Changes in BMI During the COVID-19 Pandemic

被引：43

作者：

Knapp, Emily A. ^{[1
]}

Dong, Yanan ^{[1
]}

Dunlop, Anne L. ^{[2
]}

Aschner, Judy L. ^{[3
,4
]}

Stanford, Joseph B. ^{[5
]}

Hartert, Tina ^{[6
]}

Teitelbaum, Susan L. ^{[7
]}

Hudak, Mark L. ^{[8
]}

Carroll, Kecia ^{[7
]}

O'Connor, Thomas G. ^{[9
]}

McEvoy, Cindy T. ^{[10
]}

O'Shea, T. Michael ^{[11
]}

Carnell, Susan ^{[12
]}

Karagas, Margaret R. ^{[13
]}

Herbstman, Julie B. ^{[14
]}

Dabelea, Dana ^{[15
]}

Ganiban, Jody M. ^{[16
]}

Ferrara, Assiamira ^{[17
]}

Hedderson, Monique ^{[17
]}

Bekelman, Traci A. ^{[15
]}

Rundle, Andrew G. ^{[14
]}

Alshawabkeh, Akram ^{[18
]}

Gilbert-Diamond, Diane ^{[13
]}

Fry, Rebecca C. ^{[11
]}

Chen, Zhanghua ^{[19
]}

Gilliland, Frank D. ^{[19
]}

Wright, Rosalind J. ^{[7
]}

Camargo, Carlos A. ^{[20
]}

Jacobson, Lisa ^{[1
]}

Lester, Barry M. ^{[21
]}

Hockett, Christine W. ^{[22
]}

Hodges, Marie L. ^{[1
]}

Chandran, Aruna ^{[1
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21202 USA

[2] Emory Univ, Sch Med, Atlanta, GA USA

[3] Hackensack Meridian Sch Med, New York, NY USA

[4] Albert Einstein Coll Med, New York, NY USA

[5] Univ Utah, Salt Lake City, UT USA

[6] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA

[7] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[8] Univ Florida, Coll Med, Jacksonville, FL USA

[9] Univ Rochester, Med Ctr, New York, NY USA

[10] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[11] Univ N Carolina, Chapel Hill, NC 27515 USA

[12] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[13] Geisel Sch Med Dartmouth, Hanover, NH USA

[14] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA

[15] Colorado Sch Publ Heath, Aurora, CO USA

[16] George Washington Univ, Washington, DC USA

[17] Kaiser Permanente Div Res, Oakland, CA USA

[18] Northeastern Univ, Civil & Environm Engn, Boston, MA 02115 USA

[19] Univ Southern Calif, Keck Sch Med, Los Angeles, CA USA

[20] Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA USA

[21] Brown Univ, Alpert Med Sch, Providence, RI 02912 USA

[22] Avera Res Inst Univ, South Dakota Sch Med, Sioux Falls, SD USA

来源：

PEDIATRICS | 2022年 / 150卷 / 03期

基金：

美国国家卫生研究院;

关键词：

BODY-MASS INDEX; Z-SCORE; SCHOOL YEAR; OVERWEIGHT; OBESITY; CHILDHOOD; CHILDREN; WEIGHT; ADOLESCENTS; PREVENTION;

D O I：

10.1542/peds.2022-056552

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BACKGROUND AND OBJECTIVES: Experts hypothesized increased weight gain in children associated with the coronavirus disease 2019 (COVID-19) pandemic. Our objective was to evaluate whether the rate of change of child body mass index (BMI) increased during the COVID-19 pandemic compared with prepandemic years. METHODS: The study population of 1996 children ages 2 to 19 years with at least 1 BMI measure before and during the COVID-19 pandemic was drawn from 38 pediatric cohorts across the United States participating in the Environmental Influences on Child Health Outcomes-wide cohort study. We modeled 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 were approved by the local institutional review board of each institution or by the central Environmental Influences on Child Health Outcomes institutional review board. RESULTS: BMI increased during the COVID-19 pandemic compared with previous years (0.24 higher annual gain in BMI during the pandemic compared with previous years, 95% confidence interval 0.02 to 0.45). Children with BMI in the obese range compared with the healthy weight range were at higher risk for excess BMI gain during the pandemic, whereas children in higher-income households were at decreased risk of BMI gain. CONCLUSIONS: One effect of the COVID-19 pandemic is an increase in annual BMI gain during the COVID-19 pandemic compared with the 3 previous years among children in our national cohort. This increased risk among US children may worsen a critical threat to public health and health equity.

引用

页数：10

共 46 条

[1] The effect of the coronavirus (COVID-19) pandemic on health-related quality of life in children [J].

Adibelli, Derya ;

Suemen, Adem .

CHILDREN AND YOUTH SERVICES REVIEW, 2020, 119

[2]

[Anonymous], 2019, A SAS Program for the 2000 CDC Growth Charts (ages 0 to lt

[3]

20 years)

[4] Structural racism and health inequities in the USA: evidence and interventions [J].

Bailey, Zinzi D. ;

Krieger, Nancy ;

Agenor, Madina ;

Graves, Jasmine ;

Linos, Natalia ;

Bassett, Mary T. .

LANCET, 2017, 389 (10077) :1453-1463

[5] Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report [J].

Barlow, Sarah E. .

PEDIATRICS, 2007, 120 :S164-S192

[6] Fitting Linear Mixed-Effects Models Using lme4 [J].

Bates, Douglas ;

Maechler, Martin ;

Bolker, Benjamin M. ;

Walker, Steven C. .

JOURNAL OF STATISTICAL SOFTWARE, 2015, 67 (01) :1-48

[7] COVID-19 Impact on Behaviors across the 24-Hour Day in Children and Adolescents: Physical Activity, Sedentary Behavior, and Sleep [J].

Bates, Lauren C. ;

Zieff, Gabriel ;

Stanford, Kathleen ;

Moore, Justin B. ;

Kerr, Zachary Y. ;

Hanson, Erik D. ;

Barone Gibbs, Bethany ;

Kline, Christopher E. ;

Stoner, Lee .

CHILDREN-BASEL, 2020, 7 (09)

[8] WEIGHT GAIN IN CHILDREN DURING THE COVID-19 QUARANTINE PERIOD [J].

Baysun, Sahika ;

Akar, M. Nejat .

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2020, 56 (09) :1487-1488

[9] Adiposity in adolescents:: Change in actual BMI works better than change in BMI z score for longitudinal studies [J].

Berkey, Catherine S. ;

Colditz, Graham A. .

ANNALS OF EPIDEMIOLOGY, 2007, 17 (01) :44-50

[10] Preliminary Evidence of Children's Weight Gain From 5 Months of Home Quarantine During the COVID-19 Pandemic [J].

Brazendale, Keith ;

Garcia, Jeanette ;

Hunt, Ethan T. ;

Blankenship, Michael ;

Eisenstein, Daniel ;

Leon, Ana .

AMERICAN JOURNAL OF LIFESTYLE MEDICINE, 2022, 16 (02) :197-202

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