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Changes in BMI During the COVID-19 Pandemic.
Knapp, Emily A; Dong, Yanan; Dunlop, Anne L; Aschner, Judy L; Stanford, Joseph B; Hartert, Tina; Teitelbaum, Susan L; Hudak, Mark L; Carroll, Kecia; O'Connor, Thomas G; McEvoy, Cindy T; O'Shea, T Michael; Carnell, Susan; Karagas, Margaret R; Herbstman, Julie B; Dabelea, Dana; Ganiban, Jody M; Ferrara, Assiamira; Hedderson, Monique; Bekelman, Traci A; Rundle, Andrew G; Alshawabkeh, Akram; Gilbert-Diamond, Diane; Fry, Rebecca C; Chen, Zhanghua; Gilliland, Frank D; Wright, Rosalind J; Camargo, Carlos A; Jacobson, Lisa; Lester, Barry M; Hockett, Christine W; Hodges, Marie L; Chandran, Aruna.
  • Knapp EA; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Dong Y; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Dunlop AL; Emory University School of Medicine, Atlanta, Georgia.
  • Aschner JL; Hackensack Meridian School of Medicine and Albert Einstein College of Medicine, Bronx, New York.
  • Stanford JB; University of Utah, Salt Lake City, Utah.
  • Hartert T; Vanderbilt University School of Medicine, Nashville, Tennessee.
  • Teitelbaum SL; Icahn School of Medicine at Mount Sinai, New York, New York.
  • Hudak ML; University of Florida College of Medicine, Jacksonville, Jacksonville, Florida.
  • Carroll K; Icahn School of Medicine at Mount Sinai, New York, New York.
  • O'Connor TG; University of Rochester Medical Center, Rochester, New York.
  • McEvoy CT; Oregon Health & Science University, Portland, Oregon.
  • O'Shea TM; University of North Carolina, Chapel Hill, North Carolina.
  • Carnell S; Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Karagas MR; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
  • Herbstman JB; Columbia University Mailman School of Public Health, New York, New York.
  • Dabelea D; Colorado School of Public Heath, Aurora, Colorado.
  • Ganiban JM; The George Washington University, Washington, District of Columbia.
  • Ferrara A; Kaiser Permanente Division of Research, Oakland, California.
  • Hedderson M; Kaiser Permanente Division of Research, Oakland, California.
  • Bekelman TA; Colorado School of Public Heath, Aurora, Colorado.
  • Rundle AG; Columbia University Mailman School of Public Health, New York, New York.
  • Alshawabkeh A; Civil and Environmental Engineering, Northeastern University, Boston, Massachusetts.
  • Gilbert-Diamond D; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
  • Fry RC; University of North Carolina, Chapel Hill, North Carolina.
  • Chen Z; University of Southern California, Keck School of Medicine, Los Angeles, California.
  • Gilliland FD; University of Southern California, Keck School of Medicine, Los Angeles, California.
  • Wright RJ; Icahn School of Medicine at Mount Sinai, New York, New York.
  • Camargo CA; Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Jacobson L; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Lester BM; Alpert Medical School of Brown University, Providence, Rhode Island.
  • Hockett CW; Avera Research Institute; University of South Dakota School of Medicine, Sioux Falls, South Dakota.
  • Hodges ML; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Chandran A; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Pediatrics ; 150(3)2022 09 01.
Article in English | MEDLINE | ID: covidwho-1910742
ABSTRACT
BACKGROUND AND

OBJECTIVES:

Experts hypothesized increased weight gain in children associated with the coronavirus disease 2019 (COVID-19) pandemic. Our objective was to evaluate whether the rate of change of child body mass index (BMI) increased during the COVID-19 pandemic compared with prepandemic years.

METHODS:

The study population of 1996 children ages 2 to 19 years with at least 1 BMI measure before and during the COVID-19 pandemic was drawn from 38 pediatric cohorts across the United States participating in the Environmental Influences on Child Health Outcomes-wide cohort study. We modeled change in BMI using linear mixed models, adjusting for age, sex, race, ethnicity, maternal education, income, baseline BMI category, and type of BMI measure. Data collection and analysis were approved by the local institutional review board of each institution or by the central Environmental Influences on Child Health Outcomes institutional review board.

RESULTS:

BMI increased during the COVID-19 pandemic compared with previous years (0.24 higher annual gain in BMI during the pandemic compared with previous years, 95% confidence interval 0.02 to 0.45). Children with BMI in the obese range compared with the healthy weight range were at higher risk for excess BMI gain during the pandemic, whereas children in higher-income households were at decreased risk of BMI gain.

CONCLUSIONS:

One effect of the COVID-19 pandemic is an increase in annual BMI gain during the COVID-19 pandemic compared with the 3 previous years among children in our national cohort. This increased risk among US children may worsen a critical threat to public health and health equity.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Child / Child, preschool / Humans / Young adult Country/Region as subject: North America Language: English Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Child / Child, preschool / Humans / Young adult Country/Region as subject: North America Language: English Year: 2022 Document Type: Article