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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
Introduction:
The COVID-19 pandemic‒related BMI gain and obesity prevalence changes in children have not been clearly elucidated, especially in China. This study aims to assess the impact of pandemic-related BMI and obesity prevalence change in Chinese children aged 8-12 years.
Methods:
On the basis of the Health Promotion Program for Children and Adolescents in Suzhou of China, a total of 72,175 children aged 8-12 years with complete data during 2017-2020 were included. Yearly BMI z-score changes and age- and sex-adjusted BMI changes before (2017-2019) and during (2019-2020) the pandemic were calculated. Multivariate mixed linear models were used to examine the possible difference in annual BMI change rate before and during the pandemic among subgroups.
Results:
The obesity prevalence slightly increased from 12.29% (2017) to 13.28% (2019) but substantially increased to 15.29% in 2020. The mean yearly change in BMI z-score before and during the pandemic were 0.039 (95% CI=0.037, 0.042) and 0.131 (95% CI=0.125, 0.138), respectively, yielding a difference of 0.092 (95% CI=0.087, 0.096). Similarly, changes and age- and sex-adjusted BMI increased by 0.191 (95% CI=0.179, 0.202) during the pandemic compared with those of previous years. Meanwhile, the increase in BMI changes in 2019-2020 compared with that before the pandemic was more obvious in boys than in girls and in underweight or normal-weight children than in their overweight and obese counterparts.
Conclusions:
BMI gain increased among Chinese children aged 8-12 years during the pandemic. There is an urgent need to formulate effective public health policies to reduce the risk of pandemic-related childhood obesity.
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