users (caregivers\/parents) in the GROWIN app. We also analyzed the potential health problems detected and the messages\/recommendations the app showed. Finally, we assessed the possible impact\/benefit of the app on the growth of the children.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 21\u00a0633 users (Spanish [65%], Latin American [30%], and others [5%]) entered 10.5\u2009\u00b1\u20098.3 measurements (0\u201315 y old). 1200 recommendations were for low height and 550 for low weight. 1250 improved their measurements. A specialist review was recommended in 500 patients due to low height. 2567 nutrition tests were run. All children with obesity (n\u2009=\u2009855, BMI: 27.8 kg\/m2 [2.25 SD]) completed the initial test with a follow-up of \u22651 year. Initial results (score: 8.1) showed poor eating habits (fast food, commercially baked goods, candy, etc.), with &amp;gt;90% not having breakfast. After 3\u20136 months, BMI decreased \u22651 point, and test scores increased \u22652 points. This benefit was maintained beyond 1 year and was correlated with an improvement in BMI (r\u2009=\u2009\u2212.65, P\u2009=\u2009.01).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\/Conclusions<\/jats:title>\n                  <jats:p>The GROWIN app represents an innovative automated solution for families to monitor growth. It allows the early detection of abnormal growth indicators during childhood and adolescence, promoting early interventions. Additionally, in children with obesity, an improvement in healthy nutritional habits and a decrease in BMI were observed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocac108","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T05:17:44Z","timestamp":1657257464000},"page":"1508-1517","source":"Crossref","is-referenced-by-count":13,"title":["Automated growth monitoring app (GROWIN): a mobile Health (mHealth) tool to improve the diagnosis and early management of growth and nutritional disorders in childhood"],"prefix":"10.1093","volume":"29","author":[{"given":"Antonio","family":"de Arriba Mu\u00f1oz","sequence":"first","affiliation":[{"name":"Pediatric Endocrinology, Hospital Universitario Miguel Servet , Zaragoza, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Teresa","family":"Garc\u00eda Castellanos","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Hospital Universitario Miguel Servet , Zaragoza, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes Dom\u00ednguez","family":"Cajal","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Hospital Universitario Miguel Servet , Zaragoza, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anunciaci\u00f3n","family":"Beisti Ortego","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Hospital Universitario Miguel Servet , Zaragoza, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio Mart\u00ednez","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Instituto Universitario de Investigaci\u00f3n de Ingenier\u00eda de Arag\u00f3n (I3A), Zaragoza University , Zaragoza, Spain"},{"name":"eHWin New Technologies , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Ignacio","family":"Labarta Aizp\u00fan","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Hospital Universitario Miguel Servet , Zaragoza, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"issue":"10","key":"2022081707582029300_ocac108-B1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1001\/jama.2013.218793","article-title":"Use of electronic health records for automated screening of growth disorders in primary care","volume":"310","author":"Sankilampi","year":"2013","journal-title":"JAMA"},{"issue":"4","key":"2022081707582029300_ocac108-B2","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1159\/000499915","article-title":"Towards a rational and efficient diagnostic approach in children referred for growth failure to the general paediatrician","volume":"91","author":"Wit","year":"2019","journal-title":"Hormone Res Paediatr"},{"key":"2022081707582029300_ocac108-B3","doi-asserted-by":"crossref","first-page":"431","DOI":"10.3389\/fped.2018.00431","article-title":"Pediatric obesity algorithm: a practical approach to obesity diagnosis and management","volume":"6","author":"Cuda","year":"2018","journal-title":"Front Pediatr"},{"key":"2022081707582029300_ocac108-B4","doi-asserted-by":"crossref","first-page":"123023","DOI":"10.1155\/2012\/123023","article-title":"Need for early interventions in the prevention of pediatric overweight: a review and