The Impact of the Coronavirus Disease-2019 Pandemic on Childhood Obesity and Vitamin D Status
| Autor: | Dae Cheol Jeong, Hyun Mi Kang, Moon Bae Ahn, Byung Kyu Suh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Pediatric Obesity Adolescent Physical Distancing Child Welfare Public Policy Overweight Social Distancing Childhood obesity Body Mass Index Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine Republic of Korea medicine Vitamin D and neurology Humans 030212 general & internal medicine Vitamin D Child Pandemics Retrospective Studies Schools business.industry SARS-CoV-2 COVID-19 General Medicine medicine.disease Vitamin D Deficiency Obesity Confidence interval School Closure Child Preschool Endocrinology Nutrition & Metabolism Calcidiol Original Article Body-Weight Trajectory Female medicine.symptom business Body mass index Weight gain Cohort study |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| Popis: | Background The risk of weight gain as a consequence of school closure in children during the coronavirus disease-2019 (COVID-19) pandemic has been recognized. This study was performed to investigate changes in anthropometric and metabolic parameters in children following a 6-month period of social distancing and school closure due to the pandemic. Methods This retrospective cohort study was conducted in school-aged children that were on routine follow-up at the Growth Clinic of Seoul St. Mary's Hospital. Changes in body mass index (BMI) standard deviation scores (z-scores), lipid profiles, and vitamin D levels were investigated. The 1-year period prior to school closure was defined as “pre-COVID-19 period,” and the subsequent 6-month period as “COVID-19 period.” Results Overall, 226 children between 4 to 14 years old without comorbidities were assessed. On average, their BMI z-scores increased by 0.219 (95% confidence interval [CI], 0.167–0.271; P < 0.001) in the COVID-19 period compared to the pre-COVID-19 period, and the proportion of overweight or obesity increased from 23.9% in the pre-COVID-19 period to 31.4% in the COVID-19 period. The number of days after school closure (P = 0.004) and being in the normoweight category in the pre-COVID-19 period (P = 0.017) were factors associated with an increased BMI in the COVID-19 period. The mean triglyceride (105.8 mg/dL vs. 88.6 mg/dL, P < 0.001) and low-density lipoprotein-cholesterol (100.2 mg/dL vs. 94.0 mg/dL, P = 0.002) levels were higher, whereas the calcidiol level (18.9 mg/dL vs. 23.8 mg/dL, P < 0.001) was lower in the COVID-19 period compared to the pre-COVID-19 period. Conclusion Within 6 months, increased childhood obesity and vitamin D deficiencies were observed. The duration of school closure was significantly associated with an increased BMI and being normoweight does not exclude the risks for gaining weight. Graphical Abstract |
| Databáze: | OpenAIRE |
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