A substantial part of families reported increased tensions and difficulties with juggling between competing parenting roles during lockdown. These were associated with family characteristics such as living in single-parent families, having less space at home, having multiple siblings, having pre-existent medical problems in the family, and changes in parental working conditions [40, 42, 43]. A minority of children (11/75, 15%) reported no change in PA during lockdown. Persistent COVID-19 symptoms in a community study of 606,434 people in England. La premire section a pos des questions sur la dmographie des participants. Our qualitative analyses revealed an increased demand for food by predominantly younger children with signs of insatiable behavior and/or higher external eating scores. The PedsQL was completed by 49/83 (59%) families during lockdown, which included more often families with a child with psychosocial problems (67% vs. 38%, p = 0.009) or autism (24% vs. 6%, p = 0.026, online suppl. In the majority of children, mean weekly PA decreased to 2 h/week. The percentage of women worried about their planning infertility treatment was more than 50 %. The lower PedsQL scores in our study might also have been caused by the characteristics of our academic patient population, which included a relatively large proportion of children with intellectual disability, autism, and/or psychosocial problems. 2020;289:113041. 2022 May 18. Tso WWY, Wong RS, Tung KTS, Rao N, Fu KW, Yam JCS, et al. In the qualitative data analyses, we categorized children based on qualitative outcomes (e.g., increased demand for food of the child reported by parents) and quantitatively evaluated differences in baseline characteristics using the appropriate statistical tests. Tong A, Sainsbury P, Craig J. The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. Varni JW, Limbers CA, Burwinkle TM. Dutch National Institute for Public Health and the Environment. Notre recherche a rvl quen raison du verrouillage impos par le gouvernement en rponse au COVID-19, les habitudes de sommeil des tudiants taient les plus affectes. Accessibility The funding sources had no role in the preparation of data or the manuscript. Their childrens baseline characteristics did not differ from those who did not complete the questionnaire (all p values >0.05, online suppl. This research was funded by the Dutch Heart Foundation (Grant/Award No. Association digital media usage with changes in sleep pattern. Twenty children were lost to follow-up, i.e., did not continue their treatment at our obesity center (online suppl. Fig. We did find a strong negative association between HRQoL scores and emotional and external eating during lockdown. Killedar A, Lung T, Petrou S, Teixeira-Pinto A, Tan EJ, Hayes A. Notably, our study population has higher DEBQ-C scores pre-pandemic as can be expected in a population with severe obesity [12]. This did not change significantly during lockdown (27/55, 49%, p = 0.33 vs. pre-pandemic). On March 8, 2020, the Italian Government implemented extraordinary measures to limit viral transmission of COV-19/SARS-CoV-2. 2021 The Author(s) Published by S. Karger AG, Basel. Results: Quantitative analyses revealed that on group level, PA declined, whereas noneducational screen time, eating styles, and HRQoL did not change significantly. van den Akker, centrumgezondgewicht@erasmusmc.nl) upon reasonable request. BMI status and associations between affect, physical activity and anxiety among U.S. children during COVID-19. B.v.d.V. The majority of children with high scores on restrained eating (21/29, 72%), emotional eating (15/27, 56%), or external eating (24/26, 92%) during lockdown already had high scores pre-pandemic. Moreover, eleven families reported improved eating behavior during lockdown, mostly due to decreased external eating stimuli, although their external eating scores did not differ significantly (mean 75.4 vs. 67.3, p = 0.43). After conducting the interviews, the comprehensive physicians records were used for qualitative analyses. As this study was conducted in the context of patient care, all eligible study participants were included even after we had achieved data saturation. Additionally, a large number of students (69.7%) had reported that time is seemingly moving faster. Lenqute visait les tudiants et 251 rponses ont t obtenues. Furthermore, it explores the impact of these changes on the mental health of students of different educational levels. 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. This might further exacerbate the negative impact of COVID-19 lockdown in this patient population. 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). Felix J, Stark R, Teuner C, Leidl R, Lennerz B, Brandt S, et al. Weight-related behaviors of children with obesity during the COVID-19 pandemic. sharing sensitive information, make sure youre on a federal Dutch eating behavior questionnaire for children scores pre-pandemic and during lockdown. Interestingly, we did not find an association between HRQoL and PA or screen time, although other studies have suggested a protective effect of PA on the mental health impact of the COVID-19 pandemic in children [33, 35, 37-39]. 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. Our mixed-methods design provided insights in the reasons why children succeeded or failed in maintaining a healthy lifestyle. Finally, we examined whether scores on the DEBQ-C and Dutch PA questionnaire influenced PedsQL scores during lockdown using linear regression analyses.
