Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children.
Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children.
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DOI：
10.3390/ijerph19159220
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发表时间：
2022-07-28
影响因子：
--
通讯作者：
Dabelea, Dana
中科院分区：
文献类型：
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作者：
Bekelman, Traci A.;Dong, Yanan;Elliott, Amy J.;Ferrara, Assiamira;Friesen, Kaylyn;Galarce, Maren;Gilbert-Diamond, Diane;Glueck, Deborah H.;Hedderson, Monique M.;Hockett, Christine W.;Karagas, Margaret R.;Knapp, Emily A.;Lucchini, Maristella;McDonald, Julia C.;Sauder, Katherine A.;Dabelea, Dana
这项纵向研究比较了COVID-19大流行之前与大流行期间儿童的健康行为。这项分析研究了个人水平的特征和健康行为变化之间的关联。环境对儿童健康结果影响（ECHO）计划中的四项前瞻性队列研究提供了数据。在加州、科罗拉多、北达科他州和新罕布什尔州招募了4-12岁的儿童及其照顾者。在大流行前和大流行期间，通过问卷调查评估了饮食摄入量、体力活动、屏幕时间和睡眠时间。最终的样本包括347名儿童：47%的女性和62%的非西班牙裔白色。与大流行前相比，大流行期间的工作日筛查时间更长（3.0 vs. 4.5 h，p < 0.001）。不同人种和种族的筛查持续时间的未校正增加不同：非西班牙裔白色儿童为1.3小时/天，西班牙裔儿童为2.3小时/天，非西班牙裔黑人儿童为5.3小时/天。总体而言，含糖饮料（SSB）摄入量（p = 0.26）、随意食物摄入量（p = 0.93）和体力活动（p = 0.15）没有变化。在大流行前没有达到睡眠建议的儿童中，睡眠时间增加了30分钟。儿童性别和母亲教育水平与健康行为改变无关。大流行可能加剧了一些健康行为的差异。家庭可能需要支持来重新建立健康的日常生活。
This longitudinal study compared children’s health behaviors before the COVID-19 pandemic versus during the pandemic. This analysis examined the association between individual-level characteristics and health behavior change. Four prospective cohort studies in the Environmental influences on Child Health Outcomes (ECHO) Program contributed data. Children aged 4–12 years and their caregivers were recruited in California, Colorado, North Dakota, and New Hampshire. Dietary intake, physical activity, screen time, and sleep duration were assessed with questionnaires pre-pandemic and during the pandemic. The final sample included 347 children: 47% female and 62% non-Hispanic White. Compared with pre-pandemic, weekday screen time duration was higher during the pandemic (3.0 vs. 4.5 h, p < 0.001). Unadjusted increases in screen time duration differed by race and ethnicity: 1.3 h/day for non-Hispanic White children, 2.3 h/day for Hispanic children, and 5.3 h/day for non-Hispanic Black children. Overall, no changes occurred in sugar-sweetened beverage (SSB) intake (p = 0.26), discretionary food intake (p = 0.93), and physical activity (p = 0.15). Sleep duration increased by 30 min among children who did not meet sleep recommendations pre-pandemic. Child sex and maternal education level were not associated with health behavior change. The pandemic may have exacerbated disparities in some health behaviors. Families may need support to re-establish healthy routines.
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DOI：
10.3390/ijerph18168567
发表时间：
2021-08-13
影响因子：
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作者：
Freiberg A;Schubert M;Romero Starke K;Hegewald J;Seidler A
通讯作者：
Seidler A
影响因子：
3.9
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Gu, Xiangli;Keller, Jean;Zhang, Tao;Dempsey, Dana R;Roberts, Heather;Jeans, Kelly A;Stevens, Wilshaw;Borchard, Justine;VanPelt, Jonathan;Tulchin-Francis, Kirsten
通讯作者：
Tulchin-Francis, Kirsten
影响因子：
3.2
作者：
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通讯作者：
Okely, Anthony D.
影响因子：
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作者：
Cespedes, Elizabeth M.;Gillman, Matthew W.;Taveras, Elsie M.
通讯作者：
Taveras, Elsie M.
影响因子：
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作者：
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通讯作者：
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