COVID-19‒Related Childhood BMI Increases in China: A Health Surveillance‒Based Ambispective Cohort Analysis

Wenxin Ge1, Jia Hu2, Yue Xiao1

  • 1Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China.

Insights

The COVID-19 pandemic significantly increased Body Mass Index (BMI) gain and obesity prevalence in Chinese children aged 8-12 years. Public health strategies are urgently needed to address this rise in childhood obesity.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic's impact on childhood Body Mass Index (BMI) and obesity rates, particularly in China, remains unclear.
  • Understanding these changes is crucial for developing targeted health interventions.

Purpose of the Study:

  • To assess the changes in BMI and obesity prevalence among Chinese children aged 8-12 years during the COVID-19 pandemic.
  • To analyze the pandemic's specific effects on BMI z-score and overall BMI changes.

Main Methods:

  • Utilized data from 72,175 children (aged 8-12) in Suzhou, China (2017-2020).
  • Calculated yearly BMI z-score and age/sex-adjusted BMI changes before (2017-2019) and during (2019-2020) the pandemic.
  • Employed multivariate mixed linear models to compare annual BMI change rates.

Main Results:

  • Obesity prevalence rose from 13.28% in 2019 to 15.29% in 2020.
  • Mean yearly BMI z-score change increased significantly during the pandemic (0.131) compared to pre-pandemic (0.039).
  • BMI changes were more pronounced in boys and in children who were underweight or normal weight before the pandemic.

Conclusions:

  • The COVID-19 pandemic led to increased BMI gain in Chinese children aged 8-12.
  • Effective public health policies are essential to mitigate pandemic-related childhood obesity risks.
Abstract

Related Concept Videos