Impact of the COVID-19 lockdown on weight status and associated factors for obesity among children in Massachusetts.
Impact of the COVID-19 lockdown on weight status and associated factors for obesity among children in Massachusetts.
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DOI：
10.1016/j.obmed.2021.100325
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发表时间：
2021-03
期刊：
影响因子：
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通讯作者：
Hoque, Laboni
中科院分区：
文献类型：
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作者：
Mulugeta, Wudeneh;Hoque, Laboni
本研究旨在评估 COVID-19 封锁对美国儿童体重状况、肥胖和超重的影响，并确定相关因素。方法：在马萨诸塞州的一个大型安全网卫生系统中，对 COVID-19 封锁前后 701 名儿童的人体测量数据进行了分析。分别针对分类变量和连续变量计算卡方检验和配对 t 检验。进行多变量分析以确定与肥胖和超重相关的因素。结果：封锁后，总体平均体重指数 (BMI) 从 21.07 kg/m2 增加至 21.57 kg/m2 (p < .001)。封锁期后，总体肥胖（23.2%–27.4%，p < .001）和超重（41.1%–44.5%，p < .001）负担增加。西班牙语使用者的肥胖率最高（40.5%–46.9%，p < .001）。最年轻的年龄组（2-5 岁）的肥胖率增幅最大，达 26% (19.7%-24.8%, p < .001)。肥胖与年龄较小（比值比 [OR] = 0.95，95% 置信区间 [CI] = 0.91, 1.00）、较高基线 BMI（OR = 1.19，95% CI = 1.15, 1.23）和讲西班牙语的儿童（OR = 2.19，95% CI = 1.10, 4.33）相关。结论：在 COVID-19 封锁期间，儿童的 BMI、肥胖和超重有所增加，对弱势群体的影响尤为严重。需要制定策略来抵消 COVID-19 封锁对不健康体重增加和儿童肥胖的影响。
This study aims to evaluate the impact of the COVID-19 lockdown on weight status, obesity and overweight among US children and identify associated factors. Methods: At a large safety net health system in Massachusetts, anthropometric measurements of 701 children were analyzed before and after the COVID-19 lockdown. Chi-square and paired t-test were computed for categorical and continuous variables, respectively. Multivariate analyses were performed to identify factors associated with obesity and overweight. Results: Post-lockdown, the overall mean body mass index (BMI) increased from 21.07 to 21.57 kg/m2 (p < .001). The overall obesity (23.2%–27.4%, p < .001) and overweight (41.1%–44.5%, p < .001) burdens increased after the lockdown period. Obesity (40.5%–46.9%, p < .001) was highest among Spanish speakers. The youngest age group (2–5 years) had the greatest obesity rate increase by 26% (19.7%–24.8%, p < .001). Obesity was associated with younger age (odds ratio [OR] = 0.95, 95% confidence interval [CI] = 0.91, 1.00), higher baseline BMI (OR = 1.19, 95% CI = 1.15, 1.23) and Spanish speaking children (OR = 2.19, 95% CI = 1.10, 4.33). Conclusions: BMI, obesity and overweight increased among children during the COVID-19 lockdown, disproportionately affecting disadvantaged subpopulations. Strategies are needed to counteract the impact of the COVID-19 lockdown on unhealthy weight gain and childhood obesity.