Vulnerability and resilience in children during the COVID-19 pandemic. Children are referred for diagnostics, e.g., due to early-onset obesity or signs of insatiable behavior, or for multidisciplinary treatment advices [19]. Most parents attributed the increased demand to loss of daily structure and loss of delimited lunch box portion sizes due to school closings. We approached parents of children who had completed our diagnostic workup and whose last visit was in 2019 or early 2020 (pre-pandemic). Calcaterra V, Vandoni M, Pellino VC, Cena H. Special attention to diet and physical activity in children and adolescents with obesity during the coronavirus disease-2019 pandemic. In the Netherlands, school closures were established from March 16, 2020, onwards as part of selective lockdown measures, including closings of, e.g., sports clubs and food establishments, followed by urgent governmental advices on March 23, 2020, to stay at home. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Families who reported no changes (n = 15) or improved eating behaviors (n = 11) attributed this to already existing strict eating schemes that they kept adhering to during lockdown. Children with high emotional or external eating scores during lockdown or pre-existent psychosocial problems had the lowest HRQoL (p < 0.01). Mental Health, Social and Emotional Well-Being, and Perceived Burdens of University Students During COVID-19 Pandemic Lockdown in Germany. -, Bilal, Latif F., Bashir M.F., Komal B., Tan D. Role of electronic media in mitigating the psychological impacts of novel coronavirus (COVID-19) Psychiatry Res. Identifying underlying medical causes of pediatric obesity: results of a systematic diagnostic approach in a pediatric obesity center.
1; see www.karger.com/doi/10.1159/000520718 for all online suppl. Although we and others did not find a statistically significant effect of SES z-score on our outcomes on group level [7], our qualitative data suggest that children from families with lower SES might have more challenges to face. Children with pre-existent psychosocial problems, insatiable behavior, or pre-existent high external or emotional eating were most at risk for the negative effects on lifestyle behaviors and well-being. As this study was conducted in the context of patient care, all eligible study participants were included even after we had achieved data saturation. However, weekly PA decreased (mean difference 1.9 h/week, p = 0.02) mostly in adolescents. Mthodes: Persistent COVID-19 symptoms in a community study of 606,434 people in England. Introduction: En raison de la pandmie de COVID-19, de nombreux pays ont impos des verrouillages leurs citoyens pour tenter de contenir la maladie. In most countries, lockdown measures of varying duration and stringency included closing of schools and sports clubs and social distancing measures. 
Une analyse plus approfondie a montr quil y avait une diffrence significative dans la diffrence mdiane entre le temps pass sur les rseaux sociaux avant lpidmie (3,0 32,46) et le temps pass sur les rseaux sociaux aprs lpidmie (6,0 3,52) en une seule journe (p = 0,000). 2021. A government mandated lockdown can have mitigating psychological effects on young adults, out of which a large fraction is made up of students. World Health Organization. Epub 2022 May 7. and O.A. All children had to cope with changes in daily structure, and 33/75 (44%) had difficulties adapting. For example, external eating could be affected by the presence of food stimuli at home or the closure of food establishments, while emotional eating could be increased by negative emotions during lockdown. 
Twenty children were lost to follow-up, i.e., did not continue their treatment at our obesity center (online suppl. During lockdown, 46/75 (61%) parents reported deteriorated emotional well-being of their child and worsened family dynamics. Pre-pandemic height and weight were measured by trained personnel. By considering individuals attitude to snack consumption, we observed an increase related to boredom (p=<.0001) and anxiety (p=.05) during lockdown. Other reasons were increased conflicts regarding eating behavior, loss of predictability of daily structure, missing social contacts with friends, family, and/or teachers, and the limited possibilities in daily activities. took part in the conceptualization, investigation, methodology, writing, reviewing and editing. Furthermore, we compared validated questionnaire data longitudinally, enabling us to identify the children who improved or deteriorated during lockdown. E.v.d.E. Copyright 2022 Elsevier B.V. or its licensors or contributors. Moreover, in half of our population, mean time spent on PA decreased dramatically to 2 h/week, which was often attributed to COVID-19-related anxiety, as we ourselves as well as a recent US study reported recently [15, 33]. Bibian van der Voorn, b.vandervoorn@erasmusmc.nl, Keywords: Pediatric obesityCoronavirusQuarantineQualitative studyEating behavior. -. These pre-pandemic eating styles as well as pre-existent insatiable behavior seemed the most important predictors of high emotional and external eating scores during lockdown. Qualitative analyses revealed an increased demand for food in a significant proportion of children (n = 21), mostly in children <10 years (19/21). La promotion de meilleures habitudes de sommeil, la minimisation de lutilisation des mdias numriques et lencouragement des tudiants adopter plus de passe-temps pourraient collectivement amliorer la sant et lhumeur des tudiants en quarantaine. Cette tude vise tudier les corrlations entre les changements dans les habitudes de sommeil, la perception du temps et lutilisation des mdias numriques. Covid-19 lockdown induced a huge effect on nutritional habits in infertile women. Therefore, the aim of this study was to investigate the impact of COVID-19-related lockdown measures on eating styles and behaviors, PA, screen time, and HRQoL in children (including adolescents up to 18 years) with severe obesity, using a combined quantitative and qualitative approach. Issue release date: March 2022, Number of Print Pages: 11
The site is secure. Neshteruk CD, Zizzi A, Suarez L, Erickson E, Kraus WE, Li JS, et al.