upcoming directions","volume":"2012","author":"Dattilo","year":"2012","journal-title":"J Obes"},{"key":"2022081707582029300_ocac108-B5","doi-asserted-by":"crossref","first-page":"2967578","DOI":"10.1155\/2016\/2967578","article-title":"Challenges in the diagnosis and management of growth hormone deficiency in India","volume":"2016","author":"John","year":"2016","journal-title":"Int J Endocrinol"},{"key":"2022081707582029300_ocac108-B6","year":"2019"},{"key":"2022081707582029300_ocac108-B7","doi-asserted-by":"crossref","first-page":"715705","DOI":"10.3389\/fped.2021.715705","article-title":"Digital health for supporting precision medicine in pediatric endocrine disorders: opportunities for improved patient care","volume":"9","author":"Fernandez-Luque","year":"2021","journal-title":"Front Pediatr"},{"issue":"6","key":"2022081707582029300_ocac108-B8","doi-asserted-by":"crossref","first-page":"e16214","DOI":"10.2196\/16214","article-title":"Mobile health for pediatric weight management: systematic scoping review","volume":"8","author":"Tully","year":"2020","journal-title":"JMIR Mhealth Uhealth"},{"issue":"2","key":"2022081707582029300_ocac108-B9","doi-asserted-by":"crossref","first-page":"124","DOI":"10.4274\/jcrpe.galenos.2020.2020.0206","article-title":"Important tools for use by pediatric endocrinologists in the assessment of short stature","volume":"13","author":"Labarta","year":"2021","journal-title":"J Clin Res Pediatr Endocrinol"},{"issue":"5","key":"2022081707582029300_ocac108-B10","doi-asserted-by":"crossref","first-page":"e27446","DOI":"10.2196\/27446","article-title":"An eHealth framework for managing pediatric growth disorders and growth hormone therapy","volume":"23","author":"Dimitri","year":"2021","journal-title":"J Med Internet Res"},{"issue":"7","key":"2022081707582029300_ocac108-B11","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1177\/1357633X18775564","article-title":"The effectiveness of telemedicine on body mass index: a systematic review and meta-analysis","volume":"25","author":"Huang","year":"2019","journal-title":"J Telemed Telecare"},{"issue":"4","key":"2022081707582029300_ocac108-B12","doi-asserted-by":"crossref","first-page":"e0250231","DOI":"10.1371\/journal.pone.0250231","article-title":"Changing parental feeding practices through web-based interventions: a systematic review and meta-analysis","volume":"16","author":"Gomes","year":"2021","journal-title":"PLoS One"},{"issue":"1","key":"2022081707582029300_ocac108-B13","doi-asserted-by":"crossref","first-page":"44","DOI":"10.35882\/teknokes.v15i1.7","article-title":"Android-based application for children\u2019s growth monitoring as a complement for child development card","volume":"15","author":"Puspitasari","journal-title":"J Teknokes"},{"issue":"2","key":"2022081707582029300_ocac108-B14","doi-asserted-by":"crossref","first-page":"e16208","DOI":"10.2196\/16208","article-title":"Content analysis of apps for growth monitoring and growth hormone treatment: systematic search in the android app store","volume":"8","author":"Fernandez-Luque","year":"2020","journal-title":"JMIR Mhealth Uhealth"},{"key":"2022081707582029300_ocac108-B15","doi-asserted-by":"crossref","first-page":"101408","DOI":"10.1016\/j.ghir.2021.101408","article-title":"Digital technologies to improve the precision of paediatric growth disorder diagnosis and management","volume":"59","author":"Dunkel","year":"2021","journal-title":"Growth Horm IGF Res"},{"key":"2022081707582029300_ocac108-B16","first-page":"926","article-title":"Digital health in the management of pediatric growth hormone therapy - 10 years of developments","volume":"281","author":"Koledova","year":"2021","journal-title":"Stud Health Technol Inform"},{"issue":"6","key":"2022081707582029300_ocac108-B17","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1157\/13123287","article-title":"Spanish cross-sectional growth study 2008. Part II. Height, weight and body mass index values from birth to adulthood","volume":"68","author":"Carrascosa Lezcano","year":"2008","journal-title":"An Pediatr (Barc)"},{"issue":"12","key":"2022081707582029300_ocac108-B18","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1111\/j.1469-8749.2009.03503.x","article-title":"WHO Child Growth Standards","volume":"51","year":"2009","journal-title":"Dev Med Child Neurol"},{"key":"2022081707582029300_ocac108-B19"},{"issue":"1","key":"2022081707582029300_ocac108-B20","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3109\/03014460.2014.970576","article-title":"Weight