Division of Endocrinology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Pediatr Obes. 2022 Oct;17(10):e12948. doi: 10.1111/ijpo.12948. Epub 2022 Jun 10.
COVID-19 mitigation measures, including closures of schools and recreational facilities and alterations in eating behaviours and physical activity, may impact weight.
To examine changes in body weight and body mass index (BMI) in children and adolescents with obesity participating in an obesity treatment program before and during the COVID-19 pandemic in Ontario, Canada.
Body weight and BMI at baseline and 6 months were recorded for the 'historic' cohort (females = 34, males = 21) before the pandemic (November 1, 2018, to March 18, 2020) and for the 'pandemic' cohort (females = 30, males = 30) during the pandemic (March 19, 2020 to July 31, 2021). Analyses were adjusted for baseline weight/BMI, age, and ON-Marg score, a measure of the social determinants of health.
In males, body weight (98.29 versus 89.28 kg, p < 0.001) and BMI (36.46 versus 34.85 kg/m , p = 0.027) were greater in the pandemic compared with historic cohort. In females, body weight (p = 0.769) and BMI (p = 0.548) were not different between the two cohorts.
The COVID-19 pandemic may have diminished the health impacts of a weight management program, particularly in males, leading to increased body weight and BMI.
包括关闭学校和娱乐设施以及改变饮食习惯和身体活动在内的 COVID-19 缓解措施可能会影响体重。
在加拿大安大略省，检查参加肥胖治疗计划的肥胖儿童和青少年在 COVID-19 大流行之前和期间体重和体重指数（BMI）的变化。
在大流行之前（2018 年 11 月 1 日至 2020 年 3 月 18 日），对“历史”队列（女性=34，男性=21）进行了基线和 6 个月时的体重和 BMI 记录，并对“大流行”队列（女性=30，男性=30）进行了记录。在大流行期间（2020 年 3 月 19 日至 2021 年 7 月 31 日）。分析调整了基线体重/BMI、年龄和 ON-Marg 评分，这是衡量健康决定因素的一个指标。
在男性中，与历史队列相比，大流行队列的体重（98.29 与 89.28kg，p<0.001）和 BMI（36.46 与 34.85kg/m ，p=0.027）更高。在女性中，两组之间的体重（p=0.769）和 BMI（p=0.548）没有差异。
COVID-19 大流行可能减轻了体重管理计划对健康的影响，特别是对男性而言，导致体重和 BMI 增加。
