Nationwide Children's Hospital, The Ohio State University, Columbus, OH 43205, USA.
Children's Pediatric Institute, Emory University, Atlanta, GA 30322, USA.
Int J Environ Res Public Health. 2022 May 5;19(9):5597. doi: 10.3390/ijerph19095597.
Two years into this pandemic, mental health symptoms are more prevalent in children and adolescents, routine wellness visits have decreased, individuals and families are experiencing increased stress, and food and nutrition insecurity are on the rise. Pediatric overweight and obesity are yet another health condition that has been impacted by the pandemic. The current commentary aims to (a) summarize a variety of factors contributing to worsening obesity and healthy lifestyle choices in youth throughout the pandemic and to (b) provide recommendations for healthcare providers on navigating this challenge. Specific health behaviors, such as increased sedentary behavior, decreased physical activity, a change to families' home-food environments, and an increase in sleep dysregulation have contributed to increased weight gain in children and adolescents. As uncertainty continues with the advent of various COVID-19 variants, it remains important to consider how the pandemic has impacted pediatric overweight and obesity.
在这场大流行的两年中，儿童和青少年的心理健康症状更为普遍，常规健康检查减少了，个人和家庭的压力也在增加，食物和营养安全也在上升。儿科超重和肥胖是另一种受到大流行影响的健康状况。本评论旨在：(a)总结大流行期间导致青年肥胖和健康生活方式选择恶化的多种因素；(b)为医疗保健提供者提供应对这一挑战的建议。具体的健康行为，如久坐行为增加、体力活动减少、家庭食物环境的改变以及睡眠失调的增加，都导致了儿童和青少年体重增加。随着各种 COVID-19 变体的出现，不确定性持续存在，仍然有必要考虑大流行对儿科超重和肥胖的影响。