and height centiles of Argentinian children and adolescents: a comparison with WHO and national growth references","volume":"43","author":"Orden","year":"2016","journal-title":"Ann Hum Biol"},{"issue":"4","key":"2022081707582029300_ocac108-B21","first-page":"388","article-title":"Normal values for body mass index and waist circumference in Spanish population from birth to 28 years old","volume":"33","author":"De Arriba Mu\u00f1oz","year":"2016","journal-title":"Nutr Hosp"},{"issue":"3","key":"2022081707582029300_ocac108-B22","first-page":"73","article-title":"Modelo estad\u00edstico para la prevenci\u00f3n precoz de desarrollo de sobrepeso\/obesidad en poblaci\u00f3n infantil","volume":"47","author":"Morl\u00e1n Herrador","year":"2017","journal-title":"Bol Pediatr Arag Rioj Sor"},{"key":"2022081707582029300_ocac108-B23","doi-asserted-by":"crossref","first-page":"655931","DOI":"10.3389\/fped.2021.655931","article-title":"New horizons in short children born small for gestational age","volume":"9","author":"Netchine","year":"2021","journal-title":"Front Pediatr"},{"issue":"7","key":"2022081707582029300_ocac108-B24","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1079\/PHN2004556","article-title":"Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean diet Quality Index in children and adolescents","volume":"7","author":"Serra-Majem","year":"2004","journal-title":"Public Health Nutr"},{"key":"2022081707582029300_ocac108-B25","first-page":"45","author":"Serra-Majem","year":"2003"},{"issue":"2","key":"2022081707582029300_ocac108-B26","doi-asserted-by":"crossref","first-page":"e0246045","DOI":"10.1371\/journal.pone.0246045","article-title":"See How They Grow: Testing the feasibility of a mobile app to support parents\u2019 understanding of child growth charts","volume":"16","author":"Humphrey","year":"2021","journal-title":"PLoS One"},{"issue":"8","key":"2022081707582029300_ocac108-B27","doi-asserted-by":"crossref","first-page":"e12983","DOI":"10.2196\/12983","article-title":"The continued use of mobile health apps: insights from a longitudinal study","volume":"7","author":"Vaghefi","year":"2019","journal-title":"JMIR Mhealth Uhealth"},{"key":"2022081707582029300_ocac108-B28","doi-asserted-by":"crossref","first-page":"21501327211010995","DOI":"10.1177\/21501327211010995","article-title":"Effects of mobile health technologies on uptake of routine growth monitoring among caregivers of children aged 9 to 18\u2009months in Kenya","volume":"12","author":"Nyang\u2019echi","year":"2021","journal-title":"J Prim Care Community Health"},{"issue":"3","key":"2022081707582029300_ocac108-B29","doi-asserted-by":"crossref","first-page":"161","DOI":"10.46747\/cfp.6703161","article-title":"Evaluating routine pediatric growth measurement as a screening tool for overweight and obese status","volume":"67","author":"Hale","year":"2021","journal-title":"Can Fam Physician"},{"key":"2022081707582029300_ocac108-B30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000365790","article-title":"Global prevalence of small for gestational age births","volume":"81","author":"Black","year":"2015","journal-title":"Nestle Nutr Inst Workshop Ser"},{"key":"2022081707582029300_ocac108-B31","doi-asserted-by":"crossref","first-page":"100167","DOI":"10.1016\/j.lanepe.2021.100167","article-title":"International versus national growth charts for identifying small and large-for-gestational age newborns: A population-based study in 15 European countries","volume":"8","author":"Hocquette","year":"2021","journal-title":"Lancet Regional Health Europe"},{"issue":"5","key":"2022081707582029300_ocac108-B32","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1159\/000444525","article-title":"Early detection, referral, investigation, and diagnosis of children with growth disorders","volume":"85","author":"Savage","year":"2016","journal-title":"Horm Res Paediatr"},{"key":"2022081707582029300_ocac108-B33","first-page":"359","article-title":"Evaluation of lifestyle of underweight, normal weight and overweight young women","volume":"37","author":"Wronka","year":"2013","journal-title":"Coll Antropol"},{"issue":"8-s","key":"2022081707582029300_ocac108-B34","first-page":"7","article-title":"Relation between changes in weight parameters and height parameters in prepubertal children: daily weight gain and BMIi changes in relation to linear growth during nutritional rehabilitation of underweight children","volume":"90","author":"Soliman","year":"2019","journal-title":"Acta