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Table 1 Outcome Measures

From: Investigating the impact of London’s ultra low emission zone on children’s health: children’s health in London and Luton (CHILL) protocol for a prospective parallel cohort study

Type

Outcome

Method

Year 1

Year 2

Year 3

Year 4

Year 5

Recording

Analysis

Primary

FEV1

Annual health assessment: spirometry

school

visit

school

visit

school

visit

school

visit

school

visit

Spirometer download

Interaction analysis

Exposures

Air quality:

NO, NO2,

PM10, PM2.5

k-means clustering

developed by Font et al.(27)

LAQN* and AURN**

LAQN and AURN

LAQN and AURN

LAQN and AURN

LAQN and AURN

LAQN and

AURN

Interaction analysis

Secondary

FVC and other spirometric variables

Annual health assessment: spirometry

school

visit

school

visit

school

visit

school

visit

school

visit

Spirometer download

Interaction analysis

Secondary

Physical activity and

GPS tracking

Annual health assessment: accelerometer and GPS tracker

school

visit

school

visit

school

visit

school

visit

school

visit

Accelerometer and GPS download

Interaction analysis

Demography /

potential confounding variables

 

Parent-completed questionnaire: (paper or web)

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

Clinical Record Form

Interaction analysis

Secondary

School absence; work absence

Parent-completed questionnaire: (paper or web)

school bag

prior to school visit

school bag prior to school visit

school bag prior to school visit

school bag prior to school visit

school bag prior to school visit

Clinical Record Form

Interaction analysis

Secondary

Respiratory and allergy symptoms (ISAAC+)

Parent-completed questionnaire: (paper or web)

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

Clinical Record Form

Interaction analysis

Secondary

QOL

(CHU9D++)

Parent-completed questionnaire: (paper or web)

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

school bag

prior to school visit

Clinical Record From

Interaction analysis

Secondary

Non-NHS

costs

Parent-completed questionnaire: (paper or web)

school bag prior to school visit

school bag prior to school visit

school bag prior to school visit

school bag prior to school visit

school bag prior to school visit

Clinical Record From

 

Secondary

Respiratory infection Health care

use NHS costs

Data extraction from GP health records

Gathered after year 4 school visits

complete

Gathered after year 4 school visits complete

Gathered after year 4 school visits complete

Gathered after year 4 school visits complete

Gathered after year 4 school visits complete

Clinical Record Form

Interaction analysis

Secondary

Health care

use NHS costs

Data extraction from

GP health records,

HES+++ data linkage

n/a

n/a

n/a

n/a

Data extraction in year 5

Clinical Record Form/HES data

Interaction analysis

Secondary

SARS-CoV-2

antibodies

Finger-prick blood test

n/a

n/a

n/a

School visit

n/a

Clinical Record

Form

Interaction analysis

  1. * LAQN: London Air Quality Network
  2. ** AURN: Automatic Urban & Rural Network
  3. + ISAAC: International Study of Asthma and Allergy in Children Questionnaire
  4. ++ CHU9D: Child Health Utility 9D score
  5. +++ HES: Hospital Episode Statistics