Cody D Neshteruk1, Alexandra Zizzi2, Lilianna Suarez3, Elizabeth Erickson2, William E Kraus3, Jennifer S Li2,3,4, Asheley C Skinner1,4, Mary Story5, Nancy Zucker6, Sarah C Armstrong1,2,4. 1. Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA. 2. Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA. 3. Department of Medicine, Duke University School of Medicine, Durham, NC, USA. 4. Duke Clinical Research Institute, Duke University, Durham, NC, USA. 5. Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA. 6. Department of Psychiatry and Behavioral Science, Duke University, Durham, NC, USA.
Abstract
Background: During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of the COVID-19 pandemic. Methods:Semistructured interviews (n = 51) were conducted from April to June 2020 with parents of children with obesity. Families were participants in a randomized trial testing a clinic-community pediatric obesity treatment model. During interviews, families described their experience during the COVID-19 pandemic, with a particular emphasis on children's diet, physical activity, sleep, and screen time behaviors. Rapid qualitative analysis methods were used to identify themes around changes in children's weight-related behaviors. Results:The mean child age was 9.7 (±2.8) years and the majority of children were Black (46%) or Hispanic (39%) and from low-income families (62%). Most parent participants were mothers (88%). There were differences in the perceived physical activity level of children, with some parents attributing increases in activity or maintenance of activity level to increased outdoor time, whereas others reported a decline due to lack of outdoor time, school, and structured activities. Key dietary changes included increased snacking and more meals prepared and consumed at home. There was a shift in sleep schedules with children going to bed and waking up later and an increase in leisure-based screen time. Parents played a role in promoting activity and managing children's screen time. Conclusions: The COVID-19 pandemic has created unique lifestyle challenges and opportunities for lifestyle modification. Clinical Trials ID: NCT03339440.
RCT Entities:
Background: During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of the COVID-19 pandemic. Methods: Semistructured interviews (n = 51) were conducted from April to June 2020 with parents of children with obesity. Families were participants in a randomized trial testing a clinic-community pediatric obesity treatment model. During interviews, families described their experience during the COVID-19 pandemic, with a particular emphasis on children's diet, physical activity, sleep, and screen time behaviors. Rapid qualitative analysis methods were used to identify themes around changes in children's weight-related behaviors. Results: The mean child age was 9.7 (±2.8) years and the majority of children were Black (46%) or Hispanic (39%) and from low-income families (62%). Most parent participants were mothers (88%). There were differences in the perceived physical activity level of children, with some parents attributing increases in activity or maintenance of activity level to increased outdoor time, whereas others reported a decline due to lack of outdoor time, school, and structured activities. Key dietary changes included increased snacking and more meals prepared and consumed at home. There was a shift in sleep schedules with children going to bed and waking up later and an increase in leisure-based screen time. Parents played a role in promoting activity and managing children's screen time. Conclusions: The COVID-19 pandemic has created unique lifestyle challenges and opportunities for lifestyle modification. Clinical Trials ID: NCT03339440.
Authors: P Nowicka; A Ek; I E Jurca-Simina; C Bouzas; E Argelich; K Nordin; S García; M Y Vasquez Barquero; U Hoffer; H Reijs Richards; J A Tur; A Chirita-Emandi; K Eli Journal: BMC Public Health Date: 2022-05-17 Impact factor: 4.135
Authors: Mila S Welling; Ozair Abawi; Emma van den Eynde; Elisabeth F C van Rossum; Jutka Halberstadt; Annelies E Brandsma; Lotte Kleinendorst; Erica L T van den Akker; Bibian van der Voorn Journal: Obes Facts Date: 2021-11-05 Impact factor: 4.807
Authors: Cody D Neshteruk; Gina L Tripicchio; Stephanie Lobaugh; Amber E Vaughn; Courtney T Luecking; Stephanie Mazzucca; Dianne S Ward Journal: Int J Environ Res Public Health Date: 2021-07-09 Impact factor: 3.390