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All Studies   Meta Analysis    Recent:   

Comparison of anthropometric parameters and laboratory test results before and after the COVID-19 outbreak among Chinese children aged 3–18 years

Dong et al., Frontiers in Public Health, doi:10.3389/fpubh.2023.1048087
Mar 2023  
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Retrospective 2,162 children 3-18 in China, showing 2.8 times greater vitamin D deficiency, and increased obesity, hypercholesterol, and hyperuricemia after extended COVID-19 lockdown in China.
Dong et al., 14 Mar 2023, retrospective, China, peer-reviewed, 7 authors. Contact: guannanbai@zju.edu.cn, shaojie@zju.edu.cn.
This PaperVitamin DAll
Comparison of anthropometric parameters and laboratory test results before and after the COVID-outbreak among Chinese children aged -years
Bojko Bjelakovic, Mohamed Ahmed Said, Zeinab A Kasemy, Jie Shao, Wen-Hong Dong, Tian-Miao Gu, Bing-Quan Zhu, Ying Shen, Xin-Yu He, Guan-Nan Bai
GN and Shao J ( ) Comparison of anthropometric parameters and laboratory test results before and after the COVID-outbreak among Chinese children aged -years.
Ethics statement The studies involving human participants were reviewed and approved by the Medical Ethics Committee of Children's Hospital, Zhejiang University School of Medicine. Written informed consent for participation was not provided by the participants' legal guardians/next of kin because: Data used in this study was retrieved from electronic records in the hospital. By the time this study was conducted, all participants have finished their health checkup and left the hospital. Considering no additional physical harm were added to the participants due to this study, informed consent was waived by the Medical Ethics Committee of Children's Hospital, Zhejiang University School of Medicine [Review number: 2021-IRB-185]. Author contributions WHD, TMG, GNB, and JS: study concept, design, and drafting of the manuscript. WHD, TMG, BQZ, and YS: acquisition of data. WHD, TMG, BQZ, YS, XYH, GNB, and JS: statistical analysis, interpretation of data, and critical revision of the manuscript for important intellectual content. JS: obtaining funding and study supervision. BQZ and JS: administrative, technical, or material support. All authors contributed to the article and approved the submitted version. Conflict of interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher's note All claims expressed in this article are solely those of the..
References
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Who, Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity
{ 'DOI': '10.3389/fpubh.2023.1048087', 'ISSN': ['2296-2565'], 'URL': 'http://dx.doi.org/10.3389/fpubh.2023.1048087', 'abstract': '<jats:sec><jats:title>Objective</jats:title><jats:p>To compare the physiological health of ' 'Chinese children around the COVID-19 ' 'lockdown.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We extracted ' "data on children's anthropometric and laboratory parameters from May to November in both 2019 " "and 2020 from the Health Checkup Center, Children's Hospital, Zhejiang University School of " 'Medicine, Hangzhou, China. Overall, 2162 children aged 3~18 years without comorbidities in ' '2019 and 2646 in 2020 were assessed. Mann Whitney U tests were used to compare differences ' 'between the above health indicators before and after COVID-19 outbreak. Quantile regression ' 'analyses adjusted for age, sex and body mass index (BMI) were also used in analysis. ' "Chi-square tests and Fisher's exact tests were used for comparing differences of categorical " 'variables.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Compared with ' 'children examined in 2019 before the outbreak, children in 2020 had a higher median z score ' 'of BMI for age (−0.16 vs. −0.31), total cholesterol (TC, 4.34 vs. 4.16 mmol/L), low density ' 'lipoprotein cholesterol (LDL-C, 2.48 vs. 2.15 mmol/L), high density lipoprotein cholesterol ' '(HDL-C, 1.45 vs. 1.43 mmol/L) and serum uric acid (290 vs. 282 μmol/L), and a lower ' 'hemoglobin (Hb, 134 vs. 133 g/L), triglycerides (TG, 0.70 vs. 0.78 mmol/L) and 25(OH)D (45.8 ' 'vs. 52.2 nmol/L), all <jats:italic>P</jats:italic> &amp;lt; 0.05. No differences were ' 'identified for waist height ratio, blood pressure and fasting glucose (both ' '<jats:italic>P</jats:italic> &amp;gt; 0.05). However, in regression models after adjusting, ' 'BMI, TC, LDL-C, blood glucose and sUA were positively correlated with year; while Hb, TG and ' '25(OH)D were negatively correlated with year (all <jats:italic>P</jats:italic> &amp;lt; ' '0.05). Accordingly, children in 2020 had a higher prevalence of overweight/obesity (20.6 vs. ' '16.7%, <jats:italic>P</jats:italic> &amp;lt; 0.001), hypercholesterol (16.2%vs. 10.2%, ' '<jats:italic>P</jats:italic> &amp;lt; 0.001), high LDL-C (10 vs. 2.9%, ' '<jats:italic>P</jats:italic> &amp;lt; 0.001), hyperuricemia (18.9 vs.15.1%, ' '<jats:italic>P</jats:italic> = 0.002), vitamin D deficiency (22.6 vs. 8.1%, ' '<jats:italic>P</jats:italic> &amp;lt; 0.001) and a lower prevalence of high TG (4.3 vs. 2.8%, ' '<jats:italic>P</jats:italic> = 0.018) compared with children in ' '2019.