Biostatistics
Speaker: Noëlle van Biljon (in-person)
Abstract: Numerous methods are available to model and analyse longitudinal growth data. Conventionally, such growth modelling methods focus on the analysis of average longitudinal trends or identify those belonging to groups of abnormal growth based on standardised z-scores, in addition to investigating potential predictors of abnormal growth. Latent Class Mixed Modelling (LCMM) allows identification of groups of subjects that follow similar longitudinal trends, be they normal or abnormal, based on a combination of a linear mixed-effect, structural equation and multinomial logistic modelling. Here LCMM was used to identify underlying latent profiles of growth for height, weight, head circumference (HC), mid-upper arm circumference (MUAC), triceps skin fold thickness (TRI), body mass index (BMI) and weight for height (WFH) measurements taken from birth until the age of five years for a sample of 1143 children from the Drakenstein Child Health Study (DCHS). Subsequently, three classes of growth within height ($n_1$=42, $n_2$=664, $n_3$=425), weight ($n_1$=606, $n_2$=455, $n_3$=72), HC ($n_1$=684, $n_2$=404, $n_3$=42), MUAC ($n_1$=58, $n_2$=241, $n_3$=710), BMI ($n_1$=673, $n_2$=185, $n_3$=273) and WFH ($n_1$=203, $n_2$=778, $n_3$=93), each with distinct trajectories over childhood were identified and validated. With the identification of these classes, a better understanding of distinct childhood growth trajectories and their predictors may be distinguished, informing interventions to promote optimal childhood growth.