Changes in Adherence to the 24-Hour Movement Guidelines and Overweight and Obesity among Children in Northeastern Japan: A Longitudinal Study before and during the COVID-19 Pandemic
Changes in Adherence to the 24-Hour Movement Guidelines and Overweight and Obesity among Children in Northeastern Japan: A Longitudinal Study before and during the COVID-19 Pandemic
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DOI：
10.3390/obesities1030015
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发表时间：
2021-12-01
期刊：
影响因子：
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通讯作者：
Lee, Sunkyoung
中科院分区：
文献类型：
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作者：
Kim, Hyunshik;Ma, Jiameng;Lee, Sunkyoung
很少有研究比较COVID-19大流行之前和期间对加拿大24小时运动指南（24小时MG）的遵守情况，并探讨大流行对儿童肥胖的影响。这项基于调查的2年研究调查了在COVID-19大流行之前和期间儿童肥胖和24小时MG依从性的变化。在两个时间点收集数据：covid -19前（2019年5月，T1, n = 247）和covid -19期间（2021年5月，T2, n = 171）。参与者是日本东北部6-12岁的健康小学生。调查问卷包括身体活动、屏幕时间、睡眠时间、24小时MG的依从性以及人体测量学和人口统计学特征。在所有参与者中，T1时的平均体重指数(M = 16.06 kg/ M （2), SD = 2.08 kg/ M(2)）与T2时的平均体重指数(M = 18.01 kg/ M （2), SD = 3.21 kg/ M(2)）差异有统计学意义（p < 0.001），其中T1时17.8%的人超重和肥胖，T2时24%，10.9%的人在T1时坚持所有24小时MG， T2时4.1%。为在2019冠状病毒病大流行期间预防儿童肥胖，应评估环境变化并采取适当的预防措施，包括鼓励亲子户外活动的亲社区卫生方案。
There are few studies comparing adherence to Canadian 24-hour Movement Guidelines (24-h MG) before and during the COVID-19 pandemic and exploring the pandemic's effect on childhood obesity. This survey-based 2-year study investigated changes in obesity and adherence to the 24-h MG in children before and during the COVID-19 pandemic. Data were collected at two points in time: pre-COVID-19 (May 2019; T1; n = 247) and during-COVID-19 (May 2021; T2; n = 171). Participants were healthy elementary school children aged between 6-12 years in northeastern Japan. The questionnaire comprised items on physical activity, screen time, sleep duration, adherence to the 24-h MG, and anthropometric and demographic characteristics. Among all participants, a statistically significant difference (p < 0.001) between the average body mass index at T1 (M = 16.06 kg/m(2), SD = 2.08 kg/m(2)) and T2 (M = 18.01 kg/m(2), SD = 3.21 kg/m(2)) was observed, where 17.8% were overweight and obese at T1 and 24% at T2, and 10.9% adhered to all 24 h MG at T1 and 4.1% at T2. To prevent obesity in children during the COVID-19 pandemic, environmental changes should be evaluated and appropriate preventive measures taken, including pro-community health programs that encourage parent-children outdoor activities.