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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Changes in BMI During the COVID-19 Pandemic
Emily A Knapp1, Yanan Dong1, Anne L Dunlop2
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Insights
The coronavirus disease 2019 (COVID-19) pandemic led to increased annual body mass index (BMI) gain in children. Children with obesity faced higher risks of BMI gain, while those from higher-income households had decreased risks.
Area of Science:
- Pediatric Health
- Epidemiology
- Public Health
Background:
- Experts hypothesized increased weight gain in children during the COVID-19 pandemic.
- Childhood obesity is a growing public health concern.
Purpose of the Study:
- To evaluate if the rate of change in child body mass index (BMI) increased during the COVID-19 pandemic compared to prepandemic years.
- To identify risk factors for increased BMI gain during the pandemic.
Main Methods:
- Utilized data from 1996 children (ages 2-19) across 38 US pediatric cohorts.
- Employed linear mixed models to analyze BMI change, adjusting for demographic and socioeconomic factors.
- Included children with at least one BMI measure before and during the pandemic.
Main Results:
- Annual BMI gain was significantly higher during the COVID-19 pandemic compared to previous years (0.24 higher annual gain).
- Children with BMIs in the obese range were at higher risk for excess BMI gain.
- Children from higher-income households showed a decreased risk of BMI gain.
Conclusions:
- The COVID-19 pandemic resulted in increased annual BMI gain among US children.
- This trend poses a significant threat to public health and health equity.
- Targeted interventions may be needed to mitigate pandemic-related weight gain in vulnerable pediatric populations.
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.
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