ÖZET
Amaç:
Pandemi döneminde uygulanan karantina tüm dünyayı sağlık açısından ve sosyal ve ekonomik açılardan etkilemiştir. Bu çalışma, pandeminin çocukların boy ve kiloları üzerindeki etkisini tespit etmek için planlanmıştır.
Yöntemler:
Çalışma, retrospektif bir kohort çalışmasıdır. 2020-2022 yılları arasında, pediyatri polikliniğinde üç yıl boyunca takip edilen 48 ile 144 aylık hastalar çalışmaya dahil edilmiştir. Hastaların boy ve kilo persentilleri ile vücut kitle indeksi değerleri kaydedilmiştir.
Bulgular:
Çalışmaya 80 çocuk dahil edilmiştir. Çocukların 2020-2022 yılları arasındaki yıllık vücut ağırlığı persentil değerlerinin yıllara göre istatistiksel olarak anlamlı bir şekilde arttığı belirlendi. Çocukların yaş durumu ile vücut ağırlığı ve boy persentil değerlerinde ise her üç yılda da 48-59 aylık çocukların ağırlık persentil değerlerinde anlamlı bir artış olduğu tespit edildi (p değeri sırasıyla; 0,00, 0,00 ve 0,00). Boy persentil değerinde 2020-2021 yılları arasında bir değişiklik olmazken, 2021 ve 2022 arasında ve 2020 ve 2022 arasında değişiklik gözlendi. Altmış-95 aylık çocuklarda 2020-2021 yılları arasında vücut ağırlığı persentil değerlerinde artış görülmezken, takip eden iki yılda artış gözlendi (p değeri sırasıyla; 0,00 ve 0.00). Doksan altı-144 aylık çocuklarda ise ağırlık ve boy persentil değerlerinde yıllara göre istatistiksel olarak anlamlı bir artış görülmedi.
Sonuç:
Pandemi çocuklarda kilo alımına neden olmuş ve obezite prevalansını artırmıştır. Bu artış 48-59 aylık çocuklarda daha belirgin iken, 96-144 ay arası çocuklarda kilo artışı gözlenmemiştir.
References
1
Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg 2020;78:185-93.
2
Philippe K, Chabanet C, Issanchou S, Monnery-Patris S. Child eating behaviors, parental feeding practices and food shopping motivations during the COVID-19 lockdown in France: (How) did they change? Appetite 2021;161:105132.
3
Gwag SH, Oh YR, Ha JW, Kang E, Nam HK, Lee Y. Weight changes of children in 1 year during COVID-19 pandemic. J Pediatr Endocrinol Metab 2021;35:297-302.
4
So HK, Chua GT, Yip KM, Tung KTS, Wong RS, Louie LHT, et al. Impact of COVID-19 Pandemic on School-Aged Children’s Physical Activity, Screen Time, and Sleep in Hong Kong: A Cross-Sectional Repeated Measures Study. Int J Environ Res Public Health 2022;19:10539.
5
Maggio ABR, Gal-Dudding C, Martin X, Chamay-Weber C. Evaluation of the impact of the COVID-19 lockdown on BMI in children and adolescents with or without obesity. BMC Pediatr 2022;22:509.
6
Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring) 2020;28:1382-5.
7
Burkart S, Parker H, Weaver RG, Beets MW, Jones A, Adams EL, et al. Impact of the COVID-19 pandemic on elementary schoolers’ physical activity, sleep, screen time and diet: A quasi-experimental interrupted time series study. Pediatr Obes 2022;17:e12846.
8
Jebeile H, Kelly AS, O’Malley G, Baur LA. Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol 2022;10:351-65.
9
Chang TH, Chen YC, Chen WY, Chen CY, Hsu WY, Chou Y, et al. Weight Gain Associated with COVID-19 Lockdown in Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients 2021;13:3668.
10
Valenzise M, D'Amico F, Cucinotta U, Lugarà C, Zirilli G, Zema A, Wasniewska M, Pajno GB. The lockdown effects on a pediatric obese population in the COVID-19 era. Ital J Pediatr. 2021;47:209.
11
Woolford SJ, Sidell M, Li X, Else V, Young DR, Resnicow K, et al. Changes in Body Mass Index Among Children and Adolescents During the COVID-19 Pandemic. JAMA 2021;326:1434-6.
12
Jenssen BP, Kelly MK, Powell M, Bouchelle Z, Mayne SL, Fiks AG. COVID-19 and Changes in Child Obesity. Pediatrics 2021;147:e2021050123.
13
Al Hourani H, Alkhatib B, Abdullah M. Impact of COVID-19 Lockdown on Body Weight, Eating Habits, and Physical Activity of Jordanian Children and Adolescents. Disaster Med Public Health Prep 2021;16:1855-63.
14
An R. Projecting the impact of the coronavirus disease-2019 pandemic on childhood obesity in the United States: A microsimulation model. J Sport Health Sci 2020;9:302-12.
