Evaluation of influences of COVID-19 pandemic on body mass index among 6-12 years children in Suzhou: Based on Student Health Monitoring Program from 2016 to 2020

HU Jia; HAN Di; DING Zi-yao; HAI Bo; YIN Jie-yun; YANG Hai-bing; SHEN Hui

doi:10.16462/j.cnki.zhjbkz.2022.05.012

Volume 26 Issue 5

May 2022

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2022 > 26(5): 559-564

HU Jia, HAN Di, DING Zi-yao, HAI Bo, YIN Jie-yun, YANG Hai-bing, SHEN Hui. Evaluation of influences of COVID-19 pandemic on body mass index among 6-12 years children in Suzhou: Based on Student Health Monitoring Program from 2016 to 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(5): 559-564. doi: 10.16462/j.cnki.zhjbkz.2022.05.012

Citation:

HU Jia, HAN Di, DING Zi-yao, HAI Bo, YIN Jie-yun, YANG Hai-bing, SHEN Hui. Evaluation of influences of COVID-19 pandemic on body mass index among 6-12 years children in Suzhou: Based on Student Health Monitoring Program from 2016 to 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(5): 559-564. doi: 10.16462/j.cnki.zhjbkz.2022.05.012

Citation:

HU Jia, HAN Di, DING Zi-yao, HAI Bo, YIN Jie-yun, YANG Hai-bing, SHEN Hui. Evaluation of influences of COVID-19 pandemic on body mass index among 6-12 years children in Suzhou: Based on Student Health Monitoring Program from 2016 to 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(5): 559-564. doi: 10.16462/j.cnki.zhjbkz.2022.05.012

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Evaluation of influences of COVID-19 pandemic on body mass index among 6-12 years children in Suzhou: Based on Student Health Monitoring Program from 2016 to 2020

doi: 10.16462/j.cnki.zhjbkz.2022.05.012

HU Jia^{1, 4},
HAN Di¹,
DING Zi-yao¹,
HAI Bo¹,
YIN Jie-yun²,
YANG Hai-bing^{3, 4
,
,},
SHEN Hui^{1, 4
,
,}

1.
Department of School Health, Suzhou Center for Disease Prevention and Control, Suzhou 215004, China
2.
Department of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou 215213, China
3.
General Office, Suzhou Center for Disease Prevention and Control, Suzhou 215004, China
4.
School of Public Health, Nanjing Medical University, Nanjing 211166, China

Funds:

National Natural Science Foundation of China 81602911

Program of Science and Technology for People’s Livelihood in Suzhou, China SYS2019115

Gusu Health Talents Program Training Project in Suzhou, China GSWS2020100

More Information

Corresponding author: YANG Hai-bing, E-mail: yhbing111@163.com; SHEN Hui, E-mail: 791675633@qq.com
Received Date: 2021-08-17
Rev Recd Date: 2021-12-29

Available Online: 2022-05-11

Publish Date: 2022-05-10

Abstract

Abstract

Objective The COVID-19 pandemic has influenced all aspects of children life. This study aims to explore the pandemic-related body mass index (BMI) changes in children. Methods Based on the Health Promotion Program for Children and Adolescents in Suzhou of China, 331 341 BMI data of 40 primary schools were retrospectively collected from 2016 to 2020. The BMI-Z score and overweight/obesity prevalence were compared from 2016 to 2020. Results Mean participants per year was 66 868. Overall mean BMI-Z score increased from 0.427 (highest during 2016 to 2019) to 0.580 in 2020, resulting in a rise of 0.158 (95% CI: 0.144-0.171, P < 0.001). Increases in BMI-Z score were higher among boys, urban areas, and lower age groups (all P < 0.001). From 2016 to 2020, the prevalence of overweight and obesity increased, while thinness prevalence declined (χ_trend²=595.834, P < 0.001). The prevalence of obesity increased from 12.9% (highest during 2016 to 2019) to 15.9% in 2020 (χ²=253.616, P < 0.001), same results were found among different gender and region groups. Compared to 2016, the prevalence of obesity in 2017, 2018, and 2019 did not show significant differences, while a significant increase was found in 2020 (OR=1.323, 95% CI: 1.280-1.366). Conclusions COVID-19 pandemic accelerated BMI gains among 6-12 years old children in Suzhou. Progressively increased prevalence of overweight/obesity should be draw attention when conducting epidemic prevention and control.
- COVID-19,
- Child,
- Body mass index (BMI),
- Obesity

