Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected

Xiang, Ming; Zhang, Zhiruo; Kuwahara, Keisuke

doi:10.1016/j.pcad.2020.04.013

Cited by 713 publications

(844 citation statements)

References 6 publications

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“…Recent reports show that lifestyle behaviours including physical activity and screen time are negatively impacted by the COVID‐19 outbreak and related lockdown measures in Chinese school children and Italian children with obesity 10,24 . In a significant proportion of the families (25%) in our study, self‐imposed quarantine measures were taken, even though measures advised by our national authorities did not differentiate between children with obesity or other chronic diseases and healthy children.…”

Section: Discussionmentioning

confidence: 69%

COVID‐19 related anxiety in children and adolescents with severe obesity: A mixed‐methods study

et al. 2020

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Summary Recent studies report negative mental health effects of the COVID‐19 related lockdown measures in general paediatric cohorts. Since obesity is a risk factor for COVID‐19 in adults, children (including adolescents) with obesity might perceive themselves to be vulnerable. Using a combined quantitative and qualitative approach, we explored COVID‐19 related anxiety in paediatric patients with severe obesity in the Netherlands using semi‐structured telephone interviews and the Paediatric Quality of Life Inventory (PedsQL) questionnaire, which had also been completed by the study population at baseline in the year prior to the COVID‐19 outbreak. In total, 75 families participated in the semi‐structured telephone interviews during the lockdown, April 2020. Characteristics of included patients were: median age 10.5 years (interquartile range = 7.6‐15.2); 52% female; mean BMI standard deviation score 3.8 (SD = 1.0). COVID‐19 related anxiety was reported for 24/75 (32%) children. The mean decrease in PedsQL score between baseline visit and COVID‐19 outbreak did not differ between children for whom anxiety was reported vs those for whom it was not (mean change −10.3 ± 36.5 vs −3.3 ± 24.4, P = .54). Self‐imposed strict quarantine measures were taken by 19/75 (25%) families. During follow‐up, several families reported that the previous contact alleviated their anxiety. In conclusion, healthcare professionals should address possible COVID‐19 related anxiety in children with severe obesity. Addressing COVID‐19 related anxiety could mitigate its potential negative effects.

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Section: Discussionmentioning

confidence: 69%

COVID‐19 related anxiety in children and adolescents with severe obesity: A mixed‐methods study

et al. 2020

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“…The cross-sectional analysis also revealed the low volume of PA that participants engaged in during the COVID-19 pandemic, with an average of 3 min/day spent in MPA and 17 min/day walking. Similarly, Xiang et al reported that children and adolescents engaged in 105 min per week during the COVID-19 pandemic in Shanghai [ 14 ]. The low volume of PA undertaken by participants may be due to social distancing (e.g., cancellation of all team sports training and competitions and the closure of public leisure facilities and gymnasiums), working from home and concern of the threat posed by COVID-19 in Hong Kong.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with a national survey, which reported that daily sitting time increased from 5 to 8 h (28.6%) per day during home confinement [ 18 ]. Similarly, children and adolescents in both Shanghai and Canada engaged in more than 5 h of screen time per day [ 14 , 15 ]. This may be partially explained by young adults engaging in social distancing by staying home, and online teaching, which subsequently resulted in prolonged screen time, such as elevated time spent watching TV, playing computer games, and online teaching [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…To date, several studies have reported relevant data for different populations in various countries. A longitudinal study from Shanghai, China found that children and adolescents engaged in 435 min less PA and spent 28 more hours in screen time per week since the COVID-19 outbreak [ 14 ]. A national survey in Canada also found that children and youths had lower PA levels, higher SB (including leisure screen time), and more sleep during the COVID-19 pandemic [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Pandemic Brings a Sedentary Lifestyle in Young Adults: A Cross-Sectional and Longitudinal Study

Zheng

Huang

Sheridan

et al. 2020

IJERPH

229

185

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The coronavirus disease 2019 (COVID-19) pandemic continues to pose profound challenges to society. Its spread has been mitigated through strategies including social distancing; however, this may result in the adoption of a sedentary lifestyle. This study aimed to investigate: 1) physical activity (PA) levels, sedentary behavior (SB), and sleep in young adults during the COVID-19 epidemic, and 2) the change in these behaviors before and during the pandemic. A total of 631 young adults (38.8% males) aged between 18 and 35 participated in the cross-sectional study and completed a one-off online survey relating to general information, PA, SB, and sleep. For the longitudinal study, PA, SB, and sleep data, obtained from 70 participants before and during the COVID-19 pandemic, were analyzed. Participants engaged in low PA, high SB, and long sleep duration during the COVID-19 pandemic. Moreover, a significant decline in PA while an increase in time spent in both SB and sleep was observed during the COVID-19 outbreak. The results of this study demonstrated a sedentary lifestyle in young adults during the COVID-19 pandemic, which will assist health policymakers and practitioners in the development of population specific health education and behavior interventions during this pandemic and for other future events.

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“…The COVID-19 pandemic has led to numerous behavior changes such as social distancing, staying at home, avoiding crowds, or avoiding the usual venues of exercise such as gyms and fitness clubs [ 2 , 8 ]. Therefore, this pandemic has created a special situation for researchers to examine changes in exercise behavior.…”

Section: Introductionmentioning

confidence: 99%

Exercise Behavior and Mood during the COVID-19 Pandemic in Taiwan: Lessons for the Future

Chang

Hung

Timme

et al. 2020

IJERPH

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The Coronavirus disease 2019 (COVID-19) pandemic and its associated governmental recommendations and restrictions have influenced many aspects of human life, including exercise and mental health. This study aims to explore the influence of COVID-19 on exercise behavior and its impact on mood states, as well as predict changes in exercise behavior during a similar future pandemic in Taiwan. A cross-sectional online survey was conducted between 7 April and 13 May 2020 (n = 1114). Data on exercise behavior pre and during the pandemic and mood states were collected. A cumulative link model was used to predict changes in exercise frequency during a similar future pandemic by exercise frequency during the pandemic. A linear model was used to predict the influence of exercise frequency before and during the pandemic on mood states during the pandemic. A total of 71.2%, 67.3%, and 58.3% of respondents maintained their exercise intensity, frequency, and duration, respectively, during the pandemic. Frequent exercisers are more likely to maintain their exercise frequency during a similar pandemic (p < 0.001). Higher exercise frequencies during the pandemic were associated with better mood states (p < 0.05). Moreover, the effects of prepandemic exercise frequency on mood states are moderated by changes in exercise frequency during the pandemic (p < 0.05). Additionally, maintenance of exercise frequency during a pandemic specifically for frequent exercisers are recommended to preserve mood states. These results may provide evidence for health policies on exercise promotion and mental health before and during a future pandemic.

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Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected

Cited by 713 publications

References 6 publications

COVID‐19 related anxiety in children and adolescents with severe obesity: A mixed‐methods study

COVID‐19 related anxiety in children and adolescents with severe obesity: A mixed‐methods study

COVID-19 Pandemic Brings a Sedentary Lifestyle in Young Adults: A Cross-Sectional and Longitudinal Study

Exercise Behavior and Mood during the COVID-19 Pandemic in Taiwan: Lessons for the Future

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