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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Weight Gain Associated with COVID-19 Lockdown in Children and Adolescents: A Systematic Review and Meta-Analysis
Tu-Hsuan Chang1, Yu-Chin Chen2, Wei-Yu Chen1
1Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan.
Insights
Lockdowns significantly increased pediatric body weight and BMI, worsening childhood obesity rates. This study highlights the pandemic
Area of Science:
- Pediatric Endocrinology
- Public Health
- Epidemiology
Background:
- Lockdowns, while effective for reducing COVID-19 transmission, restricted daily activities.
- The impact of these restrictions on pediatric weight and BMI required investigation.
Purpose of the Study:
- To investigate the impact of lockdown measures on pediatric body weight and body mass index (BMI).
- To assess changes in weight classification, including obesity and overweight prevalence, during the COVID-19 pandemic.
Main Methods:
- A systematic review and meta-analysis were performed, adhering to the PRISMA statement.
- Data were systematically searched and extracted from four major online databases: EMBASE, Medline, Cochrane Library, and CINAHL.
Main Results:
- Lockdown was associated with a significant average increase in body weight (MD 2.67 kg).
- Pediatric BMI significantly increased overall during lockdown compared to pre-pandemic levels (MD 0.94).
- Rates of childhood obesity (OR 1.23) and overweight (OR 1.17) significantly increased during lockdown periods.
Conclusions:
- The COVID-19 pandemic and associated lockdowns led to significant increases in body weight and BMI among children and adolescents.
- The prevalence of childhood obesity and overweight escalated, exacerbating the existing public health challenge.
- Lockdowns contributed to a worsening burden of childhood obesity, necessitating further public health interventions.
Background:
Lockdown is an effective nonpharmaceutical intervention to reduce coronavirus disease 2019 (COVID-19) transmission, but it restricts daily activity. We aimed to investigate the impact of lockdown on pediatric body weight and body mass index (BMI).
Methods:
The systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Four online databases (EMBASE, Medline, the Cochrane Library and CINAHL) were searched.
Results:
The pooled results showed that lockdown was associated with significant body weight gain (MD 2.67, 95% CI 2.12-3.23; p < 0.00001). The BMI of children with comorbidities or obesity did not change significantly. The BMI of general population was significantly higher during lockdown than before the pandemic (MD 0.94, 95% CI 0.32-1.56; p = 0.003). However, heterogeneity was high (I2 = 84%). Among changes in weight classification, increases in the rates of obesity (OR 1.23, 95% CI 1.10-1.37; p = 0.0002) and overweight (OR 1.17, 95% CI 1.06-1.29; p = 0.001) were reported.
Conclusions:
Our meta-analysis showed significant increases in body weight and BMI during lockdown among school-age children and adolescents. The prevalence of obesity and overweight also increased. The COVID-19 pandemic worsened the burden of childhood obesity.
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