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新冠疫情封锁对北非儿童健康的影响。

Impact of COVID-19 Lockdown on Children's Health in North Africa.

机构信息

Laboratory of Molecular and Cellular Biology, Faculty of Natural Sciences and Life Sciences, Mentouri Brothers University, Constantine, Algeria.

Université Paris Cité, URP 3625 - Institute of Health and Sports Science of Paris (I3SP), 75015, Paris, France.

出版信息

Matern Child Health J. 2022 Aug;26(8):1701-1708. doi: 10.1007/s10995-022-03441-2. Epub 2022 Apr 18.

Abstract

OBJECTIVES

Lockdown measures have been adopted in many countries around the world to control the spread of COVID-19. These measures induced long confinement period that may have had an unintended negative impact on children's life behaviors and health. This study aimed to investigate the impact of behaviors related to COVID-19 confinement on body weight/BMI changes in children from Constantine, Algeria.

METHODS

This was a cross-sectional survey based on children aged 5 to 12 years dwelling in any province of Constantine. Parents of children completed an online-distributed questionnaire at two time points (between April and May and anther time between 11th July and 10th august 2020). The questionnaire assessed sociodemographic information, anthropometric data, physical activity, dietary, eating habits, and other factors related to children's lifestyle before and during lockdown. Paired before and during lockdown comparison for each lifestyle multiple statistic tests were performed to assess associations among before and during lockdown data.

RESULTS

275 questionnaires were completed (59.7%). Mean self-reported weight and BMI significantly increased by 1.43 kg and 0.84 kg/meter 2, respectively. Among the examined variables, increased unhealthy food consumption, snacks, number of daily meals taken, low physical activity and increased sedentary behaviors were significantly correlated with higher body weight gain (P < 0.005). These behaviors may not only have a significant impact on the development of childhood obesity but also on the deterioration of the mental state of the children surveyed.

CONCLUSION

Restrictive measures during the COVID-19 lockdown, and home confinement, school closure makes children more vulnerable to environmental risks. Results from this study highlight the risk associated with a shift in eating habits, increased dietary intake, decreased physical activity, increased sedentary behaviors, and their impact in exacerbating the gain in body weight and BMI.

摘要

目的

为了控制 COVID-19 的传播,许多国家都采取了封锁措施。这些措施导致了长时间的禁闭,可能对儿童的生活行为和健康产生了意想不到的负面影响。本研究旨在调查与 COVID-19 禁闭相关的行为对阿尔及利亚君士坦丁儿童体重/体重指数变化的影响。

方法

这是一项基于居住在君士坦丁省任何省份的 5 至 12 岁儿童的横断面调查。儿童的父母在两个时间点(4 月至 5 月和 2020 年 7 月 11 日至 8 月 10 日之间的另一个时间)完成了在线分发的问卷。问卷评估了社会人口统计学信息、人体测量数据、体育活动、饮食、饮食习惯以及与儿童生活方式相关的其他因素在封锁前后。对每个生活方式的前后封锁比较进行了多次统计检验,以评估封锁前后数据之间的关联。

结果

完成了 275 份问卷(59.7%)。自我报告的体重和 BMI 分别平均增加了 1.43 公斤和 0.84 公斤/平方米。在所检查的变量中,不健康食物消费、零食、每日用餐次数、低体力活动和久坐行为增加与体重增加较高显著相关(P < 0.005)。这些行为不仅可能对儿童肥胖的发展产生重大影响,而且还可能对调查儿童的精神状态恶化产生重大影响。

结论

COVID-19 封锁期间和家庭禁闭、学校关闭使儿童更容易受到环境风险的影响。本研究的结果强调了饮食习惯改变、饮食摄入增加、体力活动减少、久坐行为增加及其对体重和 BMI 增加的影响的相关风险。

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