ABSTRACT
Background: Adolescent obesity has become alarming health problem reaching epidemic levels world wide,Covid 19 further worsened this scenario. Adolescent obesity is a multifaceted disease with serious immediate, intermediate and long-term consequences on both physical and mental health. So, if not intervened, It could transform into major health problem,there by posing economic challenges for future generations. So, its important to know the risk factors associated.There is limited research relating risk factors, vitamin d status and covid 19 impact.so our study is aimed at this. Methodology: This is a Cross-sectional Observational study conducted in the department of pediatrics MMCHRI, among 100 children included by convenience sampling method, aged 10 to18 years for a period of 1 year during April 2021-april 2022. Result(s):In our study of 100 study participants 75 were aged 10 to 14 years and 25 in 15 to 18 years. Our studies showed that high screen time contributed 76 %,sedentary life style 72 % along with fatty food 70 % consumptions are the major risk factors contributing to obesity. 62 % had vitamin deficiency. Conclusion(s): Our study showed high screen time, sedentary life style along with fatty food consumption are the most important risk factors. COVID-19 pandemic evoked major lifestyle changes including indoor stay reducing out door activity. Schools closed increased online classes further increasing screen time. There was vitamin D deficiency in majority of adolescents in our study. So primary prevention methods should be aimed at educating the child and family and encouraging appropriate diet and exercise from young age. Secondary prevention is by preventing the child from unhealthy habits.Due to the serious implications,effective treatments are urgently needed. Lifestyle interventions represent the recommended therapy. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
ABSTRACT
In response to the COVID-19 pandemic, an initiative to rapidly transition to a telebehavioral health (TBH) service delivery model was developed to maintain access to primary care behavioral health (PCBH) services at Geisinger, a predominantly rural health system based in Central Pennsylvania. In line with the "Virtual First" approach employed by Geisinger's Department of Psychiatry and Behavioral Health, we describe how we transitioned to TBH services while facilitating communication and collaboration among PCBH providers, staff, and trainees, and supported our Geisinger colleagues during the initial months of the pandemic. We report outcomes of our Virtual First approach from March 2020 through June 2020, as well as provider surveys of acceptability and usability of the InTouch platform used for TBH. We found that we were able to attain or surpass comparable patient access and utilization by implementing TBH services compared with in-person services over the last 2 years while maintaining a training program. InTouch was found to be acceptable and usable overall based on provider ratings, although it does not include capabilities that would further enhance access such as group treatments or shared office visits with the BHP and primary care clinician. Our Virtual First approach enabled us to maintain access and utilization of PCBH services during a time of widespread uncertainty and behavioral health vulnerability in rural regions. We conclude with a discussion of the limitations of our approach and the next steps in navigating the "new normal" of behavioral healthcare in the age of COVID-19. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement <strong xmlns:lang="en">Public Health Significance Statement-This program description serves as a salient case example of successfully navigating the rapid transition to TBH services necessitated by the first wave of the COVID-19 pandemic in 2020. Planning and co-ordination of communication and task work among team members and an existing TBH platform capable of rapid scaling enabled rural access and utilization of PCBH services at Geisinger at comparable levels to the previous 2 years. (PsycInfo Database Record (c) 2021 APA, all rights reserved)