Changes in BMI During the COVID-19 Pandemic.

Changes in BMI During the COVID-19 Pandemic.
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DOI:
10.1542/peds.2022-056552
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发表时间:
2022-09-01
期刊:
影响因子:
8
通讯作者:
Chandran, Aruna
Chandran, Aruna
中科院分区:
医学2区
文献类型:
--
作者:
Knapp, Emily A.;Dong, Yanan;Dunlop, Anne L.;Aschner, Judy L.;Stanford, Joseph B.;Hartert, Tina;Teitelbaum, Susan L.;Hudak, Mark L.;Carroll, Kecia;O'Connor, Thomas G.;McEvoy, Cindy T.;O'Shea, T. Michael;Carnell, Susan;Karagas, Margaret R.;Herbstman, Julie B.;Dabelea, Dana;Ganiban, Jody M.;Ferrara, Assiamira;Hedderson, Monique;Bekelman, Traci A.;Rundle, Andrew G.;Alshawabkeh, Akram;Gilbert-Diamond, Diane;Fry, Rebecca C.;Chen, Zhanghua;Gilliland, Frank D.;Wright, Rosalind J.;Camargo, Carlos A.;Jacobson, Lisa;Lester, Barry M.;Hockett, Christine W.;Hodges, Marie L.;Chandran, Aruna

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专家推测,与COVID-19大流行相关的儿童体重增加,可能是由于学校和娱乐设施关闭,导致体育活动减少和饮食变化。我们的目标是评估与疫情前相比,儿童BMI在COVID-19疫情期间的变化率是否增加。研究人群为1996名年龄在2-19岁之间的儿童,在COVID-19大流行之前和期间至少测量了一项BMI,这些儿童来自参加ECHO范围队列研究的美国38个儿科队列。我们使用线性混合模型对BMI的变化进行建模,调整了年龄、性别、种族、民族、母亲教育程度、收入、基线BMI类别和BMI测量类型。数据收集和分析由每家机构的当地IRB或中心ECHO IRB批准。2019冠状病毒病疫情期间的体重指数较往年增加(疫情期间体重指数较往年增加0. 24,95% CI 0. 02,0. 45)。与健康体重范围相比,BMI处于肥胖范围的儿童在大流行期间BMI过度增加的风险较高,而高收入家庭的儿童BMI增加的风险较低。COVID-19大流行的一个影响是,与前三年相比,我们国家队列中的儿童在COVID-19大流行期间的年度BMI增加。美国儿童的这种风险增加可能会加剧对公共卫生和卫生公平性的严重威胁。这项研究评估了在大流行期间儿童BMI的年变化率是否高于往年。
Experts hypothesized increased weight gain in children associated with the COVID-19 pandemic, potentially due to closures of schools and recreational facilities with consequent reduction of physical activity and dietary changes. Our objective was to evaluate whether the rate of change of child BMI increased during the COVID-19 pandemic compared to pre-pandemic years. The study population of 1996 children ages 2–19 years with at least one BMI measure before and during the COVID-19 pandemic was drawn from 38 pediatric cohorts across the US participating in the ECHO-wide Cohort Study. We modelled change in BMI using linear mixed models adjusting for age, sex, race, ethnicity, maternal education, income, baseline BMI category, and type of BMI measure. Data collection and analysis was approved by the local IRB of each institution or by the central ECHO IRB. BMI increased during the COVID-19 pandemic compared to previous years (0.24 higher annual gain in BMI during the pandemic compared to previous years, 95% CI 0.02, 0.45). Children with BMI in the obese range compared to the healthy weight range were at higher risk for excess BMI gain during the pandemic, while children in higher-income households were at decreased risk of BMI gain. One effect of the COVID-19 pandemic is an increase in annual BMI gain during the COVID-19 pandemic compared with the three prior years among children in our national cohort. This increased risk among US children may worsen a critical threat to public health and health equity. This study evaluates whether the annual rate of change in child BMI was higher during the pandemic than in previous years.
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发表时间: 2017-07-26
期刊: The international journal of behavioral nutrition and physical activity
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初步证据表明,儿童体重增加了5个月在Covid-19大流行期间的5个月家庭隔离。
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