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References(23)

References

[1]	Nassar M, Nso N, Alfishawy M, et al. Current systematic reviews and Meta-analyses of COVID-19[J]. World J Virol, 2021, 10(4): 182-208. DOI: 10.5501/wjv.v10.i4.182.
[2]	郭岩, 黄旸木, 黄捷, 等. 新型冠状病毒肺炎疫情的全球流行现状和其对中国的影响及政策建议[J]. 中华流行病学杂志, 2020, 41(5): 642-647. DOI: 10.3760/cma.j.cn112338-20200301-00222. Guo Y, Huang YM, Huang J, et al. COVID-19 pandemic: global epidemiological trends and China's subsequent preparedness and responses[J]. Chin J Epidemiol, 2020, 41(5): 642-647. DOI: 10.3760/cma.j.cn112338-20200301-00222.
[3]	Rundle AG, Park Y, Herbstman JB, et al. COVID-19 related school closings and risk of weight gain among children[J]. Obesity, 2020, 28(6): 1008-1009. DOI: 10.1002/oby.22813.
[4]	Wang G, Zhang Y, Zhao J, et al. Mitigate the effects of home confinement on children during the COVID-19 outbreak[J]. Lancet, 2020, 395(10228): 945-947. DOI: 10.1016/S0140-6736(20)30547-X.
[5]	江苏省教育厅. 我省明确开学时间[EB/OL]. (2020-03-21)[2021-08-25]. http://jyt.jiangsu.gov.cn/art/2020/3/21/art_58320_9022225.html. Jiangsu Education Department. Our province has a clear time of school opening[EB /OL]. (2020-03-21)[2021-08-25]. http://jyt.jiangsu.gov.cn/art/2020/3/21/art_58320_9022225.html.
[6]	Brooks CG, Spencer JR, Sprafka JM, et al. Pediatric BMI changes during COVID-19 pandemic: an electronic health record-based retrospective cohort study[J]. EClinicalMedicine, 2021, 38: 101026. DOI: 10.1016/j.eclinm.2021.101026.
[7]	Stockwell S, Trott M, Tully M, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review[J]. BMJ Open Sport Exerc Med, 2021, 7(1): e000960. DOI: 10.1136/bmjsem-2020-000960.
[8]	Hu J, Shen H, Wu JZ, et al. Prevalence of high blood pressure and high normal blood pressure among 7- to 17-year-old children and adolescents in developed regions, China from 2014 to 2017: using new national blood pressure reference for Chinese children and adolescents[J]. J Hum Hypertens, 2019, 33(5): 400-410. DOI: 10.1038/s41371-019-0183-1.
[9]	Onis MP, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents[J]. Bull World Health Organ, 2007, 85(9): 660-667. DOI: 10.2471/blt.07.043497.
[10]	Wen J, Zhu L, Ji C. Changes in weight and height among Chinese preschool children during COVID-19 school closures[J]. Int J Obes (Lond), 2021, 45(10): 2269-2273. DOI: 10.1038/s41366-021-00912-4.
[11]	Kang HM, Jeong DC, Suh BK, et al. The impact of the coronavirus disease-2019 pandemic on childhood obesity and vitamin D status[J]. J Korean Med Sci, 2021, 36(3): e21. DOI: 10.3346/jkms.2021.36.e21.
[12]	Androutsos O, Perperidi M, Georgiou C, et al. Lifestyle changes and determinants of children's and adolescents' body weight increase during the first COVID-19 lockdown in Greece: the COV-EAT study[J]. Nutrients, 2021, 13(3): 930. DOI: 10.3390/nu13030930.
