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C H A P T E R   6   Table  2:   Sensitivity   (true   positive)   and   specificity   (true   negative)   of   weight   for   length   growth   chart   96     (applied  at  1  year,  for  prediction  of  overweight  at  the  age  of  5  years).     Overweight   Not  overweight   TOTAL   Weight  for  length  >  +2SD  19  (16%)   True  positive   6  (5%)   False  positive   25   Weight  for  length  <  +2SD  99  (84%)   False  negative   112  (95%)   True  negative     211   TOTAL   118   118   236   Se:  16%;  Sp:  95%;  LR+:  3.2;  LR-­‐:  0.88;  DOR:  3.6   SD  =  Standard  deviation.   Se=   Sensitivity,   Sp=   Specificity,   LR   +=   Positive   likelihood   ratio,   LR   -­‐=   Negative   likelihood   ratio,   DOR=   Diagnostic  odds  ratio.     Table  3:   Sensitivity   (true   positive)   and   specificity   (true   negative)   of   PI   calculation   (applied   at   1   year,   for  prediction  of  overweight  at  the  age  of  5  years).     Overweight   Not  overweight   TOTAL   PI  >  +2SD   33  (28%)   True  positive   13  (11%)   False  positive   46   PI  <  +2SD   86  (72%)   False  negative   106  (89%)   True  negative     192   TOTAL   119   119   238   Se:  28%;  Sp:  89%;  LR+:  2.55;  LR-­‐:  0.81;  DOR:  3.1   PI  =  Ponderal  Index,  SD  =  Standard  deviation.   Se=   Sensitivity,   Sp=   Specificity,   LR   +=   Positive   likelihood   ratio,   LR   -­‐=   Negative   likelihood   ratio,   DOR=   Diagnostic  odds  ratio.     By  comparing  the  two  study  groups  (overweight  versus  not  overweight  at  the  age   of  5  years),  we  also  evaluated  birth  weight  and  weight,  PI  and  the  difference  of  PIm   and  PIe  at  the  age  of  approximately  1  year.  The  mean  birth  weight  in  the  overweight   group  is  68  grams  (gr)  higher  than  in  the  control  group.  Also  the  mean  weight  at  the   age  of  1  year  is  1036.42  gr  higher,  the  PI  at  the  age  of  1  year  is  0.17  higher  and  the   mean  difference  of  PIm   and  PIe   at  the  age  of  1  year   in  the  overweight  group  is  0.16   higher.     By  using  two  sided  t-­‐tests,  it  is  possible  to  calculate  the  corresponding  significances   (according  to  a  95%  confidence  interval  (CI)).  Birth  weight  is  not  statistically  signif-­‐ icant  predictor  for  overweight  at  the  age  of  5  years  (p  =  0.35).  Nevertheless,  weight,   PI  and  difference  of  PIm  and  PIe  at  the  age  of  approximately  1  year  are  highly  signifi-­‐ cant  predictors  (Table  4).  


Proefschrift binnenwerk Manon Ernst_DEF.indd
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