The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. The mean age of the 83 included children was 11.2 4.6 years; 43 (52%) were females; and mean BMI SDS was 3.8 1.0, indicating severe obesity (Table1). Identifying underlying medical causes of pediatric obesity: results of a systematic diagnostic approach in a pediatric obesity center. 2022 Apr 12;13(1):1957. doi: 10.1038/s41467-022-29521-z. An R. Projecting the impact of the coronavirus disease-19 pandemic on childhood obesity in the United States: a microsimulation model. En raison de la pandmie de COVID-19, de nombreux pays ont impos des verrouillages leurs citoyens pour tenter de contenir la maladie. During lockdown, 46/75 (61%) parents reported deteriorated emotional well-being of their child and worsened family dynamics. Reid Chassiakos YL, Radesky J, Christakis D, Moreno MA, Cross C; Council On Communications and Media. An official website of the United States government. In: StatPearls [Internet]. 2021. A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis. To date, few studies investigated the impact of COVID-19-related lockdown measures on lifestyle factors in pediatric patients with obesity, reporting similar results as the abovementioned studies with regard to PA, screen time, and consumption of unhealthy foods [16-18]. 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). Moreover, increased parental COVID-19-related stress was found to be associated with non-nutritive use of food and snacks, such as emotional and instrumental feeding [44]. This site needs JavaScript to work properly. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. The effects of COVID-19 lockdown on lifestyle and emotional state in women undergoing assisted reproductive technology: Results of an Italian survey. government site. An increased demand for food was associated with higher external eating scores (mean 85.7 vs. 62.6, p < 0.001) during lockdown. Furthermore, it was assessed whether the child fulfills the WHO Global Recommendations on Physical Activity for Health criterion of 1 h of moderate- to high-intensity daily PA [27]. The Dutch PA Questionnaire assesses weekly time spent on PA, including school transfers, sports at school or sport clubs, and playing outside [26]. 1). Covid-19 lockdown induced a huge effect on nutritional habits in infertile women. Furthermore, we compared validated questionnaire data longitudinally, enabling us to identify the children who improved or deteriorated during lockdown. Usage and distribution for commercial purposes requires written permission. Several studies have underlined the importance of healthy family dynamics during lockdown [5, 39-41]. It is unknown whether this is caused by changed eating styles, such as external or emotional eating. 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. doi: 10.7759/cureus.7923. 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. 2022 Mar 15;13:830935. doi: 10.3389/fpsyg.2022.830935. Their childrens baseline characteristics did not differ from those that did not complete the questionnaire (all p values >0.05, online suppl. This study was performed within the first 2 months of the first COVID-19-related lockdown in the Netherlands, providing us the unique opportunity to investigate the acute impact of these unforeseen circumstances. took part in the conceptualization, investigation, methodology, writing, reviewing and editing. However, weekly PA decreased (mean difference 1.9 h/week, p = 0.02) mostly in adolescents. De plus, un grand nombre dtudiants (69,7 %) ont dclar que le temps passe apparemment plus vite. In total, 116 patients visited the Obesity Center CGG during the study period, of which 90 families were approached (exclusion criteria presented in online suppl. The impact of lockdown during the COVID-19 pandemic on mental and social health of children and adolescents. Moore SA, Faulkner G, Rhodes RE, Brussoni M, Chulak-Bozzer T, Ferguson LJ, et al. 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. 