[13]	Palmer K, Bschaden A, Stroebele-Benschop N. Changes in lifestyle, diet, and body weight during the first COVID 19 'lockdown' in a student sample[J]. Appetite, 2021, 167: 105638. DOI: 10.1016/j.appet.2021.105638.
[14]	Jia P, Zhang L, Yu W, et al. Impact of COVID-19 lockdown on activity patterns and weight status among youths in China: the COVID-19 Impact on Lifestyle Change Survey (COINLICS)[J]. Int J Obes (Lond), 2021, 45(3): 695-699. DOI: 10.1038/s41366-020-00710-4.
[15]	宋月萍, 龙修琛. 新型冠状病毒肺炎疫情对中国成人体重增加的影响及相关因素分析[J]. 中华疾病控制杂志, 2021, 25(4): 384-388. DOI: 10.16462/j.cnki.zhjbkz.2021.04.003. Song YP, Long XC. Analysis of the impact of COVID-19 epidemic on weight gain in Chinese adult and its related factors[J]. Chin J Dis Control Prev, 2021, 25(4): 384-388. DOI: 10.16462/j.cnki.zhjbkz.2021.04.003.
[16]	Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study[J]. Obesity (Silver Spring), 2020, 28(8): 1382-1385. DOI: 10.1002/oby.22861.
[17]	李先雄, 李丹. 新型冠状病毒肺炎疫情居家期间青少年身体活动与情绪关联研究[J]. 北京体育大学学报, 2020, 43(3): 84-91. DOI: 10.19582/j.cnki.11-3785/g8.2020.03.010. Li XX, Li D. Correlation between physical activity and emotion of adolescents living at home during the COVID-19 pandemic[J]. Journal of Beijing Sport University, 2020, 43(3): 84-91. DOI: 10.19582/j.cnki.11-3785/g8.2020.03.010.
[18]	邵珊珊, 江澜, 章琴, 等. 新型冠状病毒肺炎疫情控制期无锡市学龄前儿童视屏行为及影响因素分析[J]. 中国学校卫生, 2020, 41(5): 661-663, 667. DOI: 10.16835/j.cnki.1000-9817.2020.05.007. Shao SS, Jiang L, Zhang Q, et al. Screen time and associated factors among preschoolers in Wuxi during COVID-19 outbreak[J]. Chin J Sch Health, 2020, 41(5): 661-663, 667. DOI: 10.16835/j.cnki.1000-9817.2020.05.007.
[19]	梁万年, 姚建红, 吴敬, 等. 我国新型冠状病毒肺炎疫情防控常态化阶段的经验与思考[J]. 中华医学杂志, 2021, 101(10): 695-699. DOI: 10.3760/cma.j.cn112137-20210104-00008. Liang WN, Yao JH, Wu J, et al. Experience and thinking on the normalization stage of prevention and control of COVID-19 in China[J]. Natl Med J China, 2021, 101(10): 695-699. DOI: 10.3760/cma.j.cn112137-20210104-00008.
[20]	Qiu N, He H, Qiao L, et al. Sex differences in changes in BMI and blood pressure in Chinese school-aged children during the COVID-19 quarantine[J]. Int J Obes (Lond), 2021, 45(9): 2132-2136. DOI: 10.1038/s41366-021-00871-w.
[21]	Simonnet A, Chetboun M, Poissy J, et al. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation[J]. Obesity (Silver Spring), 2020, 28(7): 1195-1199. DOI: 10.1002/oby.22831.
[22]	Economos CD, Dietz WH, Tullie K, et al. Physical activity may mitigate COVID-19 infections in people with obesity: a call to action[J]. Obesity (Silver Spring), 2021, 29(12): 1987-1989. DOI: 10.1002/oby.23269.
[23]	Jáuregui A, Lambert EV, Panter J, et al. Scaling up urban infrastructure for physical activity in the COVID-19 pandemic and beyond[J]. Lancet, 2021, 398(10298): 370-372. DOI: 10.1016/S0140-6736(21)01599-3.