In some families, this led to increased conflicts. Several studies have underlined the importance of healthy family dynamics during lockdown [5, 39-41]. Our quantitative analyses showed that on group level, the time spent on PA decreased significantly. Furthermore, we compared validated questionnaire data longitudinally, enabling us to identify the children who improved or deteriorated during lockdown. Time spent on physical activities and screen time pre-pandemic and during lockdown. Basic questionnaires Dutch youth health monitor 2019. Varni JW, Seid M, Kurtin PS. When zooming in on our study population during lockdown, children who managed to adhere to PA guidelines during lockdown were significantly younger (9.2 vs. 13.2 years) and more often adhered to PA guidelines pre-pandemic. Dutch National Institute for Public Health and the Environment. Tong A, Sainsbury P, Craig J. conducted a semi-structured telephone interview to evaluate and explore the effects of the lockdown measures on the childrens lifestyle behaviors and HRQoL. 2021. Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. eCollection 2021. Association digital media usage with changes in sleep pattern. Please enable it to take advantage of the complete set of features! Accordingly, the absence of a further decline in mean total PedsQL score in our population could be explained by a ceiling effect. En ce qui concerne le niveau dducation, des valeurs statistiquement significatives ont t notes pour lutilisation des alarmes avant et aprs le dbut de la quarantaine (p = 0,021 et p = 0,004, respectivement). [cited 2020 Aug 7; Available from:/pmc/articles/PMC7194577/?report=Abstract] It has been suggested that the impact of the COVID-19 lockdown measures on lifestyle behaviors and general well-being of children and adolescents is larger than that of the infection itself [1]. Their childrens baseline characteristics did not differ from those who did not complete the questionnaire (all p values >0.05, online suppl. Moreover, equivocal changes in food choices are described, with both increased intake of healthy foods such as fruit and vegetables as well as increased intake of unhealthy food categories reported [6, 8-10]. Kleinendorst L, Abawi O, van der Voorn B, Jongejan MHTM, Brandsma AE, Visser JA, et al. Baseline characteristics were not associated with changes in restrained eating (all p values >0.05). -, Bilal, Latif F., Bashir M.F., Komal B., Tan D. Role of electronic media in mitigating the psychological impacts of novel coronavirus (COVID-19) Psychiatry Res. Most of these children lived in urban areas (20/21, 95%, p = 0.033), were <10 years old (19/21, 90%, p < 0.001), and showed signs of insatiable behavior (17/21, 81%, p < 0.001). These were associated with family characteristics such as living in single-parent families, having less space at home, having multiple siblings, having pre-existent medical problems in the family, and changes in parental working conditions [40, 42, 43]. Children with high emotional or external eating scores during lockdown or pre-existent psychosocial problems had the lowest HRQoL (p < 0.01). Although we and others did not find a statistically significant effect of SES z-score on our outcomes on group level [7], our qualitative data suggest that children from families with lower SES might have more challenges to face. bipasha Furthermore, it was assessed whether the child fulfills the WHO Global Recommendations on Physical Activity for Health criterion of 1 h of moderate- to high-intensity daily PA [27]. World Health Organization. took part in the conceptualization, investigation, methodology, writing, reviewing and editing. The data that support the findings of this study are not publicly available due to their containing information that could compromise the privacy of research participants but are available from the Data sharing committee (CGG Steering Committee, Dr. E.L.T. Allington D., Duffy B., Wessely S., Dhavan N., Rubin J. Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Their childrens baseline characteristics did not differ from those that did not complete the questionnaire (all p values >0.05, online suppl. Qualitative analyses showed that a minority of families kept adhering to strict schedules and reported no changes or improved lifestyle behaviors, whereas a substantial part of families reported a deterioration in PA, eating behaviors and HRQoL. All interviews were independently coded by 2 physicians (O.A., M.S.W.) Families who reported no changes (n = 15) or improved eating behaviors (n = 11) attributed this to already existing strict eating schemes that they kept adhering to during lockdown. This mixed-methods study was performed within a larger observational study [19] investigating diagnostic and therapeutic aspects of severe pediatric obesity (defined by a body mass index [BMI] above the age- and sex-specific International Obesity Task Force cut-off values that correspond to a BMI of 35 kg/m2 at age 18 years) [20]. An increased demand for food by the child was reported for 21/75 (28%) children. All these findings indicate the decline in mental health of students due to the lockdown. We identified one other study that measured HRQoL using the PedsQL during lockdown in children from the general population, which reported an almost 15 points higher mean total score compared to our population [37]. Several parents reported difficulties with the increased demand of combining working from home themselves with all different parenting roles: having to organize homeschooling, motivate their children to engage in PA, and control their eating behavior. 