Moreover, adhering to pre-pandemic strict daily schedules was reported to help in minimizing the experienced impact of COVID-19 lockdown on childrens eating behaviors. In some families, this led to increased conflicts. During lockdown high percentage of women stopped physical activity in infertile women. Fifteen (20%) families reported no changes in eating behaviors, mostly because they already had strict eating schemes due to previous dietary and/or pedagogic support. Procrastination during the COVID-19 Pandemic: A Scoping Review. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Fig. Les deux tiers des rpondants navaient pas beaucoup de mal sendormir (66,5 %). Follow the instructions and try to log in again. It should be noted that we did not use transcriptions of the telephone interviews. 2020;2020:17. This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). In our clinical experience pre-pandemic, parents of children with obesity already have to put substantial effort in managing healthy lifestyle choices for their children. These children need to be targeted by health care professionals to minimize short- and long-term negative physical and mental health consequences. M.S.W. A significant relationship between increased usage of electronic items and longer sleep periods was also noted (P = 0.005). A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis. A minority of children (11/75, 15%) reported no change in PA during lockdown. After conducting the interviews, the comprehensive physicians records were used for qualitative analyses.
[cited 2020 Aug 7; available from: Anwar K., Adnan M. Online learning amid the COVID-19 pandemic: students perspectives. On group level, mean weekly PA time decreased significantly and mean weekly (noneducational) screen time did not change (p values 0.02 and 0.65, respectively, Table4). Please enable it to take advantage of the complete set of features! Nos rsultats montrent que laugmentation de lutilisation des applications de mdias sociaux a conduit une augmentation gnralise de la dure du sommeil, une aggravation des habitudes de sommeil (personnes qui dorment beaucoup plus tard que dhabitude) et une sensation gnrale de fatigue. Global recommendations on physical activity for health, World Health Organisation, 2010. Further details are provided in the online supplementary material. Changes in pre-pandemic versus lockdown scores of the Dutch Eating Behavior Questionnaire Children, Pediatric Quality of Life Inventory, and Dutch PA Questionnaire were assessed.
official website and that any information you provide is encrypted Luijten MAJ, van Muilekom MM, Teela L, van Oers HA, Terwee CB, Zijlmans J, et al. and E.L.T.v.d.A. Some families bought sports equipment to enhance possibilities, such as a punching ball or trampoline. Their childrens baseline characteristics did not differ from those who did not complete the questionnaire (all p values >0.05, online suppl. The children with low scores during lockdown more often had pre-existent psychosocial problems (85% vs. 54%, p = 0.023) or autism (45% vs. 11%, p = 0.007). PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Psychological and Behavioral Response to the Coronavirus (COVID-19) Pandemic. Un manque gnral de souvenir du jour de la semaine, ainsi quun changement dans lcoulement peru du temps, taient galement notables. From this, the proportion of children adhering to the 2016 American Academy of Pediatrics recommendations for screen time, i.e., <1 h/day for children aged 25 years and <2 h/day for children aged 6 years, was calculated [29]. Cette tude transversale a t mene via un questionnaire en ligne, du 24 mars au 26 avril 2020. Children and adolescents and digital media. Number of Tables: 5, ISSN: 1662-4025 (Print) eISSN: 1662-4033 (Online), For additional information: https://www.karger.com/OFA.
