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Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study

BACKGROUND: Beginning March 2020, the COVID-19 pandemic has disrupted different aspects of life. The impact on children's rate of weight gain has not been analysed. METHODS: In this retrospective cohort study, we used United States (US) Electronic Health Record (EHR) data from Optum® to calcula...

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Autores principales: Brooks, Corinne G., Spencer, Jessica R., Sprafka, J. Michael, Roehl, Kimberly A., Ma, Junjie, Londhe, Ajit A., He, Fang, Cheng, Alvan, Brown, Carolyn A., Page, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318998/
https://www.ncbi.nlm.nih.gov/pubmed/34337366
http://dx.doi.org/10.1016/j.eclinm.2021.101026
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author Brooks, Corinne G.
Spencer, Jessica R.
Sprafka, J. Michael
Roehl, Kimberly A.
Ma, Junjie
Londhe, Ajit A.
He, Fang
Cheng, Alvan
Brown, Carolyn A.
Page, John
author_facet Brooks, Corinne G.
Spencer, Jessica R.
Sprafka, J. Michael
Roehl, Kimberly A.
Ma, Junjie
Londhe, Ajit A.
He, Fang
Cheng, Alvan
Brown, Carolyn A.
Page, John
author_sort Brooks, Corinne G.
collection PubMed
description BACKGROUND: Beginning March 2020, the COVID-19 pandemic has disrupted different aspects of life. The impact on children's rate of weight gain has not been analysed. METHODS: In this retrospective cohort study, we used United States (US) Electronic Health Record (EHR) data from Optum® to calculate the age- and sex- adjusted change in BMI (∆BMI(adj)) in individual 6-to-17-year-old children between two well child checks (WCCs). The mean of individual ∆BMI(adj) during 2017–2020 was calculated by month. For September-December WCCs, the mean of individual ∆BMI(adj) (overall and by subgroup) was reported for 2020 and 2017–2019, and the impact of 2020 vs 2017–2019 was tested by multivariable linear regression. FINDINGS: The mean [95% Confidence Interval - CI] ∆BMI(adj) in September-December of 2020 was 0·62 [0·59,0·64] kg/m(2), compared to 0·31 [0·29, 0·32] kg/m(2) in previous years. The increase was most prominent in children with pre-existing obesity (1·16 [1·07,1·24] kg/m(2) in 2020 versus 0·56 [0·52,0·61] kg/m(2) in previous years), Hispanic children (0·93 [0·84,1·02] kg/m(2) in 2020 versus 0·41 [0·36,0·46] kg/m(2) in previous years), and children who lack commercial insurance (0·88 [0·81,0·95] kg/m(2) in 2020 compared to 0·43 [0·39,0·47] kg/m(2) in previous years). ∆BMI(adj) accelerated most in ages 8–12 and least in ages 15–17. INTERPRETATION: Children's rate of unhealthy weight gain increased notably during the COVID-19 pandemic across demographic groups, and most prominently in children already vulnerable to unhealthy weight gain. This data can inform policy decisions critical to child development and health as the pandemic continues to unfold. FUNDING: Amgen, Inc.
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spelling pubmed-83189982021-07-31 Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study Brooks, Corinne G. Spencer, Jessica R. Sprafka, J. Michael Roehl, Kimberly A. Ma, Junjie Londhe, Ajit A. He, Fang Cheng, Alvan Brown, Carolyn A. Page, John EClinicalMedicine Research Paper BACKGROUND: Beginning March 2020, the COVID-19 pandemic has disrupted different aspects of life. The impact on children's rate of weight gain has not been analysed. METHODS: In this retrospective cohort study, we used United States (US) Electronic Health Record (EHR) data from Optum® to calculate the age- and sex- adjusted change in BMI (∆BMI(adj)) in individual 6-to-17-year-old children between two well child checks (WCCs). The mean of individual ∆BMI(adj) during 2017–2020 was calculated by month. For September-December WCCs, the mean of individual ∆BMI(adj) (overall and by subgroup) was reported for 2020 and 2017–2019, and the impact of 2020 vs 2017–2019 was tested by multivariable linear regression. FINDINGS: The mean [95% Confidence Interval - CI] ∆BMI(adj) in September-December of 2020 was 0·62 [0·59,0·64] kg/m(2), compared to 0·31 [0·29, 0·32] kg/m(2) in previous years. The increase was most prominent in children with pre-existing obesity (1·16 [1·07,1·24] kg/m(2) in 2020 versus 0·56 [0·52,0·61] kg/m(2) in previous years), Hispanic children (0·93 [0·84,1·02] kg/m(2) in 2020 versus 0·41 [0·36,0·46] kg/m(2) in previous years), and children who lack commercial insurance (0·88 [0·81,0·95] kg/m(2) in 2020 compared to 0·43 [0·39,0·47] kg/m(2) in previous years). ∆BMI(adj) accelerated most in ages 8–12 and least in ages 15–17. INTERPRETATION: Children's rate of unhealthy weight gain increased notably during the COVID-19 pandemic across demographic groups, and most prominently in children already vulnerable to unhealthy weight gain. This data can inform policy decisions critical to child development and health as the pandemic continues to unfold. FUNDING: Amgen, Inc. Elsevier 2021-07-16 /pmc/articles/PMC8318998/ /pubmed/34337366 http://dx.doi.org/10.1016/j.eclinm.2021.101026 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Brooks, Corinne G.
Spencer, Jessica R.
Sprafka, J. Michael
Roehl, Kimberly A.
Ma, Junjie
Londhe, Ajit A.
He, Fang
Cheng, Alvan
Brown, Carolyn A.
Page, John
Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title_full Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title_fullStr Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title_full_unstemmed Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title_short Pediatric BMI changes during COVID-19 pandemic: An electronic health record-based retrospective cohort study
title_sort pediatric bmi changes during covid-19 pandemic: an electronic health record-based retrospective cohort study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318998/
https://www.ncbi.nlm.nih.gov/pubmed/34337366
http://dx.doi.org/10.1016/j.eclinm.2021.101026
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