Centre for Overweight Adolescent and Children's Healthcare (COACH), Maastricht University Medical Centre+, Maastricht, The Netherlands,
School of Nutrition and Translational Research (NUTRIM), Maastricht University Medical Centre+, Maastricht, The Netherlands,
Obes Facts. 2022;15(4):600-608. doi: 10.1159/000525298. Epub 2022 May 31.
School closures due to the COVID-19 pandemic affect children's daily structure, mealtimes, physical activity, and sleeping habits, possibly exacerbating weight gain, particularly in vulnerable children with overweight and obesity. This study aimed to evaluate both perceived and objectively measured weight gain in children in the Netherlands during the COVID-19 pandemic and the effect of prior lifestyle intervention.
A total of 150 children of the Children, Obesity and Lifestyle during COVID-19 (COLC) study (cohort A) reported perceptions of weight change during the COVID-19 pandemic. Anthropometric data of 65 children with overweight and obesity were collected at the expertise Centre for Overweight Adolescent and Children's Healthcare in the same period (COACH; cohort B).
In cohort A, 43% of children with overweight and obesity perceived weight gain during the pandemic, compared to 15% of lean children. In cohort B, the BMI z-score increased significantly (+0.065 SD) within 5 months. Participation in a lifestyle intervention for >1 year and having parents with Dutch background was associated with less weight gain, specifically in children with obesity.
DISCUSSION/CONCLUSION: In particular, children with overweight and obesity seem to be at risk for accelerated weight gain during the COVID-19 pandemic. Prior long-term participation in a lifestyle intervention protects against this weight gain, which emphasizes the importance of strong support for vulnerable populations during health crises and pleads for wide implementation of lifestyle interventions for children.
由于 COVID-19 大流行而关闭学校会影响儿童的日常作息、用餐时间、身体活动和睡眠习惯，可能会导致体重增加，尤其是对于超重和肥胖的弱势儿童。本研究旨在评估荷兰儿童在 COVID-19 大流行期间的体重增加情况，以及先前生活方式干预的效果。
共有 150 名来自 COVID-19 期间儿童、肥胖和生活方式（COLC）研究（队列 A）的儿童报告了 COVID-19 大流行期间体重变化的感知。同期（COACH；队列 B）从超重青少年和儿童保健专业中心收集了 65 名超重和肥胖儿童的人体测量数据。
在队列 A 中，43%的超重和肥胖儿童认为在大流行期间体重增加，而瘦儿童的这一比例为 15%。在队列 B 中，BMI z 评分在 5 个月内显著增加（+0.065 SD）。>1 年的生活方式干预参与和荷兰背景的父母与体重增加较少有关，特别是肥胖儿童。
讨论/结论：特别是超重和肥胖的儿童在 COVID-19 大流行期间似乎面临体重加速增加的风险。先前长期参与生活方式干预可预防体重增加，这强调了在健康危机期间为弱势群体提供强有力支持的重要性，并呼吁广泛实施儿童生活方式干预。