2021 Elsevier Masson SAS. Out of 251 adolescents that participated in our study, the majority (70.2%) were females. Fourteen (24%) children reported an increase of 10 percentiles in external eating versus 19 (32%) a decrease (p = 0.38). Indeed, our drop-out analyses revealed that the PedsQL questionnaire was more often completed by families whose children had autism and/or pre-existent psychosocial problems, and these children significantly more often showed low HRQoL scores during lockdown compared to children without these characteristics. The additional parenting roles, remote working, and possible job insecurities associated with the COVID-19 pandemic can therefore put an extra strain on parents of children with severe obesity. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). Children for whom 10 percentiles increase was reported were younger, although this was not statistically significant (9.7 vs. 11.3 years, p = 0.42). A general lack of recollection regarding what day of the week it was, as well as a change in the perceived flow of time were also notable. Before lockdown 36.4 % women were snack consumers while during lockdown 55 % (p=.002). COVID-19 confinement and changes of adolescents dietary trends in Italy, Spain, Chile, Colombia and Brazil. Of note, we did not investigate whether eating styles correlate directly to food intake, but high scores on external or emotional eating may put children at risk for weight gain. The authors would like to thank all patients and caretakers who participated in the study; Maarten Engel, medical information specialist, Erasmus MC; and Roel Faber, consultant Datacapture team, Erasmus MC. Identified themes and illustrative quotes from the qualitative analysis. Each of the other 4 sections was devoted to changes in sleep pattern, perception of time flow, digital media usage and mental health status of students. With regard to weekly screen time, girls showed an increase from 15.2 9.9 h to 18.6 11.9 h during lockdown, whereas boys showed a decrease from 20.9 12.6 h to 17.3 11.7 h during lockdown (p = 0.003). Covid-19 lockdown induced a significant increase in BMI in infertile women. We identified one other study that measured HRQoL using the PedsQL during lockdown in children from the general population, which reported an almost 15 points higher mean total score compared to our population [37]. Commentary: writing and evaluating qualitative research reports. La premire section a pos des questions sur la dmographie des participants. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. In conclusion, our mixed-methods study shows differing responses to COVID-19-related lockdown measures in children and adolescents with severe obesity. 2021. First, children who already were at risk pre-pandemic, e.g., due to psychosocial problems, insatiable behavior, high emotional or external eating, or not fulfilling WHO PA recommendations, show the worst outcomes during lockdown. Lpez-Bueno R, Lpez-Snchez GF, Casajs JA, Calatayud J, Gil-Salmern A, Grabovac I, et al. It is unknown whether this is caused by changed eating styles, such as external or emotional eating. To date, one Italian study in 41 children with obesity investigated the impact of COVID-19 lockdown on time spent on PA (as reported by parents during a telephone interview) and found a decreased PA (2.3 h/week), which is similar to the 1.9 h/week decrease in our study [16]. Results: Ninety families were approached of which 83 families were included. Table 5). This research was funded by the Dutch Heart Foundation (Grant/Award No. Lenqute visait les tudiants et 251 rponses ont t obtenues. Additionally, a large number of students (69.7%) had reported that time is seemingly moving faster. Ethnicity, socio-economic status (SES) z-score, whether subjects lived in urban or rural areas (both based on postal code), signs of insatiable behavior, autism (DSM-V diagnosis), intellectual disability/developmental delay (DSM-V diagnosis), and/or psychosocial problems (DSM-V diagnosis or involvement of psychosocial health care professionals) were assessed pre-pandemic; exact definitions are presented in the online supplementary Methods. Cureus. During lockdown, 19/55 (35%) children adhered to the American Academy of Pediatrics screen time recommendations, similar to 22/55 (40%) pre-pandemic (p = 0.65). We use cookies to help provide and enhance our service and tailor content and ads. Ruiz-Roso MB, Padilha PC, Mantilla-Escalante DC, Ulloa N, Brun P, Acevedo-Correa D, et al. The data that support the findings of this study are not publicly available due to their containing information that could compromise the privacy of research participants but are available from the Data sharing committee (CGG Steering Committee, Dr. E.L.T. Additionally, in-depth semi-structured interviews were conducted with 8 children between ages 10 and 14 years using video-calls (details in online suppl. Changes in lifestyle behaviours during the COVID-19 confinement in Spanish children: a longitudinal analysis from the MUGI project. Parmi ceux-ci, une majorit (85,8 %) avait une sensation gnrale de fatigue et manquait de motivation (p = 0,023). Adherence to Dutch physical activity guidelines, 2019. Journal of Gynecology Obstetrics and Human Reproduction, https://doi.org/10.1016/j.jogoh.2021.102079. Fourteen (19%) families reported positive changes in family dynamics.
