儿童在 COVID-19 封锁期间体重增加。
Increased Weight Gain of Children during the COVID-19 Lockdown.
机构信息
Department of Pediatrics, Assuta Ashdod University Medical Center, Ashdod, Israel.
Department of Education, Ariel University, Ariel, Israel.
出版信息
Isr Med Assoc J. 2021 Apr;23(4):219-222.
BACKGROUND
The coronavirus disease-2019 (COVID-19) social-distancing strategy, including 7 weeks of strict lockdown, enabled an extraordinary test of stay-at-home regulations, which forced a sedentary lifestyle on all children and adolescents.
OBJECTIVES
To assess the lockdown effect on pediatric weight.
METHODS
A retrospective-prospective cohort study at our hospital's pediatric outpatient clinics following the COVID-19 lockdown. Patients aged 0-18 years visiting the clinic were weighed and previous weight and other clinical data were collected from the medical charts. Weight-percentile-for-age standardization was calculated according to the U.S. Centers for Disease Control and Prevention and the World Health Organization growth tables. Pre- and post-lockdown weight-percentiles-for-age were compared using paired t-test. Multivariate analysis was conducted using linear regression model.
RESULTS
The study was comprised of 229 patients; 117/229 (51.1%) were boys, 60/229 (26.2%) aged under 6 years. Total mean weight-percentile was significantly higher following the lockdown (40.44 vs. 38.82, respectively, P = 0.029). Boys had a significant post-lockdown weight-percentile rise (37.66 vs. 34.42, P = 0.014), whereas girls had higher baseline pre-quarantine weight-percentile of 43.42, which did not change. Patients younger than 6 years had a significant increase in weight-percentiles (39.18 vs. 33.58, P = 0.021). In multivariate analysis these correlations were preserved.
背景
2019 年冠状病毒病（COVID-19）的社交距离策略，包括 7 周的严格封锁，使居家规定得到了非凡的检验，这迫使所有儿童和青少年都过着久坐不动的生活。
目的
评估封锁对儿科体重的影响。
方法
在我们医院的儿科门诊进行了一项回顾性前瞻性队列研究，该研究是在 COVID-19 封锁之后进行的。在诊所就诊的 0-18 岁患者进行称重，并从病历中收集以前的体重和其他临床数据。根据美国疾病控制与预防中心和世界卫生组织的生长图表，计算体重年龄百分位数标准化。使用配对 t 检验比较封锁前后的体重年龄百分位数。使用线性回归模型进行多变量分析。
结果
该研究共纳入 229 名患者；229 例患者中 117/229（51.1%）为男孩，60/229（26.2%）年龄在 6 岁以下。封锁后总平均体重百分位数明显升高（分别为 40.44%和 38.82%，P=0.029）。男孩封锁后体重百分位数明显升高（37.66%和 34.42%，P=0.014），而女孩的基线隔离前体重百分位数较高为 43.42%，没有变化。6 岁以下的患者体重百分位数明显增加（39.18%和 33.58%，P=0.021）。在多变量分析中，这些相关性得到了保留。
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