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. All interviews were independently coded by 2 physicians (O.A., M.S.W.) Furthermore, it was evaluated whether baseline characteristics (i.e., age, sex, ethnicity, SES z-score, living in urban vs. rural areas, signs of insatiable behavior, autism, intellectual disability/developmental delay, or psychosocial problems) influenced the results of our qualitative and quantitative analyses using 2 tests or linear regression. Cusinato M, Iannattone S, Spoto A, Poli M, Moretti C, Gatta M, et al. Reevaluate cardio-metabolic risk and emotional state before infertility treatments. https://pubmed.ncbi.nlm.nih.gov/32513320/, Ali M.Y., Gatiti P. The COVID-19 (Coronavirus) pandemic: reflections on the roles of librarians and information professionals. Many families (42/75, 56%) reported a decrease of their childs PA during lockdown. During lockdown, total scores were not associated with time spent on PA, screen time, or restrained eating (all p values >0.05), but were negatively associated with emotional eating ( = 0.28, SE = 0.72, p < 0.001) and external eating ( = 0.29, SE = 0.90, p = 0.002). Ashikkali L, Carroll W, Johnson C. The indirect impact of COVID-19 on child health. Parmi ceux-ci, une majorit (85,8 %) avait une sensation gnrale de fatigue et manquait de motivation (p = 0,023). Two families mentioned that the temporary pause of therapies with health care professionals enabled them to unwind and 4 families (5%) reported less stress due to school closures. This was unrelated to baseline characteristics (all p values >0.05). Whitaker M, Elliott J, Chadeau-Hyam M, Riley S, Darzi A, Cooke G, Ward H, Elliott P. Nat Commun. and transmitted securely. Qualitative analyses were performed according to the Grounded Theory. Reasons for succeeding were use of online videos, performing PA together with family members, parents having more time to spend on PA with their children, and parents arranging outside play dates with peers. These studies together with ours, highlight the importance of evaluating the need for parental support, especially in families with the abovementioned risk factors. Due to the COVID-19 pandemic, many countries imposed lockdowns on their citizens in an attempt to contain the disease. 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. To our knowledge, this is the first study to report the impact of COVID-19-related lockdown measures on eating styles and behaviors, PA, screen time, and HRQoL in children and adolescents with severe obesity. Out of 251 adolescents that participated in our study, the majority (70.2%) were females. We found an already existing MyKarger account with this e-mail address: To reset your password, enter your e-mail address or your user ID you registered with. Increase in prevalence of overweight in dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. van Strien T, Oosterveld P. The childrens DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Online ahead of print. 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. Population-based studies in children and adolescents across the world have shown overall decreases in physical activity (PA) and increases in screen time and sedentary behavior [2-7]. Unda-Lpez A, Osejo-Taco G, Vinueza-Cabezas A, Paz C, Hidalgo-Andrade P. Behav Sci (Basel). Before To date, one Saudi-Arabian study reported prevalence of high emotional eating in healthy young women (12% vs. 47% in our population) and found a positive association with BMI and perceived stress [36]. E.F.C.v.R. 2020;395:e37e38. We performed a quantitative research study using a web-based survey, in 140 women referred to Assisted Reproductive Technologies Center. Medrano M, Cadenas-Sanchez C, Oses M, Arenaza L, Amasene M, Labayen I. Cureus. 2021. Le Pakistan est lun de ces pays. [Lancet Publishing Group; cited 2020 Aug 7] A treating physician (O.A., B.v.d.V., or M.S.W.) 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. 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). These children need to be targeted by health care professionals to minimize short- and long-term negative physical and mental health consequences. Pakistan is one of these countries. This cross-sectional study was conducted via a web-based questionnaire, from March 24 to April 26, 2020. 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]. 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. De plus, il explore limpact de ces changements sur la sant mentale des lves de diffrents niveaux dducation. 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. In our center, we use the cutoff value Battery Operated Water Pump Irrigation,
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