PDF(Pubmed)
Abstract：
The COVID-19 pandemic has exacerbated the trends of childhood overweight, obesity, and malnutrition, as well as increased psychological stress and family conflicts among family members. It is important to explore the relationship between changes in the family environment during the COVID-19 on child nutrition.
This study aims to analyze the nutritional status of Chinese children during the COVID-19 pandemic and its relationship with family diet, family environment, and parental anxiety, in order to provide evidence for further interventions in children\'s nutritional status.
This study included 7,645 primary and secondary school students and their parents from five schools in Chengdu, China. Chi-square tests were used to analyze the categorical variables of children\'s malnutrition, overweight, obesity, and parental anxiety. T-tests were used to assess changes in the continuous variable of family environment between two rounds of follow-up surveys. Multiple logistic regression analysis was employed to examine the impact of changes in family diet during the COVID-19 pandemic on children\'s nutritional status. Generalized estimating equations were used to analyze the effects of family environment and parental anxiety on childhood obesity.
The prevalence of malnutrition and obesity decreased from 11.64% and 11.60% in wave 1 to 4.96% and 10.50% in wave 2, and the rate of overweight increased from 13.11% in wave 1 to 13.73% in wave 2. Children whose families reduced consumption of staple foods during the COVID-19 were more likely to be frail, and families increased consumption of sugary drinks, take-out or meal delivery services, living in towns, family environmental barriers, and parental anxiety were risk factors for overweight obesity. Mother\'s education level in middle and high school and low age were protective factors for overweight obesity.
The physical environment of the family, the emotions of family members, and children\'s perceptions of the family\'s soft environment can influence children\'s eating behaviors, children\'s nutritional intake, and malnutrition and obesity in children under public health emergencies, and family-based dietary interventions may be effective. Parents can increase consumption of healthy foods and improve the family environment, which improve their growth.
This study aims to analyze the nutritional status of Chinese children during the COVID-19 pandemic and its relationship with family diet, family environment, and parental anxiety, in order to provide evidence for further interventions in children\'s nutritional status.
This study included 7,645 primary and secondary school students and their parents from five schools in Chengdu, China. Chi-square tests were used to analyze the categorical variables of children\'s malnutrition, overweight, obesity, and parental anxiety. T-tests were used to assess changes in the continuous variable of family environment between two rounds of follow-up surveys. Multiple logistic regression analysis was employed to examine the impact of changes in family diet during the COVID-19 pandemic on children\'s nutritional status. Generalized estimating equations were used to analyze the effects of family environment and parental anxiety on childhood obesity.
The prevalence of malnutrition and obesity decreased from 11.64% and 11.60% in wave 1 to 4.96% and 10.50% in wave 2, and the rate of overweight increased from 13.11% in wave 1 to 13.73% in wave 2. Children whose families reduced consumption of staple foods during the COVID-19 were more likely to be frail, and families increased consumption of sugary drinks, take-out or meal delivery services, living in towns, family environmental barriers, and parental anxiety were risk factors for overweight obesity. Mother\'s education level in middle and high school and low age were protective factors for overweight obesity.
The physical environment of the family, the emotions of family members, and children\'s perceptions of the family\'s soft environment can influence children\'s eating behaviors, children\'s nutritional intake, and malnutrition and obesity in children under public health emergencies, and family-based dietary interventions may be effective. Parents can increase consumption of healthy foods and improve the family environment, which improve their growth.
摘要：
■COVID-19大流行加剧了儿童超重的趋势，肥胖，营养不良，以及家庭成员之间的心理压力和家庭冲突增加。探讨COVID-19对儿童营养的影响与家庭环境变化的关系非常重要。
■本研究旨在分析中国儿童在COVID-19大流行期间的营养状况及其与家庭饮食的关系，家庭环境,和父母的焦虑，为进一步干预儿童营养状况提供依据。
■这项研究纳入了成都五所学校的7645名中小学生及其家长,中国。用卡方检验分析儿童营养不良的分类变量，超重,肥胖，和父母的焦虑。使用T检验评估两轮跟踪调查之间家庭环境连续变量的变化。采用多因素logistic回归分析研究COVID-19大流行期间家庭饮食变化对儿童营养状况的影响。利用广义估计方程分析家庭环境和父母焦虑对儿童肥胖的影响。
■营养不良和肥胖的患病率从第1波的11.64％和11.60％下降到第2波的4.96％和10.50％，超重率从第1波的13.11％上升到第2波的13.73％。在COVID-19期间，家庭减少主食消费的儿童更有可能身体虚弱，家庭增加了含糖饮料的消费，外卖或送餐服务，生活在城镇里,家庭环境障碍,父母焦虑是超重肥胖的危险因素。母亲中、高中文化程度和低龄是超重肥胖的保护因素。
■家庭的物理环境，家庭成员的情绪，儿童对家庭软环境的认知会影响儿童的饮食行为，儿童的营养摄入量，以及公共卫生紧急情况下儿童的营养不良和肥胖，以家庭为基础的饮食干预可能是有效的。父母可以增加健康食品的消费，改善家庭环境，改善他们的成长。
■本研究旨在分析中国儿童在COVID-19大流行期间的营养状况及其与家庭饮食的关系，家庭环境,和父母的焦虑，为进一步干预儿童营养状况提供依据。
■这项研究纳入了成都五所学校的7645名中小学生及其家长,中国。用卡方检验分析儿童营养不良的分类变量，超重,肥胖，和父母的焦虑。使用T检验评估两轮跟踪调查之间家庭环境连续变量的变化。采用多因素logistic回归分析研究COVID-19大流行期间家庭饮食变化对儿童营养状况的影响。利用广义估计方程分析家庭环境和父母焦虑对儿童肥胖的影响。
■营养不良和肥胖的患病率从第1波的11.64％和11.60％下降到第2波的4.96％和10.50％，超重率从第1波的13.11％上升到第2波的13.73％。在COVID-19期间，家庭减少主食消费的儿童更有可能身体虚弱，家庭增加了含糖饮料的消费，外卖或送餐服务，生活在城镇里,家庭环境障碍,父母焦虑是超重肥胖的危险因素。母亲中、高中文化程度和低龄是超重肥胖的保护因素。
■家庭的物理环境，家庭成员的情绪，儿童对家庭软环境的认知会影响儿童的饮食行为，儿童的营养摄入量，以及公共卫生紧急情况下儿童的营养不良和肥胖，以家庭为基础的饮食干预可能是有效的。父母可以增加健康食品的消费，改善家庭环境，改善他们的成长。