2022 Mar 15;13:830935. doi: 10.3389/fpsyg.2022.830935. To date, one Saudi-Arabian study reported prevalence of high emotional eating in healthy young women (12% vs. 47% in our population) and found a positive association with BMI and perceived stress [36]. Lpez-Bueno R, Lpez-Snchez GF, Casajs JA, Calatayud J, Gil-Salmern A, Grabovac I, et al. Reevaluate cardio-metabolic risk and emotional state before infertility treatments. Notably, our study population has higher DEBQ-C scores pre-pandemic as can be expected in a population with severe obesity [12]. This did not change significantly during lockdown (27/55, 49%, p = 0.33 vs. pre-pandemic). The percentage of women worried about their planning infertility treatment was more than 50 %. Additionally, we performed drop-out analyses in which we analyzed differences in baseline characteristics between included and excluded patients, as well as patients who participated in the telephone interviews or completed each of the questionnaires versus those who did not. Reasons for not succeeding were anxiety for COVID-19 infection in children and/or parents to leave the house and preference of child to perform PA with peers rather than parents. Quantitative analyses revealed that on group level, PA declined, whereas noneducational screen time, eating styles, and HRQoL did not change significantly. Before lockdown 36.4 % women were snack consumers while during lockdown 55 % (p=.002). Careers. En raison de la pandmie de COVID-19, de nombreux pays ont impos des verrouillages leurs citoyens pour tenter de contenir la maladie. All data were analysed using Statistical Package for Social Science (SPSS) version 23.0 (IBM Corp., Armonk, NY). Increase in prevalence of overweight in dutch children and adolescents: a comparison of nationwide growth studies in 1980, 1997 and 2009. van Strien T, Oosterveld P. The childrens DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Carroll N, Sadowski A, Laila A, Hruska V, Nixon M, Ma DWL, et al. COVID-19 confinement and changes of adolescents dietary trends in Italy, Spain, Chile, Colombia and Brazil. Felix J, Stark R, Teuner C, Leidl R, Lennerz B, Brandt S, et al. These children and their families should be targeted by health care professionals to minimize negative physical and mental health consequences. A strength of our study is the evaluation of multiple lifestyle behaviors and well-being that are known to have reciprocal interactions, in a unique population of children with severe obesity. took part in the conceptualization, data curation, formal analysis, investigation, methodology, project administration, resources, software, supervision, validation, visualization, writing, reviewing and editing, and verifying the underlying data. Of these families, 83 participated in the quantitative analyses and 75 in the telephone interviews. De plus, il explore limpact de ces changements sur la sant mentale des lves de diffrents niveaux dducation. Abawi O, Welling MS, van den Eynde E, van Rossum EFC, Halberstadt J, van den Akker ELT, et al. Qualitative analyses were performed according to the Grounded Theory. Psychiatr Danub. Health Info Libr J. Association of changes in sleep pattern with mental health of students. Characteristics of the included children were: mean age 11.2 4.6 years, 52% female, mean BMI SD-score +3.8 1.0. Contrary to our expectations, we did not identify statistically significant changes in emotional eating or external eating on group level during lockdown. 2021. Chacune des 4 autres sections tait consacre aux changements dans les habitudes de sommeil, la perception de lcoulement du temps, lutilisation des mdias numriques et ltat de sant mentale des lves. Neshteruk CD, Zizzi A, Suarez L, Erickson E, Kraus WE, Li JS, et al. In line with recent findings, encouragement from parents or peers seemed important [2, 4, 5, 32]. On March 8, 2020, the Italian Government implemented extraordinary measures to limit viral transmission of COV-19/SARS-CoV-2. Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL 4.0 generic core scales. This might further exacerbate the negative impact of COVID-19 lockdown in this patient population. We found an already existing MyKarger account with this e-mail address: To reset your password, enter your e-mail address or your user ID you registered with. Other reasons were increased conflicts regarding eating behavior, loss of predictability of daily structure, missing social contacts with friends, family, and/or teachers, and the limited possibilities in daily activities. Moreover, increased parental COVID-19-related stress was found to be associated with non-nutritive use of food and snacks, such as emotional and instrumental feeding [44]. Whitaker M, Elliott J, Chadeau-Hyam M, Riley S, Darzi A, Cooke G, Ward H, Elliott P. Nat Commun. Our research has revealed that due to the lockdown imposed by the government in response to COVID-19, the sleeping patterns of the students was affected the most. 1). The impact of COVID-19 on health behavior, stress, financial and food security among middle to high income Canadian families with young children. and transmitted securely. However, all relevant information was documented comprehensively in the medical records using an extensive pre-defined format. 2021 Elsevier Masson SAS. Fourteen (19%) families reported positive changes in family dynamics. Luijten MAJ, van Muilekom MM, Teela L, van Oers HA, Terwee CB, Zijlmans J, et al. Lancet. Two-thirds of the respondents did not have much trouble falling asleep (66.5%). A substantial part of families reported increased tensions and difficulties with juggling between competing parenting roles during lockdown. The following statistical tests were used: for unpaired data, t tests for normally distributed continuous variables, Mann-Whitney tests for non-normally distributed continuous data, and 2 tests/Fishers exact tests for categorical data, as appropriate. Notre recherche a rvl quen raison du verrouillage impos par le gouvernement en rponse au COVID-19, les habitudes de sommeil des tudiants taient les plus affectes. 2021. -. Unable to load your collection due to an error, Unable to load your delegates due to an error. Lge moyen des participants tait de 19,40 1,62 ans. Adams EL, Caccavale LJ, Smith D, Bean MK. Calcaterra V, Vandoni M, Pellino VC, Cena H. Special attention to diet and physical activity in children and adolescents with obesity during the coronavirus disease-2019 pandemic. Percentile scores ranging from 0 to 100 were calculated based on population norms [25], and were recoded into low (p80) scores. Families that experienced no difficulties in adapting had pre-existent or newly implemented strict daily schedules in place to help their children to keep the normal structure of school weeks as much as possible. Methods: Population-based studies in children and adolescents across the world have shown overall decreases in physical activity (PA) and increases in screen time and sedentary behavior [2-7]. The mean age of the participants was 19.40 1.62 years. fibonacci The https:// ensures that you are connecting to the This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). The presented data were prospectively collected for health care purposes according to standardized protocols and were recorded in the patients medical records. Our findings show that the increase in use of social media applications led to a widespread increase in the length of sleep, worsening of sleep habits (people sleeping at much later hours than usual), and a general feeling of tiredness. Parmi ceux-ci, une majorit (85,8 %) avait une sensation gnrale de fatigue et manquait de motivation (p = 0,023). Table 1). On group level, PA significantly decreased and in substantial minorities eating styles and HRQoL deteriorated. PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Some families bought sports equipment to enhance possibilities, such as a punching ball or trampoline. In our population, families who reported improved dynamics attributed this to increased family time and more space for each others emotions. During the first month of the lockdown (April 223, 2020), we contacted all parents of children (including adolescents up to 18 years) who were under treatment at the Obesity Center CGG at the academic center Erasmus MC-Sophia Childrens Hospital (online suppl. Persistent COVID-19 symptoms in a community study of 606,434 people in England. took part in the conceptualization, data curation, formal analysis, investigation, methodology, project administration, validation, visualization, writing the original draft, and verifying the underlying data. Children and adolescents and digital media. relief battling sanparks exacerbated stave outbreak Furthermore, it was evaluated whether baseline characteristics (i.e., age, sex, ethnicity, SES z-score, living in urban vs. rural areas, signs of insatiable behavior, autism, intellectual disability/developmental delay, or psychosocial problems) influenced the results of our qualitative and quantitative analyses using 2 tests or linear regression. Children with pre-existent psychosocial problems, insatiable behavior, or pre-existent high external or emotional eating were most at risk for the negative effects on lifestyle behaviors and well-being.