Prevalence of cardiovascular risk factors according to Life's Essential 8 in children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis including 1 526 173 participants from 42 countries

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-11-29 DOI:10.1111/ijpo.13190

Rodrigo Núñez-Cortés, Rubén López-Bueno, Rodrigo Torres-Castro, Joaquín Calatayud, Borja del Pozo Cruz

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引用次数: 0

Abstract

Introduction

Cardiovascular health is a crucial aspect of overall health. The aim of this study was to estimate the prevalence of cardiovascular risk factors among children and adolescents during the COVID-19 pandemic based on the Life's Essential 8 domains.

Methods

PubMed, Scopus and Web of Science were systematically searched until 24 February 2023. Studies had to meet the following criteria: (1) observational studies, (2) studies reporting proportion of selected risk factors, (3) studies involving children or adolescents, (4) studies that collected data during the COVID-19 pandemic and (5) studies with representative samples. The outcomes included were diet, physical activity, nicotine exposure, sleep health, obesity, dyslipidaemia, diabetes and elevated blood pressure.

Results

Sixty-two studies with 1 526 173 participants from 42 countries were included. Of these, 41 studies were used in the meta-analyses. The overall pooled prevalence of risk factors in the behavioural domain was as follows: poor quality diet 26.69% (95% CI 0.00%–85.64%), inadequate physical activity 70.81% (95% CI 64.41%–76.83%), nicotine exposure 9.24% (95% CI 5.53%–13.77%) and sleep disorders 33.49% (95% CI 25.24%–42.28%). The overall pooled prevalence of risk factors in the health domain was as follows: obesity 16.21% (95% CI 12.71%–20.04%), dyslipidaemia 1.87% (95% CI 1.73%–2.01%), diabetes 1.17% (95% CI 0.83%–1.58%) and elevated blood pressure 11.87% (95% CI 0.26%–36.50%).

Conclusions

These results highlight the need for prevention strategies to maintain better cardiovascular health from an early age, particularly by increasing physical activity levels, sleep time and promoting the consumption of more fruits and vegetables.

查看原文本刊更多论文

COVID-19大流行期间儿童和青少年根据生命基本8项心血管危险因素的流行情况：一项包括来自42个国家的1526173名参与者的系统回顾和荟萃分析

心血管健康是整体健康的一个重要方面。本研究的目的是基于生命基本8个域估计COVID-19大流行期间儿童和青少年心血管危险因素的流行情况。方法：系统检索PubMed、Scopus和Web of Science，截止到2023年2月24日。研究必须符合以下标准：(1)观察性研究，(2)报告选定危险因素比例的研究，(3)涉及儿童或青少年的研究，(4)在COVID-19大流行期间收集数据的研究，以及(5)具有代表性样本的研究。研究结果包括饮食、身体活动、尼古丁暴露、睡眠健康、肥胖、血脂异常、糖尿病和血压升高。结果：共纳入62项研究，来自42个国家的1526173名受试者。其中41项研究被用于荟萃分析。行为领域风险因素的总体流行率如下：饮食质量差26.69% (95% CI 0.00%-85.64%)，身体活动不足70.81% (95% CI 64.41%-76.83%)，尼古丁暴露9.24% （95% CI 5.53%-13.77%）和睡眠障碍33.49% （95% CI 25.24%-42.28%）。健康领域危险因素的总流行率如下：肥胖16.21% (95% CI 12.71%-20.04%)，血脂异常1.87% (95% CI 1.73%-2.01%)，糖尿病1.17% （95% CI 0.83%-1.58%）和高血压11.87% （95% CI 0.26%-36.50%）。结论：这些结果强调需要采取预防策略，从早期开始保持更好的心血管健康，特别是通过增加身体活动水平，睡眠时间和促进更多水果和蔬菜的消费。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.