- Birth, Development, and Health
- Child Nutrition and Water Access
- Obesity, Physical Activity, Diet
- Cognitive Abilities and Testing
- Health Policy Implementation Science
- Bone health and osteoporosis research
- Health, Environment, Cognitive Aging
- Early Childhood Education and Development
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Emotional Intelligence and Performance
- Genetic and phenotypic traits in livestock
- Bone fractures and treatments
- Vitamin D Research Studies
- Insurance, Mortality, Demography, Risk Management
- Global Public Health Policies and Epidemiology
- Historical and modern epidemiology studies
- Cerebral Palsy and Movement Disorders
- Nutritional Studies and Diet
- Child and Adolescent Health
- Poverty, Education, and Child Welfare
- Public Health Policies and Education
- Delphi Technique in Research
- Community Health and Development
- Musculoskeletal pain and rehabilitation
University of York
2022-2024
Bradford Teaching Hospitals NHS Foundation Trust
2024
Hull York Medical School
2024
University of Bradford
2023
Hospital for Sick Children
2020-2022
SickKids Foundation
2020-2022
University College London
2020
Great Ormond Street Hospital
2020
Loughborough University
2018-2019
Durham University
2018
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Abstract Objective: To investigate changes in socio-economic inequalities growth height, weight, BMI and grip strength children born during 1955–1993 Guatemala, a period of marked socio-economic-political change. Design: We modelled longitudinal data on hand using Super-Imposition by Translation Rotation (SITAR). Internal Z -scores summarising size, timing intensity (peak velocity, e.g. cm/year) were created to position (SEP; measured school attended). Interactions SEP with date birth...
Abstract Background Addressing the upstream social determinants of health (e.g. built environment, education) can reduce burden non-communicable diseases. To do so effectively often requires system-wide collaboration. However, collaborating across multiple sectors, organizations and disciplines within a complex system be challenging. ActEarly was public research consortium that aimed to improve child by building an interdisciplinary, cross-city partnership develop and/or evaluate...
Abstract Background Despite early childhood weight gain being a key indicator of obesity risk, we do not have good understanding the different patterns that exist. Objectives To identify and characterise distinct groups children displaying similar early‐life trajectories. Methods A growth mixture model captured heterogeneity in trajectories between 0 60 months 1390 Avon Longitudinal Study Parents Children. Differences classes characteristics body size/composition at 9 years were...
Indicators of child height, such as mean height-for-age Z-scores (HAZ), difference (HAD) and stunting prevalence, do not account for differences in population-average bone developmental stage.Propose a measure height that conveys the dependency linear growth on stage rather than chronological age.Using Demographic Health Surveys (2000-2018; 64 countries), we generated: (1) predicted HAZ at specific ages (HAZ regressed age); (2) height-age (age which matches WHO Growth Standards median); (3)...
Introduction Living in an area with high levels of child poverty predisposes children to poorer mental and physical health. ActEarly is a 5-year research programme that comprises large number interventions (>20) citizen science co-production embedded. It aims improve the health well-being families living two areas UK deprivation; Bradford West Yorkshire, London Borough Tower Hamlets. This protocol outlines meta-evaluation (an evaluation evaluations) from systems perspective, where...
Timing of puberty and adult height have opposing secular trends yet are positively associated in individuals. We demonstrate this using data from a single sample discuss possible statistical epidemiological reasons behind it. The comprised 365 females Fels Longitudinal Study born 1929–1992. used Super-Imposition by Translation Rotation (SITAR) to estimate individual age at peak velocity (PHV) PHV serial (8149 observations between 5 24 years). General linear regression was investigate the...
Childhood IQ has been used to predict later life outcomes across disciplines in epidemiology, education, and psychology. Most often only a single childhood test is available or for these purposes the belief that stable course. The primary aim of this study was examine longitudinal stability individuals' scores derived from school-age tests. secondary investigate association pre-adult with intelligence scores. 42 high socioeconomic status Guatemalans born 1941–1953 were analysed showed low...
Abstract Objectives The objective of this study was to investigate the association between physical growth in preadult life with five outcomes at ages 64 76: weight, body mass index (BMI), estimated fat percentage, hand grip strength, and mortality. Methods Super‐imposition by translation rotation (SITAR) curves 40 484 Guatemalan individuals aged 3 19 years were modeled for parameters size, timing intensity (peak velocity, eg, cm/year) height, BMI, strength. Associations SITAR old age tested...
Abstract Background Guatemala suffered from civil war and high levels of inequality childhood stunting in the second half 20th century, but little is known about inequalities secular trends adiposity. Objectives To investigate differences body mass index (BMI) skinfold thickness trajectories 1979 to 1999 between three groups children: High socioeconomic position (SEP) Ladino, Low SEP Indigenous Maya. Methods The sample comprised 19 346 children aged 7–17 years with 54 638 observations....
This study documents differences in childhood IQ trajectories of Guatemala City children, aged 6-15 years and born 1961-1993, according to school attended, height-for-age Z-scores (HAZ) over time (Flynn effect). data come from the Universidad del Valle de Longitudinal Study Child Adolescent Development. was measured using standardised tests Otis-Lennon Mental Ability Test-series. A multilevel model developed describe 60,986 observations (level 1), 22,724 children 2), five schools...
Alternative indicators may enrich the description of population height distributions alongside age- and sex-standardised height-for-age Z-scores (HAZ) prevalence under-5 stunting. We propose two linear growth that account for partial biological dependency child on tempo: height-age, which is age at observed distribution would be normal; and, 'growth delay', difference between height-age chronological age. Using data from 145 Demographic Health Surveys 64 countries (2000–2018),...
We aimed to develop a core outcome set (COS) for systems-wide public health interventions seeking promote early life and wellbeing. Research was embedded within the existing systems-based intervention research programme 'ActEarly', located in two different areas with high rates of child poverty, Bradford (West Yorkshire) Borough Tower Hamlets (London). 168 potential outcomes were derived from five local government frameworks, community-led survey an ActEarly consortium workshop. Two rounds...
Abstract Introduction Living in an area with high levels of child poverty predisposes children to poorer mental and physical health. ActEarly is a 5-year research programme that comprises large number interventions (>20) citizen science co-production embedded. It aims improve the health well-being families living two areas UK deprivation; Bradford West Yorkshire, London Borough Tower Hamlets. This protocol outlines meta-evaluation (an evaluation evaluations) from systems perspective,...