COVID-19 effects on diet, sleep, and physical activity among mid- to late-adolescents residing in the deep south in the United States.

COVID-19 effects on diet, sleep, and physical activity among mid- to late-adolescents residing in the deep south in the United States.
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DOI:
10.1016/j.pedn.2023.06.003
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发表时间:
2023-09
影响因子:
2.4
通讯作者:
Kennedy, Kaiden
Kennedy, Kaiden
中科院分区:
医学3区
文献类型:
--
作者:
Stavrinos, Despina;McManus, Benjamin;McGwin Jr, Gerald;Underhill, Andrea T.;George, Rachael;Kennedy, Kaiden

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这项研究调查了18个月来新冠肺炎对美国青少年身体健康的不同社会人口学因素的影响。根据假设,新冠肺炎及其缓解措施对身体健康因素的影响将因社会人口因素而异。数据来自一项纵向研究,参与者(16岁或18岁)自我报告了18个月的睡眠、饮食和体力活动。参与者是在2018年至2022年之间登记的。参与者(n=1990,73%黑人/非裔美国人,53%女性)在194周(新冠肺炎限制实施前93周和实施后101周)提供了1330份报告。在18个月的时间里,测量和评估了受人口因素影响的身体健康结果。多水平模型和一般估计方程估计了新冠肺炎限制对参与者健康结果的影响。无论缓解因素如何,新冠肺炎治疗后睡眠和体力活动都会恶化,但不同亚组的一些具体结果有所不同。本研究丰富了有关新冠肺炎及其缓解措施对青少年社会健康影响的文献。此外,它的总部设在美国南部腹地,居民主要是那些认为自己是黑人/非裔美国人或社会经济地位较低的人。在美国的健康结果研究中,这两个亚群的代表性都很低。新冠肺炎直接和间接影响青少年的身体健康。了解新冠肺炎是否以及如何影响青少年健康,将为护理实践提供信息,以适应和克服不良后遗症,促进积极的患者健康结果。
This study investigated the differential impact of COVID-19 on United States (US) adolescents' physical health as a function of sociodemographic factors over 18 months. It was hypothesized that the impact of COVID-19 and its mitigation efforts on physical health factors would vary by sociodemographic factors. Data were drawn from a longitudinal study in which participants (ages 16 or 18) self-reported sleep, diet, and physical activity over 18months. Participants were enrolled between 2018 and 2022. Participants (n = 190, 73% Black/African American, 53% female) provided 1330 reports over 194 weeks (93 weeks before and 101 weeks after COVID-19 restrictions implementation). Physical health outcomes moderated by demographic factors were measured and assessed over 18 months. Multilevel models and general estimated equations estimated the impact of COVID-19 restrictions on participants' health outcomes. Sleep and physical activity worsened after COVID-19 regardless of moderating factors, but some specific outcomes varied across subgroups. This study diversifies the literature on the impact of COVID-19 and its mitigation measures on adolescents' social health. Further, it is based in the US's Deep South, largely populated by those identifying as Black/African American or of low socioeconomic status. Both subgroups are underrepresented in US-based health outcomes research. COVID-19 directly and indirectly impacted adolescents' physical health. Understanding if and how COVID-19 impacted adolescents' health will inform nursing practice to adapt to and overcome adverse sequelae to promote positive patient health outcomes.
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