Similarly, baseline characteristics did not differ between children who participated in the telephone interviews (n = 75) versus those who did not (n = 8, all p values >0.05, online suppl. Federal government websites often end in .gov or .mil. Time spent on physical activities and screen time pre-pandemic and during lockdown. Second, COVID-19-related anxiety, when present, seems to influence PA [15]. The Dutch PA Questionnaire assesses weekly time spent on PA, including school transfers, sports at school or sport clubs, and playing outside [26]. 1). Unprecedented times and uncertain connections: A systematic review examining sleep problems and screentime during the COVID-19 pandemic. Adams EL, Caccavale LJ, Smith D, Bean MK. MeSH Bookshelf The impact of COVID-19 on health behavior, stress, financial and food security among middle to high income Canadian families with young children. material). We observed a high percentage of non-adherence to the Mediterranean pattern during lockdown due to higher frequency of consumption of sweet/pastries, cheese and meat, rather than fruit, vegetables and legumes. BMI status and associations between affect, physical activity and anxiety among U.S. children during COVID-19. Killedar A, Lung T, Petrou S, Teixeira-Pinto A, Tan EJ, Hayes A. Table 3). However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. A strength of our study is the evaluation of multiple lifestyle behaviors and well-being that are known to have reciprocal interactions, in a unique population of children with severe obesity. Notably, our study population has higher DEBQ-C scores pre-pandemic as can be expected in a population with severe obesity [12]. It has been suggested that the impact of the COVID-19 lockdown measures on lifestyle behaviors and general well-being of children and adolescents is larger than that of the infection itself [1]. Weight-related behaviors of children with obesity during the COVID-19 pandemic. Sur 251 adolescents qui ont particip notre tude, la majorit (70,2 %) taient des femmes. Children who fulfilled WHO recommendations during lockdown were younger (9.2 vs. 13.2 years, p = 0.002) and more often (21/27, 78%, p = 0.004) already fulfilled the recommendations pre-pandemic. Kleinendorst L, Abawi O, van der Voorn B, Jongejan MHTM, Brandsma AE, Visser JA, et al. Our research has revealed that due to the lockdown imposed by the government in response to COVID-19, the sleeping patterns of the students was affected the most. Other reported reasons were increased stress, eating out of boredom, and food-seeking behavior. Quantitative data were analyzed using SPSS version 25.0 (IBM Statistics) with a 2-sided of 0.05. We evaluated the impact of COVID-19 lockdown on lifestyle and emotional state in women planning infertility treatments. Number of Figures: 0 Due to the COVID-19 pandemic, many countries imposed lockdowns on their citizens in an attempt to contain the disease. Un verrouillage mandat par le gouvernement peut avoir des effets psychologiques attnuants sur les jeunes adultes, dont une grande partie est compose dtudiants. Conclusion: This study shows differing responses to COVID-19 lockdown measures in children with severe obesity. eCollection 2022. Allington D., Duffy B., Wessely S., Dhavan N., Rubin J. Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Cipolla C, Curatola A, Ferretti S, Giugno G, Condemi C, Delogu AB, et al. However, PedsQL scores were considerably lower compared to another cohort of children with obesity pre-pandemic (mean total score 65.4 vs. 75.5, respectively) [14]. C Fong V, Iarocci G. Child and family outcomes following pandemics: a systematic review and recommendations on COVID-19 policies. Furthermore, it explores the impact of these changes on the mental health of students of different educational levels. No effect of sex was found on changes in restrained, emotional, or external eating (all p values >0.05). Most children with low total scores during lockdown had low scores pre-pandemic (17/20, 85%). Jansen E, Thapaliya G, Aghababian A, Sadler J, Smith K, Carnell S. Parental stress, food parenting practices and child snack intake during the COVID-19 pandemic.
Children with pre-existent psychosocial problems or pre-pandemic high external or emotional eating scores were most at risk. Pediatric quality of life inventory scores pre-pandemic and during lockdown. This study was approved by the Medical Ethics Committee of the Erasmus University Medical Center (Erasmus MC), Rotterdam, The Netherlands, approval number MEC-2012-257. Le Pakistan est lun de ces pays. Varni JW, Seid M, Kurtin PS. PREV
On group level, PA significantly decreased and in substantial minorities eating styles and HRQoL deteriorated. Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Fig. This was unrelated to baseline characteristics (all p values >0.05). Finally, we examined whether scores on the DEBQ-C and Dutch PA questionnaire influenced PedsQL scores during lockdown using linear regression analyses. This was often attributed to loss of daily structure and perceived stress. E.F.C.v.R. PMC On group level, all scores remained unchanged over time (all p values >0.05, Table3). Their childrens baseline characteristics did not differ from those that did not complete the questionnaire (all p values >0.05, online suppl. These studies together with ours, highlight the importance of evaluating the need for parental support, especially in families with the abovementioned risk factors. In our center, we use the cutoff value