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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Impact of COVID-19 on childhood obesity: Data from a paediatric weight management trial
Michelle Trivedi1,2, Christine Frisard2, Sybil Crawford3
1Division of Pulmonary Medicine, Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Insights
The COVID-19 pandemic worsened childhood obesity, with children experiencing increased BMI and decreased activity post-pandemic. This highlights the need for public health strategies to address pandemic-related effects on pediatric weight management.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Behavioral Medicine
Background:
- The COVID-19 pandemic is a growing concern for exacerbating childhood obesity.
- Understanding pandemic-related impacts on pediatric weight and behaviors is crucial.
Purpose of the Study:
- To examine the effects of the COVID-19 pandemic on weight and weight-related behaviors in children with overweight and obesity.
- To compare outcomes between children whose study visits occurred before and after the pandemic's onset.
Main Methods:
- Secondary analysis of 373 children (aged 8-12 years) from a randomized controlled trial.
- Comparison of BMI, activity levels, caloric intake, and screen time between pre- and post-pandemic onset groups.
Main Results:
- The monthly rate of BMI increase more than doubled in the post-pandemic onset group (0.13 kg/m² vs 0.05 kg/m²).
- Children in the post-pandemic group showed a significant decrease in moderate-to-vigorous physical activity (MVPA) levels.
- No significant differences were observed in caloric intake or screen time between the groups.
Conclusions:
- The COVID-19 pandemic onset was associated with increased weight gain and reduced physical activity in children with overweight and obesity.
- Findings underscore the need for targeted public health interventions to mitigate pandemic-related adverse effects on pediatric obesity.
Abstract:
There is growing concern that the coronavirus disease 2019 (COVID-19) pandemic is exacerbating childhood obesity. We sought to examine the effects of the pandemic on weight and weight-related behaviours among children with overweight and obesity participating in an ongoing cluster randomized controlled trial of a paediatric practice-based weight intervention with 2 study arms: nutritionist-delivered coaching telephone calls over 8 weeks with an accompanying workbook on lifestyle changes versus the same workbook in eight mailings without nutritionist coaching calls. In a pooled, secondary analysis of 373 children in central Massachusetts (aged 8-12 years, 29% Latinx, 55% White, 8% Black), the monthly rate of BMI increase more than doubled for those children whose 6-month study visit occurred post-pandemic onset (n = 91) compared to children whose 6-month study visit occurred pre-pandemic onset (n = 282) (0.13 kg/m2 versus 0.05 kg/m2 ; ratio = 2.47, p = 0.02). The post-pandemic onset group also had a significant decrease in activity levels (β -8.18 MVPA minutes/day, p = 0.01). Caloric intake and screen time did not differ between the pre- and post-pandemic onset groups. These findings show that after the start of the pandemic, children with overweight and obesity experienced an increase in weight and decrease in activity levels. This data can inform public health strategies to address pandemic-related effects on childhood obesity.
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