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Investigators from multiple UK institutions conducted a cohort study to assess the strength of association between childhood obesity and slipped capital femoral epiphysis (SCFE). The cohort was identified using a nationwide child health surveillance program in Scotland, as well as a data set that included 10% of the Scottish population. In both data sets, child demographics, height, and weight were routinely recorded at school entry (5–6 years old) by school nurses. Height and weight among a subgroup of cohort children at 11–12 years old were recorded in a third data set.
The primary exposure was BMI, categorized as underweight (<5%), normal weight (5%–85%), overweight (≥85%–94%), mild/moderate obesity (≥95%–99%), or severe obesity (≥99%). The primary …
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