15
Shalitin S, Phillip M, Yackobovitch-Gavan M. Changes in body mass index in children and adolescents in Israel during the COVID-19 pandemic. Int J Obes (Lond) 2022;46:1160-7.
16
Vinker-Shuster M, Grossman ES, Yeshayahu Y. Increased Weight Gain of Children during the COVID-19 Lockdown. Isr Med Assoc J 2021;23:219-22.
17
Fäldt A, Nejat S, Edvinsson Sollander S, Durbeej N, Holmgren A. Increased incidence of overweight and obesity among preschool Swedish children during the COVID-19 pandemic. Eur J Public Health 2023;33:127-131.
18
Wen J, Zhu L, Ji C. Changes in weight and height among Chinese preschool children during COVID-19 school closures. Int J Obes (Lond) 2021;45:2269-73.
19
Nelson JA, O’Brien M, Blankson AN, Calkins SD, Keane SP. Family stress and parental responses to children’s negative emotions: tests of the spillover, crossover, and compensatory hypotheses. J Fam Psychol 2009;23:671-9.
20
Russell BS, Hutchison M, Tambling R, Tomkunas AJ, Horton AL. Initial Challenges of Caregiving During COVID-19: Caregiver Burden, Mental Health, and the Parent-Child Relationship. Child Psychiatry Hum Dev 2020;51:671-82.
21
Leon Rojas D, Castorena Torres F, Garza-Ornelas BM, Castillo Tarquino AM, Salinas Silva CA, Almanza Chanona JL, et al. Parents and school-aged children’s mental well-being after prolonged school closures and confinement during the COVID-19 pandemic in Mexico: A cross-sectional online survey study. BMJ Paediatr Open 2022;6:e001468.
22
Akcay D, Yıldırımlar A, Opinions Of Parents About The Foods Sold In School Canteens. Balıkesir Health Sciences 2018;7:14-22.
23
Woo S, Yang H, Kim Y, Lim H, Song HJ, Park KH. Sedentary Time and Fast-Food Consumption Associated With Weight Gain During COVID-19 Lockdown in Children and Adolescents With Overweight or Obesity. J Korean Med Sci 2022;37:e103.
24
Arayess L, Knockaert N, Winkens B, Lubrecht JW, Verweij M, Vreugdenhil ACE. The Side-Effects of the COVID-19 Pandemic: Increased BMI z-Score in Children with Overweight and Obesity in a Personalised Lifestyle Intervention One Year after the Start of the Pandemic in The Netherlands. Nutrients 2022;14:1942.
25
Dubnov-Raz G, Maor S, Ziv-Baran T. Pediatric obesity and body weight following the COVID-19 pandemic. Child Care Health Dev 2022;48:881-5.
26
Ramos-Álvarez O, Arufe-Giráldez V, Cantarero-Prieto D, Ibáñez-García A. Impact of SARS-CoV-2 Lockdown on Anthropometric Parameters in Children 11/12 Years Old. Nutrients 2021;13:4174.
27
Kenđel Jovanović G, Dragaš Zubalj N, Klobučar Majanović S, Rahelić D, Rahelić V, Vučak Lončar J, et al. The Outcome of COVID-19 Lockdown on Changes in Body Mass Index and Lifestyle among Croatian Schoolchildren: A Cross-Sectional Study. Nutrients 2021;13:3788.
28
Mulugeta W, Hoque L. Impact of the COVID-19 lockdown on weight status and associated factors for obesity among children in Massachusetts. Obes Med 2021;22:100325.
29
Androutsos O, Perperidi M, Georgiou C, Chouliaras G. Lifestyle Changes and Determinants of Children’s and Adolescents’ Body Weight Increase during the First COVID-19 Lockdown in Greece: The COV-EAT Study. Nutrients 2021;13:930.
30
Surekha BC, Karanati K, Venkatesan K, Sreelekha BC, Kumar VD. E-Learning During COVID-19 Pandemic: A Surge in Childhood Obesity. Indian J Otolaryngol Head Neck Surg 2022;74(Suppl 2):3058-64.
31
Pujia R, Ferro Y, Maurotti S, Khoory J, Gazzaruso C, Pujia A, et al. The Effects of COVID-19 on the Eating Habits of Children and Adolescents in Italy: A Pilot Survey Study. Nutrients 2021;13:2641.
32
Cipolla C, Curatola A, Ferretti S, Giugno G, Condemi C, Delogu AB, et al. Eating habits and lifestyle in children with obesity during the COVID19 lockdown: a survey in an Italian center. Acta Biomed 2021;92:e2021196.
33
Benmerzoug M, Djoudi B, Debbache A, Harbouche A, Dehmani ID, Djekkoun N, et al. Impact of COVID-19 Lockdown on Children’s Health in North Africa. Matern Child Health J 2022;26:1701-8.
34
Faienza MF, Colaianni V, Di Ciaula A, Bonfrate L, Urbano F, Chiarito M, et al. Different Variation of Intra-familial Body Mass Index subjected to Covid-19 Lockdown. J Gastrointestin Liver Dis 2022;31:198-205.
