Abstract
Purpose: Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods: We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results: Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion: We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors-for example, good mental health, balanced nutrition, and more exercise.
| Original language | English |
|---|---|
| Pages (from-to) | 300-306 |
| Number of pages | 7 |
| Journal | Korean Journal of Pediatrics |
| Volume | 53 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2010 Jan 1 |
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Keywords
- Adolescent
- Child
- Developmental surveillance
- Health screening system
- Infant
- Korea
ASJC Scopus subject areas
- Pediatrics
Cite this
The current child and adolescent health screening system : An assessment and proposal for an early and periodic check-up program. / Eun, Baik-Lin; Moon, Jin Soo; Eun, So-Hee; Lee, Hea Kyoung; Shin, Son Moon; Sung, In Kyung; Chung, Hee Jung.
In: Korean Journal of Pediatrics, Vol. 53, No. 3, 01.01.2010, p. 300-306.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - The current child and adolescent health screening system
T2 - An assessment and proposal for an early and periodic check-up program
AU - Eun, Baik-Lin
AU - Moon, Jin Soo
AU - Eun, So-Hee
AU - Lee, Hea Kyoung
AU - Shin, Son Moon
AU - Sung, In Kyung
AU - Chung, Hee Jung
PY - 2010/1/1
Y1 - 2010/1/1
N2 - Purpose: Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods: We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results: Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion: We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors-for example, good mental health, balanced nutrition, and more exercise.
AB - Purpose: Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods: We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results: Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion: We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors-for example, good mental health, balanced nutrition, and more exercise.
KW - Adolescent
KW - Child
KW - Developmental surveillance
KW - Health screening system
KW - Infant
KW - Korea
UR - http://www.scopus.com/inward/record.url?scp=77953246501&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77953246501&partnerID=8YFLogxK
U2 - 10.3345/kjp.2010.53.3.300
DO - 10.3345/kjp.2010.53.3.300
M3 - Review article
VL - 53
SP - 300
EP - 306
JO - Korean Journal of Pediatrics
JF - Korean Journal of Pediatrics
SN - 1783-1061
IS - 3
ER -