Modified body mass index z‐scores in children in New York City during the COVID‐19 pandemic. Issue 11 (30th June 2022)
- Record Type:
- Journal Article
- Title:
- Modified body mass index z‐scores in children in New York City during the COVID‐19 pandemic. Issue 11 (30th June 2022)
- Main Title:
- Modified body mass index z‐scores in children in New York City during the COVID‐19 pandemic
- Authors:
- Miller, Assia
Bochner, Risa
Sohler, Nancy
Calixte, Rose
Chan, Cameron
Umpaichitra, Vatcharapan
Shalmiyev, Elman
Novikova, Natalia
Desai, Ninad
Seigel, Warren
Chin, Vivian
Periasamy, Sundari
Waldman, Lee
Bamji, Mahrukh
Nagpal, Nikita
Duh‐Leong, Carol
Reznik, Makhmood
Messito, Mary
Bargman, Renee - Abstract:
- Abstarct: Objectives: Determine whether the negative impact of the COVID‐19 pandemic on weight gain trajectories among children attending well‐child visits in New York City persisted after the public health restrictions were reduced. Study Design: Multicenter retrospective chart review study of 7150 children aged 3–19 years seen for well‐child care between 1 January 2018 and 4 December 2021 in the NYC Health and Hospitals system. Primary outcome was the difference in annual change of modified body mass index z ‐score (mBMIz) between the pre‐pandemic and early‐ and late‐pandemic periods. The mBMIz allows for tracking of a greater range of BMI values than the traditional BMI z ‐score. The secondary outcome was odds of overweight, obesity, or severe obesity. Multivariable analyses were conducted with each outcome as the dependent variable, and year, age category, sex, race/ethnicity, insurance status, NYC borough, and baseline weight category as independent variables. Results: The difference in annual mBMIz change for pre‐pandemic to early‐pandemic = 0.18 (95% confidence interval [CI]: 0.15, 0.20) and for pre‐pandemic to late‐pandemic = 0.04 (95% CI: 0.01, 0.06). There was a statistically significant interaction between period and baseline weight category. Those with severe obesity at baseline had the greatest mBMIz increase during both pandemic periods and those with underweight at baseline had the lowest mBMIz increase during both pandemic periods. Conclusion: In NYC, theAbstarct: Objectives: Determine whether the negative impact of the COVID‐19 pandemic on weight gain trajectories among children attending well‐child visits in New York City persisted after the public health restrictions were reduced. Study Design: Multicenter retrospective chart review study of 7150 children aged 3–19 years seen for well‐child care between 1 January 2018 and 4 December 2021 in the NYC Health and Hospitals system. Primary outcome was the difference in annual change of modified body mass index z ‐score (mBMIz) between the pre‐pandemic and early‐ and late‐pandemic periods. The mBMIz allows for tracking of a greater range of BMI values than the traditional BMI z ‐score. The secondary outcome was odds of overweight, obesity, or severe obesity. Multivariable analyses were conducted with each outcome as the dependent variable, and year, age category, sex, race/ethnicity, insurance status, NYC borough, and baseline weight category as independent variables. Results: The difference in annual mBMIz change for pre‐pandemic to early‐pandemic = 0.18 (95% confidence interval [CI]: 0.15, 0.20) and for pre‐pandemic to late‐pandemic = 0.04 (95% CI: 0.01, 0.06). There was a statistically significant interaction between period and baseline weight category. Those with severe obesity at baseline had the greatest mBMIz increase during both pandemic periods and those with underweight at baseline had the lowest mBMIz increase during both pandemic periods. Conclusion: In NYC, the worsening mBMIz trajectories for children associated with COVID‐19 restrictions did not reverse by 2021. Decisions about continuing restrictions, such as school closures, should carefully weigh the negative health impact of these policies. … (more)
- Is Part Of:
- Pediatric obesity. Volume 17:Issue 11(2022)
- Journal:
- Pediatric obesity
- Issue:
- Volume 17:Issue 11(2022)
- Issue Display:
- Volume 17, Issue 11 (2022)
- Year:
- 2022
- Volume:
- 17
- Issue:
- 11
- Issue Sort Value:
- 2022-0017-0011-0000
- Page Start:
- n/a
- Page End:
- n/a
- Publication Date:
- 2022-06-30
- Subjects:
- BMI -- modified BMI z score -- obesity -- pandemic NYC -- restrictions
Obesity in children -- Periodicals
Obesity in adolescence -- Periodicals
Obesity -- Periodicals
Overweight children -- Periodicals
618.92398 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)2047-6310 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1111/ijpo.12958 ↗
- Languages:
- English
- ISSNs:
- 1747-7174
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
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