Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study.
Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study.
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DOI：
10.1016/j.eclinm.2021.101026
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发表时间：
2021-08
影响因子：
15.1
通讯作者：
Page J
中科院分区：
文献类型：
--
作者：
Brooks CG;Spencer JR;Sprafka JM;Roehl KA;Ma J;Londhe AA;He F;Cheng A;Brown CA;Page J
从2020年3月开始，COVID-19大流行扰乱了生活的各个方面。这对儿童体重增加速度的影响还没有得到分析。在这项回顾性队列研究中，我们使用来自Optum®的美国电子健康记录（EHR）数据来计算6至17岁儿童个体在两次健康儿童检查（wcc）之间经年龄和性别调整的BMI（∆BMIadj）变化。2017-2020年个体∆BMIadj平均值按月计算。对于9月至12月的wcc，报告了2020年和2017-2019年的个体∆BMIadj的平均值（总体和按亚组），并通过多变量线性回归检验了2020年与2017-2019年的影响。2020年9 - 12月平均[95%置信区间- CI]∆BMIadj为0.62 [0.59,0.64]kg/m2，而往年平均值为0.31 [0.29,0.32]kg/m2。肥胖儿童的增加最为显著（2020年为1.16 [1.07,1.24]kg/m2，前几年为0.56 [0.52,0.61]kg/m2），西班牙裔儿童（2020年为0.93 [0.84,1.02]kg/m2，前几年为0.41 [0.36,0.46]kg/m2），以及缺乏商业保险的儿童（2020年为0.88 [0.81,0.95]kg/m2，前几年为0.43 [0.39,0.47]kg/m2）。∆BMIadj在8 ~ 12岁时加速最多，15 ~ 17岁时加速最少。在2019冠状病毒病大流行期间，各人口群体中儿童不健康体重增加的比例显著增加，尤其是在本已易受不健康体重增加影响的儿童中。随着疫情继续蔓延，这些数据可为对儿童发展和健康至关重要的决策提供信息。安进公司
Beginning March 2020, the COVID-19 pandemic has disrupted different aspects of life. The impact on children's rate of weight gain has not been analysed. In this retrospective cohort study, we used United States (US) Electronic Health Record (EHR) data from Optum® to calculate the age- and sex- adjusted change in BMI (∆BMIadj) in individual 6-to-17-year-old children between two well child checks (WCCs). The mean of individual ∆BMIadj during 2017–2020 was calculated by month. For September-December WCCs, the mean of individual ∆BMIadj (overall and by subgroup) was reported for 2020 and 2017–2019, and the impact of 2020 vs 2017–2019 was tested by multivariable linear regression. The mean [95% Confidence Interval - CI] ∆BMIadj in September-December of 2020 was 0·62 [0·59,0·64] kg/m2, compared to 0·31 [0·29, 0·32] kg/m2 in previous years. The increase was most prominent in children with pre-existing obesity (1·16 [1·07,1·24] kg/m2 in 2020 versus 0·56 [0·52,0·61] kg/m2 in previous years), Hispanic children (0·93 [0·84,1·02] kg/m2 in 2020 versus 0·41 [0·36,0·46] kg/m2 in previous years), and children who lack commercial insurance (0·88 [0·81,0·95] kg/m2 in 2020 compared to 0·43 [0·39,0·47] kg/m2 in previous years). ∆BMIadj accelerated most in ages 8–12 and least in ages 15–17. Children's rate of unhealthy weight gain increased notably during the COVID-19 pandemic across demographic groups, and most prominently in children already vulnerable to unhealthy weight gain. This data can inform policy decisions critical to child development and health as the pandemic continues to unfold. Amgen, Inc.
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影响因子：
4.7
作者：
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通讯作者：
Orgilés M
DOI：
10.1186/s12966-020-00987-8
发表时间：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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