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In this ' 'real-world study, we found that long-term lockdown due to COVID-19 outbreak might cause ' "adverse impact on children's metabolic health, which might increase their future risk of " 'cardiovascular diseases. Thus, parents, health professionals, educationists, and caregivers ' "should pay more attention to children's dietary pattern and lifestyle, especially in this new " 'normal against COVID-19.</jats:p></jats:sec>', 'alternative-id': ['10.3389/fpubh.2023.1048087'], 'author': [ {'affiliation': [], 'family': 'Dong', 'given': 'Wen-Hong', 'sequence': 'first'}, {'affiliation': [], 'family': 'Gu', 'given': 'Tian-Miao', 'sequence': 'additional'}, {'affiliation': [], 'family': 'Zhu', 'given': 'Bing-Quan', 'sequence': 'additional'}, {'affiliation': [], 'family': 'Shen', 'given': 'Ying', 'sequence': 'additional'}, {'affiliation': [], 'family': 'He', 'given': 'Xin-Yu', 'sequence': 'additional'}, {'affiliation': [], 'family': 'Bai', 'given': 'Guan-Nan', 'sequence': 'additional'}, {'affiliation': [], 'family': 'Shao', 'given': 'Jie', 'sequence': 'additional'}], 'container-title': 'Frontiers in Public Health', 'container-title-short': 'Front. Public Health', 'content-domain': {'crossmark-restriction': True, 'domain': ['frontiersin.org']}, 'created': {'date-parts': [[2023, 3, 14]], 'date-time': '2023-03-14T05:24:43Z', 'timestamp': 1678771483000}, 'deposited': { 'date-parts': [[2023, 3, 14]], 'date-time': '2023-03-14T05:24:51Z', 'timestamp': 1678771491000}, 'funder': [ { 'DOI': '10.13039/501100012166', 'doi-asserted-by': 'publisher', 'name': 'National Key Research and Development Program of China'}, { 'DOI': '10.13039/501100001809', 'doi-asserted-by': 'publisher', 'name': 'National Natural Science Foundation of China'}], 'indexed': {'date-parts': [[2023, 3, 15]], 'date-time': '2023-03-15T04:48:32Z', 'timestamp': 1678855712988}, 'is-referenced-by-count': 0, 'issued': {'date-parts': [[2023, 3, 14]]}, 'license': [ { 'URL': 'https://creativecommons.org/licenses/by/4.0/', 'content-version': 'vor', 'delay-in-days': 0, 'start': { 'date-parts': [[2023, 3, 14]], 'date-time': '2023-03-14T00:00:00Z', 'timestamp': 1678752000000}}], 'link': [ { 'URL': 'https://www.frontiersin.org/articles/10.3389/fpubh.2023.1048087/full', 'content-type': 'unspecified', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'member': '1965', 'original-title': [], 'prefix': '10.3389', 'published': {'date-parts': [[2023, 3, 14]]}, 'published-online': {'date-parts': [[2023, 3, 14]]}, 'publisher': 'Frontiers Media SA', 'reference': [ {'key': 'B1', 'unstructured': 'Coronavirus Disease (COVID-19) Pandemic'}, {'key': 'B2', 'unstructured': 'WHO Coronavirus (COVID-19) Dashboard'}, { 'DOI': '10.1001/jama.2020.6130', 'article-title': 'Association of public health interventions with the epidemiology of the ' 'COVID-19 outbreak in Wuhan, China', 'author': 'Pan', 'doi-asserted-by': 'publisher', 'first-page': '1915', 'journal-title': 'JAMA.', 'key': 'B3', 'volume': '19', 'year': '2020'}, { 'DOI': '10.1186/s12967-020-02399-5', 'article-title': 'Eating habits and lifestyle changes during COVID-19 lockdown: an ' 'Italian survey', 'author': 'Di Renzo', 'doi-asserted-by': 'publisher', 'first-page': '229', 'journal-title': 'J Transl Med.', 'key': 'B4', 'volume': '1', 'year': '2020'}, { 'DOI': '10.3390/nu13041197', 'article-title': 'An Italian survey on dietary habits and changes during the COVID-19 ' 'lockdown', 'author': 'Izzo', 'doi-asserted-by': 'publisher', 'first-page': '1197', 'journal-title': 'Nutrients.', 'key': 'B5', 'volume': '13', 'year': '2021'}, { 'DOI': '10.3390/ijerph17186469', 'article-title': 'Changes in physical activity and sedentary behavior in response to ' 'COVID-19 and their associations with mental health in 3052 US adults', 'author': 'Meyer', 'doi-asserted-by': 'publisher', 'first-page': '6469', 'journal-title': 'Int J Environ Res Public Health.', 'key': 'B6', 'volume': '17', 'year': '2020'}, { 'DOI': '10.1016/j.appet.2020.105015', 'article-title': 'Changes in dietary patterns among youths in China during COVID-19 ' 'epidemic: the COVID-19 impact on lifestyle change survey (COINLICS)', 'author': 'Jia', 'doi-asserted-by': 'publisher', 'first-page': '105015', 'journal-title': 'Appetite.', 'key': 'B7', 'volume': '158', 'year': '2021'}, { 'DOI': '10.1167/iovs.62.10.37', 'article-title': 'COVID-19 home quarantine accelerated the progression of myopia in ' 'children aged 7 to 12 years in China', 'author': 'Ma', 'doi-asserted-by': 'publisher', 'first-page': '37', 'journal-title': 'Invest Ophthalmol Vis Sci.', 'key': 'B8', 'volume': '62', 'year': '2021'}, { 'DOI': '10.3390/nu13030930', 'article-title': "Lifestyle changes and determinants of children's and adolescents' body " 'weight increase during the first COVID-19 lockdown in Greece: the ' 'COV-EAT study', 'author': 'Androutsos', 'doi-asserted-by': 'publisher', 'first-page': '930', 'journal-title': 'Nutrients.', 'key': 'B9', 'volume': '13', 'year': '2021'}, { 'key': 'B10', 'unstructured': "Ministry of Education of the People's Republic of China. 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