Biomed"},{"key":"2022081707582029300_ocac108-B35","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/1471-2458-7-77","article-title":"Referral patterns of children with poor growth in primary health care","volume":"7","author":"Grote","year":"2007","journal-title":"BMC Public Health"},{"key":"2022081707582029300_ocac108-B36","doi-asserted-by":"crossref","DOI":"10.1530\/endoabs.77.LB15","article-title":"Development and testing of a novel \u2018GrowthMonitor\u2019 Smartphone App for growth monitoring and the detection of growth disorders","author":"Thaventhiran","year":"2021","journal-title":"EJEA"},{"issue":"2","key":"2022081707582029300_ocac108-B37","doi-asserted-by":"crossref","first-page":"e20217","DOI":"10.2196\/20217","article-title":"eHealth intervention to improve health habits in the adolescent population: mixed methods study","volume":"9","author":"Benavides","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"2022081707582029300_ocac108-B38"},{"issue":"1","key":"2022081707582029300_ocac108-B39","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1186\/s12916-019-1449-8","article-title":"The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action","volume":"17","author":"Di Cesare","year":"2019","journal-title":"BMC Med"},{"issue":"6","key":"2022081707582029300_ocac108-B40","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.3390\/nu11061306","article-title":"Obesity and the Mediterranean diet: a review of evidence of the role and sustainability of the Mediterranean diet","volume":"11","author":"D\u2019Innocenzo","year":"2019","journal-title":"Nutrients"},{"issue":"1","key":"2022081707582029300_ocac108-B41","doi-asserted-by":"crossref","first-page":"2911901","DOI":"10.17061\/phrp2911901","article-title":"Too little, too slowly: international perspectives on childhood obesity","volume":"29","author":"Bauman","year":"2019","journal-title":"Public Health Res Pract"},{"issue":"7","key":"2022081707582029300_ocac108-B42","doi-asserted-by":"crossref","first-page":"e24308","DOI":"10.2196\/24308","article-title":"Smartphone-based interventions for physical activity promotion: scoping review of the evidence over the last 10 years","volume":"9","author":"Domin","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"2022081707582029300_ocac108-B43","doi-asserted-by":"crossref","first-page":"e36377","DOI":"10.2196\/36377","article-title":"Quality evaluation of free-living validation studies for the assessment of 24-hour physical behavior in adults via wearables: systematic review","author":"Giurgiu","year":"2022","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"2022081707582029300_ocac108-B44","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12911-020-1025-3","article-title":"Tracking physical activity using smart phone apps: assessing the ability of a current app and systematically collecting patient recommendations for future development","volume":"20","author":"Murphy","year":"2020","journal-title":"BMC Med Inform Decis Mak"},{"issue":"15","key":"2022081707582029300_ocac108-B45","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1136\/bjsports-2016-096103","article-title":"Moves app: A digital diary to track physical activity and location","volume":"51","author":"Evenson","year":"2017","journal-title":"Br J Sports Med"},{"issue":"1","key":"2022081707582029300_ocac108-B46","doi-asserted-by":"crossref","first-page":"e0244877","DOI":"10.1371\/journal.pone.0244877","article-title":"Towards remote monitoring in pediatric care and clinical trials-Tolerability, repeatability and reference values of candidate digital endpoints derived from physical activity, heart rate and sleep in healthy children","volume":"16","author":"Kruizinga","year":"2021","journal-title":"PLoS One"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/29\/9\/1508\/45444551\/ocac108.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/29\/9\/1508\/45444551\/ocac108.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T07:59:37Z","timestamp":1660723177000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/29\/9\/1508\/6633588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,7]]},"references-count":46,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,7,7]]},"published-print":{"date-parts":[[2022,8,16]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocac108","relation":{},"ISSN":["1527-974X"],"issn-type":[{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,9,1]]},"published":{"date-parts":[[2022,7,7]]}}}