Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, MD 21201, USA.
Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA.
Int J Environ Res Public Health. 2021 Dec 28;19(1):286. doi: 10.3390/ijerph19010286.
This study examined pre-pandemic (2017-early March 2020) to early-pandemic (Spring 2020) changes in moderate-to-vigorous PA (MVPA), light PA (LPA), and sedentary behavior/sleep (SS), by weekday/weekend, and age (preschool, elementary, middle school). We re-enrolled children from two pre-pandemic obesity prevention trials and examined differences in accelerometer-measured PA from pre-pandemic to early-pandemic across age groups using linear mixed models. Children ( = 75) were 51% multiple race/ethnicities, 29% preschool, 28% elementary, 43% middle school, 65% suburban, 21% rural, and 13% urban. Pre-pandemic to early-pandemic changes in weekday MVPA ( = 0.006), LPA ( = 0.018), and SS ( = 0.003) differed by age. On weekdays, middle schoolers' MVPA decreased 15.36 min/day ( = 0.002) and SS increased 94.36 min/day ( < 0.001) with non-significant changes among preschoolers and elementary schoolers. Compared to elementary schoolers, middle schoolers' changes in weekday MVPA ( = -16.34, = 0.036) and SS ( = 63.28, = 0.039) significantly differed. Declines in weekday MVPA and increases in SS among middle schoolers suggest that, compared with younger children, middle schoolers are dependent on school and recreational facilities for PA, and in their absence engage in more sedentary activities and sleep.
本研究考察了大流行前(2017 年-2020 年 3 月初)到大流行早期(2020 年春季)之间,按工作日/周末和年龄(学龄前、小学、中学)划分的中高强度身体活动(MVPA)、低强度身体活动(LPA)和久坐行为/睡眠(SS)的变化。我们重新招募了两项大流行前肥胖预防试验中的儿童,并使用线性混合模型,根据年龄组,比较了大流行前和大流行早期之间加速度计测量的 PA 差异。共有 75 名儿童(51%为多种族裔,29%为学龄前,28%为小学,43%为中学,65%为郊区,21%为农村,13%为城市)参与了研究。工作日 MVPA( = 0.006)、LPA( = 0.018)和 SS( = 0.003)的大流行前到大流行早期的变化因年龄而异。在工作日,中学生的 MVPA 减少了 15.36 分钟/天( = 0.002),SS 增加了 94.36 分钟/天( < 0.001),而学龄前和小学生的变化不显著。与小学生相比,中学生的工作日 MVPA( = -16.34, = 0.036)和 SS( = 63.28, = 0.039)变化显著不同。中学生在工作日的 MVPA 下降和 SS 增加表明,与年幼的孩子相比,中学生更依赖于学校和娱乐设施进行 PA,在这些设施不存在的情况下,他们会更多地进行久坐活动和睡眠。