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Weight-Related Behaviors of Children with Obesity during the COVID-19 Pandemic.
Neshteruk, Cody D; Zizzi, Alexandra; Suarez, Lilianna; Erickson, Elizabeth; Kraus, William E; Li, Jennifer S; Skinner, Asheley C; Story, Mary; Zucker, Nancy; Armstrong, Sarah C.
  • Neshteruk CD; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
  • Zizzi A; Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
  • Suarez L; Department of Medicine, and Duke University School of Medicine, Durham, NC, USA.
  • Erickson E; Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
  • Kraus WE; Department of Medicine, and Duke University School of Medicine, Durham, NC, USA.
  • Li JS; Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
  • Skinner AC; Department of Medicine, and Duke University School of Medicine, Durham, NC, USA.
  • Story M; Duke Clinical Research Institute, and Duke University, Durham, NC, USA.
  • Zucker N; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
  • Armstrong SC; Duke Clinical Research Institute, and Duke University, Durham, NC, USA.
Child Obes ; 17(6): 371-378, 2021 09.
Article in English | MEDLINE | ID: covidwho-1364718
ABSTRACT

Background:

During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of the COVID-19 pandemic.

Methods:

Semistructured interviews (n = 51) were conducted from April to June 2020 with parents of children with obesity. Families were participants in a randomized trial testing a clinic-community pediatric obesity treatment model. During interviews, families described their experience during the COVID-19 pandemic, with a particular emphasis on children's diet, physical activity, sleep, and screen time behaviors. Rapid qualitative analysis methods were used to identify themes around changes in children's weight-related behaviors.

Results:

The mean child age was 9.7 (±2.8) years and the majority of children were Black (46%) or Hispanic (39%) and from low-income families (62%). Most parent participants were mothers (88%). There were differences in the perceived physical activity level of children, with some parents attributing increases in activity or maintenance of activity level to increased outdoor time, whereas others reported a decline due to lack of outdoor time, school, and structured activities. Key dietary changes included increased snacking and more meals prepared and consumed at home. There was a shift in sleep schedules with children going to bed and waking up later and an increase in leisure-based screen time. Parents played a role in promoting activity and managing children's screen time.

Conclusions:

The COVID-19 pandemic has created unique lifestyle challenges and opportunities for lifestyle modification. Clinical Trials ID NCT03339440.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise / Health Behavior / Pediatric Obesity / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Child Obes Year: 2021 Document Type: Article Affiliation country: CHI.2021.0038

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise / Health Behavior / Pediatric Obesity / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Child Obes Year: 2021 Document Type: Article Affiliation country: CHI.2021.0038