Impact of COVID-19 lockdown on adolescents in treatment for obesity

Article Article scientifique Article Impact of COVID-19 lockdown on adolescents in treatment for obesity eng 2023-08-02 2023-10 author Chamay-Weber Catherine Health and Movement Consultation, Division of Pediatric Specialties, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland; Adolescent Health Unit, Division of General Pediatrics, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland. Electronic address: Catherine.chamayweber@hcuge.ch. 37874 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Gelmini Alexandra Health and Movement Consultation, Division of Pediatric Specialties, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland. 104451 author Gal-Dudding Claudine Health and Movement Consultation, Division of Pediatric Specialties, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland; Adolescent Health Unit, Division of General Pediatrics, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland. author Maggio Albane Bertha Health and Movement Consultation, Division of Pediatric Specialties, Department of Women, Child and Adolescent Medicine, University Hospitals of Geneva and University of Geneva, Switzerland. 649221 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) 441-444 10.1016/j.arcped.2023.03.014 37537082 0929-693X Objective: The aim of this study was to evaluate the impact of coronavirus disease 2019 (COVID-19) lockdown on body mass index (BMI) z-score of adolescents treated for obesity, and to assess the correlation between BMI z-score changes and lifestyle variables. Methods: This cross-sectional study recruited 66 participants aged 11-18 years with overweight or obesity who attended our obesity clinics before and after the lockdown. We assessed demographic and anthropometric characteristics as well as lifestyle variables. Results: The mean BMI z-score of the participants was stable during this period (p = 0.233). Balanced diet, snacking, and sweet beverage consumption improved in about half of the participants. Having at least one parent at home was associated with a significantly more balanced diet (p = 0.008) and an increase in family activities (p = 0.015). Physical activities decreased (51.5%) and screen time increased for most of the adolescents (86.4%). The BMI z-score decreased significantly when three or more lifestyle habits improved (p<0.001). Conclusions: This study showed that BMI z-scores were stable for a majority of adolescents treated for obesity during the COVID19 lockdown, along with positive and negative changes on weight-related lifestyle habits. This extraordinary period may have created opportunities for lifestyle modification and has emphasized the importance of family support in the management of obesity in adolescents. Adolescents BMI z-score COVID-19 lockdown Lifestyle habits Obesity Humans Adolescent Cross-Sectional Studies COVID-19 / epidemiology COVID-19 / prevention & control Communicable Disease Control Obesity / epidemiology Body Mass Index Life Style Pediatric Obesity / epidemiology Pediatric Obesity / therapy Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 Archives de pédiatrie 30 7 29f0bc37-f764-4543-b10b-c4f2ad98f860 Article (Published version) Public cha.pdf 500653 application/pdf CC BY-4.0 f7c176514b764019548abbe0ca40521c04ebe21a6db07f1b66a1fb9d4578b40a openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Gelmini, Alexandra