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10.3346/jkms.2021.36.e21

http://scihub22266oqcxt.onion/10.3346/jkms.2021.36.e21
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suck abstract from ncbi


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pmid33463095      J+Korean+Med+Sci 2021 ; 36 (3): e21
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  • The Impact of the Coronavirus Disease-2019 Pandemic on Childhood Obesity and Vitamin D Status #MMPMID33463095
  • Kang HM; Jeong DC; Suh BK; Ahn MB
  • J Korean Med Sci 2021[Jan]; 36 (3): e21 PMID33463095show ga
  • BACKGROUND: The risk of weight gain as a consequence of school closure in children during the coronavirus disease-2019 (COVID-19) pandemic has been recognized. This study was performed to investigate changes in anthropometric and metabolic parameters in children following a 6-month period of social distancing and school closure due to the pandemic. METHODS: This retrospective cohort study was conducted in school-aged children that were on routine follow-up at the Growth Clinic of Seoul St. Mary's Hospital. Changes in body mass index (BMI) standard deviation scores (z-scores), lipid profiles, and vitamin D levels were investigated. The 1-year period prior to school closure was defined as "pre-COVID-19 period," and the subsequent 6-month period as "COVID-19 period." RESULTS: Overall, 226 children between 4 to 14 years old without comorbidities were assessed. On average, their BMI z-scores increased by 0.219 (95% confidence interval [CI], 0.167-0.271; P < 0.001) in the COVID-19 period compared to the pre-COVID-19 period, and the proportion of overweight or obesity increased from 23.9% in the pre-COVID-19 period to 31.4% in the COVID-19 period. The number of days after school closure (P = 0.004) and being in the normoweight category in the pre-COVID-19 period (P = 0.017) were factors associated with an increased BMI in the COVID-19 period. The mean triglyceride (105.8 mg/dL vs. 88.6 mg/dL, P < 0.001) and low-density lipoprotein-cholesterol (100.2 mg/dL vs. 94.0 mg/dL, P = 0.002) levels were higher, whereas the calcidiol level (18.9 mg/dL vs. 23.8 mg/dL, P < 0.001) was lower in the COVID-19 period compared to the pre-COVID-19 period. CONCLUSION: Within 6 months, increased childhood obesity and vitamin D deficiencies were observed. The duration of school closure was significantly associated with an increased BMI and being normoweight does not exclude the risks for gaining weight.
  • |*Pandemics[MESH]
  • |Adolescent[MESH]
  • |Body Mass Index[MESH]
  • |Body-Weight Trajectory[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Child[MESH]
  • |Child Welfare[MESH]
  • |Child, Preschool[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pediatric Obesity/*epidemiology[MESH]
  • |Physical Distancing[MESH]
  • |Public Policy[MESH]
  • |Republic of Korea/epidemiology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Schools[MESH]
  • |Vitamin D Deficiency/*epidemiology[MESH]


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