Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19.
Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19.
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DOI：
10.1016/j.amepre.2022.07.014
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发表时间：
2023-01
影响因子：
5.5
通讯作者：
Fiks, Alexander G.
中科院分区：
文献类型：
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作者：
Mayne, Stephanie L.;Kelleher, Shannon;Hannan, Chloe;Kelly, Mary Kate;Powell, Maura;Dalembert, George;McPeak, Katie;Jenssen, Brian P.;Fiks, Alexander G.
2019冠状病毒病大流行期间，儿童肥胖率上升。这项研究调查了大流行期间社区绿地与儿童肥胖变化的关系。从一个大型儿科初级保健网络中提取电子健康记录数据，以创建一个年龄为2-17岁的患者回顾性队列，在2个时期（2019年6月至2019年12月（大流行前）和2020年6月至2020年12月（大流行））进行了访视。多变量纵向广义估计方程Poisson回归估计了人口普查区水平归一化差异植被指数与（1）大流行期间肥胖风险的变化和（2）大流行前不肥胖的儿童新发肥胖风险的关系。分析于二零二一年十一月至二零二二年五月期间进行。在81，418名儿童（平均年龄：8.4岁，18%为黑人）中，肥胖儿童的比例在大流行期间增加了3.2%。在大流行期间，标准化差异植被指数四分位数2-4的儿童肥胖风险的增加小于四分位数1的儿童（风险比=0.96，95%CI =0.93，0.99;四分位数3风险比=0.95; 95%CI =0.91，0.98;四分位数4风险比=0.95，95%CI =0.92，0.99）。在大流行前不肥胖的亚组中，归一化差异植被指数四分位数3-4的儿童在大流行期间新发肥胖的风险较低（第3四分位数风险比=0.82，95%CI =0.71，0.95;第4四分位数风险比=0.73，95%CI =0.62，0.85）。较高的归一化差异植被指数与城市和郊区儿童肥胖风险增加较小和新发肥胖风险较低有关，但农村地区儿童的结果相反。在大流行期间，居住在绿色社区的儿童比居住在不那么绿色社区的儿童肥胖率增加的幅度要小，尽管研究结果因城市化程度而异。
Pediatric obesity rates increased during the COVID-19 pandemic. This study examined the associations of neighborhood greenspace with changes in pediatric obesity during the pandemic. Electronic health record data from a large pediatric primary care network were extracted to create a retrospective cohort of patients aged 2–17 years with a visit in each of 2 periods: June 2019–December 2019 (before pandemic) and June 2020–December 2020 (pandemic). Multivariable longitudinal generalized estimating equations Poisson regression estimated the associations of census tract‒level Normalized Difference Vegetation Index with (1) changes in obesity risk during the pandemic and (2) risk of new-onset obesity among children who were not obese prepandemic. Analyses were conducted between November 2021 and May 2022. Among 81,418 children (mean age: 8.4 years, 18% Black), the percentage of children who were obese increased by 3.2% during the pandemic. Children in Normalized Difference Vegetation Index Quartiles 2–4 had smaller increases in obesity risk during the pandemic than those in Quartile 1 (risk ratio=0.96, 95% CI=0.93, 0.99; Quartile 3 risk ratio=0.95; 95% CI=0.91, 0.98; Quartile 4 risk ratio=0.95, 95% CI=0.92, 0.99). Among the subset who were not obese before the pandemic, children in Normalized Difference Vegetation Index quartiles 3–4 had a lower risk of new-onset obesity during the pandemic (Quartile 3 risk ratio=0.82, 95% CI=0.71, 0.95; Quartile 4 risk ratio=0.73, 95% CI=0.62, 0.85). Higher Normalized Difference Vegetation Index was associated with smaller increases in obesity risk and lower risk of new-onset obesity among children in urban and suburban areas, but results were in the opposite direction for children in rural areas. Children living in greener neighborhoods experienced smaller increases in obesity during the pandemic than children in less green neighborhoods, although findings differed by urbanicity.
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作者：
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通讯作者：
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DOI：
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10.3390/ijerph18179237
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影响因子：
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