Evidence map›Paper›PMID 36507980›Full record

ArticleWorld journal of pediatrics : WJP2023

Impact of the COVID-19 kindergarten closure on overweight and obesity among 3- to 7-year-old children.

Xiang Long, Xing-Ying Li, Hong Jiang, Lian-Di Shen, Li-Feng Zhang, Zheng Pu, Xia Gao, Mu Li

Open access · hybridAbstract read
In one paragraph

Article in World journal of pediatrics : WJP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Xiang LongDepartment of Woman and Child Health Care, Jiading Maternal and Child Health Care Hospital, 1216 Gaotai Road, Jiading District, Shanghai 201821, China.
Xing-Ying Li *School of Public Health, Key Laboratory of Health Technology Assessment (National Health Commission of the People's Republic of China), Fudan University, Mailbox 175, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China.
Hong JiangSchool of Public Health, Key Laboratory of Health Technology Assessment (National Health Commission of the People's Republic of China), Fudan University, Mailbox 175, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China. h_jiang@fudan.edu.cn.ORCID 0000-0002-2810-8000
Lian-Di ShenDepartment of Administrative Office, Jiading Maternal and Child Health Care Hospital, 1216 Gaotai Road, Jiading District, Shanghai 201821, China. shenliandi@126.com.
Li-Feng ZhangDepartment of Woman and Child Health Care, Jiading Maternal and Child Health Care Hospital, 1216 Gaotai Road, Jiading District, Shanghai 201821, China.
Zheng PuDepartment of Woman and Child Health Care, Jiading Maternal and Child Health Care Hospital, 1216 Gaotai Road, Jiading District, Shanghai 201821, China.
Xia GaoDepartment of Woman and Child Health Care, Jiading Maternal and Child Health Care Hospital, 1216 Gaotai Road, Jiading District, Shanghai 201821, China.
Mu LiSchool of Public Health, The University of Sydney, Sydney, Australia.
Jiading District Central Hospital · CNFudan University · CNThe University of Sydney · AU

Funding

Fifth Round of the Three-Year Public Health Action Plan of Shanghai Key Discipline Program GWV-10.1-XK08Shanghai Municipal Public Health Outstanding Discipline Leadership Program GWV-10.2-XD10
6 · The paper itself

Abstract

backgroundKnowledge on the impact of the temporary kindergarten closure policy under COVID-19 in 2020 on childhood overweight and obesity is inadequate. We aimed to examine differences in rates of overweight and obesity from 2018 to 2021 among kindergarten children aged 3-7 years.

methodsOverweight was defined as body mass index (BMI) > 1 standard deviation (SD) for age and sex, and obesity was defined as BMI > 2 SD for age and sex. Generalized linear mixed modeling was used for analysis.

resultsA total of 44,884 children and 71,216 growth data points from all 57 public kindergartens in Jiading District, Shanghai, China were analyzed. The rates of obesity from 2018 to 2021 were 6.9%, 6.6%, 9.5%, and 7.3% in boys and 2.8%, 2.8%, 4.5%, and 3.1% in girls, respectively. The rates of overweight from 2018 to 2021 were 14.3%, 14.3%, 18.2%, and 15.3% in boys and 10.6%, 10.9%, 13.9%, and 11.6% in girls. The rates of obesity and overweight among kindergarten children in 2020 were significantly higher than those in 2018, 2019, and 2021. Compared to 2020, the odds ratios of the obesity rate in 2018, 2019, and 2021 were 0.67 [95% confidence interval (CI) = 0.58-0.77, P < 0.001], 0.72 (95% CI = 0.64-0.80, P < 0.001) and 0.81 (95% CI = 0.72-0.92, P = 0.001), respectively. The odds ratios of the overweight rate in 2018, 2019, and 2021 were 0.75 (95% CI = 0.69-0.82, P < 0.001), 0.78 (95% CI = 0.72-0.84, P < 0.001), and 0.89 (95% CI = 0.81-0.97, P = 0.008), respectively, compared to 2020.

conclusionsThe rates of overweight and obesity significantly increased among kindergarten children in 2020 after the 5-month kindergarten closure. It was critical to provide guidance to caregivers on fostering a healthy lifestyle for children at home under public health emergencies.

Indexed as

COVID-19Pediatric ObesityBody Mass IndexChildChild, PreschoolChinaFemaleHumansMaleOverweightPrevalenceChildhood obesityChildhood overweightCoronavirus disease 2019 (COVID-19)Kindergarten closure

Identifiers

PMID36507980
PMCPMC9742663
OpenAlexW4311822998

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.