{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T23:19:05Z","timestamp":1771715945884,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,5,6]],"date-time":"2022-05-06T00:00:00Z","timestamp":1651795200000},"content-version":"vor","delay-in-days":125,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>With the revision of the Japanese School Health and Safety Law in 2016, the use of growth and obesity curves has been recommended. This study aimed to determine the prevalence of growth and obesity curve creation in elementary and junior high schools using government\u2010issued software in Japan between 2016 and 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire survey was conducted with school nursing teachers in elementary and junior high schools in Osaka, Japan. The questionnaire was distributed and collected by e\u2010mail between 1 and 31 March 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey response rate was 87.1%. In total, 78.5% of the elementary schools, and 75.0% of the junior high schools had the software for creating the growth curves. The rate of adoption of growth curve creation using the software increased in elementary schools (from 16.2% in 2016 to 40.5% in 2019 and in junior high schools from 6.0% in 2016 to 33.6% in 2019. The detection rates of growth abnormalities also increased over the 4\u2009years in elementary and junior high schools, as follows: short stature (2.48\u2010 and 3.81\u2010fold, respectively), tall stature (2.77\u2010 and 4.77\u2010fold, respectively), emaciation (2.62 and 4.85\u2010fold, respectively), mild obesity (2.66 and 5.15\u2010fold, respectively), moderate obesity (2.71\u2010 and 4.14\u2010fold, respectively), and severe obesity (2.45\u2010 and 3.32\u2010fold, respectively). The rates of receiving a recommendation slip and going on to consult a specialist for each growth abnormality were low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>By utilizing these curves, the detection rate of physical development abnormalities increased, but the rate of recommending a specialist consultation and the rate of actual consultation with a specialist were still low.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15182","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T08:50:03Z","timestamp":1645779003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of childhood growth and obesity curves in school health examinations"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0571-9044","authenticated-orcid":false,"given":"Junji","family":"Takaya","sequence":"first","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirohiko","family":"Higashino","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuzo","family":"Takaya","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Sakaguchi","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitsuo","family":"Tanoue","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Higashide","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisako","family":"Moriguchi","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Nakao","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeto","family":"Shigematsu","sequence":"additional","affiliation":[{"name":"School Physician Section Osaka Medical Association Osaka\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043497"},{"key":"e_1_2_9_3_1","first-page":"463","article-title":"Growth curves for school age children and adolescents","volume":"46","author":"Onis M","year":"2009","journal-title":"Indian Pediatr."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/137.1.153"},{"key":"e_1_2_9_5_1","unstructured":"History of School Health. (in Japanese) [homepage on the Internet] [updated 2014; Cited 12 January 2022]. Available from URL:https:\/\/www.gakkohoken.jp\/column\/archives\/68#cl006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","unstructured":"Partial amendment of school health and safety law enforcement regulations. (in Japanese) 2014. [homepage on the Internet] [updated; Cited 12 August 2021] Available from URL:https:\/\/www.mext.go.jp\/a_menu\/kenko\/hoken\/__icsFiles\/afieldfile\/2017\/05\/01\/1383847_01.pdf","DOI":"10.51505\/IJMSHR.2021.5101"},{"key":"e_1_2_9_7_1","volume-title":"Children's Health Care Program","author":"Murata M","year":"2015"},{"key":"e_1_2_9_8_1","unstructured":"School Health and Safety Law e\u2010Gov Law Search(in Japanese) [homepage on the Internet] [updated 1994; cited 12 August 2021] Available from URL:https:\/\/elaws.e\u2010gov.go.jp\/document?lawid=333AC0000000056"},{"key":"e_1_2_9_9_1","unstructured":"Osaka City Reiwa 2nd year school status survey. (In Japanese) [homepage on the Internet] [updated2021; Cited 12 August 2021]. Available from URL:https:\/\/www.city.osaka.lg.jp\/kyoiku\/page\/0000511944.html"},{"key":"e_1_2_9_10_1","first-page":"10","volume-title":"Report of research on nutrition, exercise and recreation from the viewpoint of health and QOL in children, supported by Health, Labour and Welfare for research on Health Services in 2002","author":"Murata M","year":"2003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5551\/jat.29397"},{"issue":"7","key":"e_1_2_9_12_1","first-page":"1343","article-title":"edition of \"Standard Height Table\" and \"Standard Growth Curve\" based on the height standards adopted in the Pediatric Chronic Specific Disease Treatment Research Project (in Japanese)","volume":"2005","author":"Itho Z","year":"2000","journal-title":"J. Pediatric. Pract."},{"key":"e_1_2_9_13_1","unstructured":"Ministry of Education Culture Sports Science and Technology.\"School Health Statistics\" announced (3) Obesity thinness and health status. [homepage on the Internet] [updated2019; Cited 16 August 2021]. Available from URL:https:\/\/sndj\u2010web.jp\/news\/000051.php"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802608"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2004.27"},{"key":"e_1_2_9_16_1","unstructured":"MurataM.Why what and why? School health \"Growth curve\". Japan Society of School Health home page. [homepage on the Internet] [updated2014; Cited 12 August 2021]. Available from URL:https:\/\/www.gakkohoken.jp\/special\/archives\/199"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.15182","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.15182","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.15182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T12:18:45Z","timestamp":1747397925000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.15182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/ped.15182"],"URL":"https:\/\/doi.org\/10.1111\/ped.15182","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2021-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15182"}}