Evidence map›Paper›PMID 39961287›Full record

ArticleObesity facts2025

Impact of the COVID-19 Pandemic on Psychosocial Distress in Adolescents with Obesity Compared to Those with Type 1 Diabetes: Results from the KICK-COVID Study in Germany.

Susann Weihrauch-Blüher, Susanna Wiegand, Sascha Tittel, Susanne Greber-Platzer, Stefanie Lanzinger, Clemens Kamrath, Kirsten Minden, Claudia Sengler, Sabine Linke, Antje Büssenschütt and 4 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity facts, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Susann Weihrauch-BlüherClinics for Pediatrics I, Pediatric Endocrinology and Diabetology, University Medicine Halle, Halle (Saale), Germany.
Susanna WiegandDepartment of Pediatric Endocrinology and Diabetology, Center for Social-Pediatric Care, Charité Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin und Humboldt- Universität zu Berlin, Berlin, Germany.
Sascha TittelInstitute of Epidemiology and Medical Biometry, CAQM, Ulm University, Ulm, Germany.
Susanne Greber-PlatzerDivision of Pediatric Pulmonology, Department of Pediatrics and Adolescent Medicine, Allergology and Endocrinology, Medical University Vienna, Vienna, Austria.
Stefanie LanzingerInstitute of Epidemiology and Medical Biometry, CAQM, Ulm University, Ulm, Germany.
Clemens KamrathDivision of Pediatric Endocrinology and Diabetology, Center of Child and Adolescent Medicine, University of Freiburg, Freiburg, Germany.
Kirsten MindenGerman Rheumatism Research Center (DRFZ), Program Area Epidemiology, Berlin, Germany.
Claudia SenglerGerman Rheumatism Research Center (DRFZ), Program Area Epidemiology, Berlin, Germany.
Sabine LinkeChildren's Hospital Wilhelmsstift Hamburg, Hamburg, Germany.
Antje BüssenschüttZABS e.V.: Center for Obesity Education, Bremen, Germany.
Felix ReschkeCenter for Pediatric Diabetology, Endocrinology, and Metabolism, Children's Hospital AUF DER BULT, Hannover, Germany.
Julia GöldelDepartment of Psychology, Counseling Psychology, University of Potsdam, Potsdam, Germany.
Petra WarschburgerDepartment of Psychology, Counseling Psychology, University of Potsdam, Potsdam, Germany.
Reinhard W HollInstitute of Epidemiology and Medical Biometry, CAQM, Ulm University, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to investigate the impact of the COVID-19 pandemic on psychosocial well-being in adolescents with obesity compared to those with type 1 diabetes.

methodsAs part of the German KICK-COVID Study, adolescents aged 12-21 with overweight or obesity from the German/Austrian Adiposity Follow-up Registry (APV) completed well-being, anxiety, and depression questionnaires (WHO-5, GAD-7, PHQ-9) during routine visits amidst the COVID-19 pandemic. By multivariable linear regression models, adjusted for age, gender, and immigration background, the association between psychosocial distress, anthropometrics, and cardiometabolic risk factors was analyzed. Data were compared to those of youth with type 1 diabetes from the German/Austrian Diabetes Follow-up Registry (DPV) and normative values from the general population. Additionally, a mediation analysis examined the impact of loneliness on mental health through media consumption.

resultsFrom June 2021 to September 2023, 235 adolescents from 6 German and 1 Austrian pediatric obesity centers were enrolled. Results were compared to 235 age- and gender-matched participants from the DPV registry (54.04% males; mean age 15.21 ± 1.66 years) and normative values. Youth with type 1 diabetes were more anxious about their health risk, but distress factors were more pronounced in the APV group (p < 0.001). Girls from the APV group showed higher mental distress than boys across all applied questionnaires, but not for age, BMI-SDS, and migration background as predictors. Perception of loneliness correlated with poorer mental health outcomes, but it was not associated to media consumption. Comparisons with normative values revealed significantly higher depression and anxiety scores (p < 0.001) and lower well-being scores in the APV group (p < 0.01).

conclusionsYouth with obesity and diabetes experienced significant psychosocial distress during the COVID-19 pandemic. Disease-specific differences were observed on the level of single items: Adolescents with type 1 diabetes expressed heightened concern about their health risks, while those with obesity reported lower self-esteem, increased suicidal thoughts, and fluctuating appetite. Female gender appeared to pose an additional risk factor. Media consumption was notably higher in the APV cohort. Healthcare providers should be vigilant regarding psychological comorbidities in youth with chronic conditions, particularly during periods of heightened stress.

Indexed as

COVID-19Diabetes Mellitus, Type 1Pediatric ObesityPsychological DistressStress, PsychologicalAdolescentAnxietyAustriaChildDepressionFemaleGermanyHumansLonelinessMalePandemicsAdolescentsChronic health conditionCOVID-19ObesityPsychosocial distressType 1 diabetes

Identifiers

PMID39961287
PMCPMC12101817

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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.