Changes in insulin resistance, body mass index and degree of obesity among junior high school students: A comparison before and after the outbreak of the COVID-19 pandemic

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2023-07-06 DOI:10.1111/ijpo.13065

Yuka Suganuma, Hiroshi Takahashi, Hironari Sano, Yuusaku Hayashi, Rimei Nishimura

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Abstract

This study aimed to investigate how the COVID-19 pandemic since 2020 has affected the homeostasis model assessment of insulin resistance (HOMA-IR), body mass index (BMI) and degree of obesity among Japanese children. HOMA-IR, BMI and degree of obesity were calculated for 378 children 14–15 years old (boys/girls, 208/170) who underwent checkups during 2015–2021. Changes in these parameters over time and correlations between parameters were assessed, and the proportions of participants with IR (HOMA-IR ≥2.5) were compared. HOMA-IR values increased significantly over the study period (p < 0.001), with a significantly large proportion of participants with IR in 2020–2021 (p < 0.001). Conversely, BMI and degree of obesity did not change significantly. HOMA-IR did not correlate with BMI or degree of obesity during 2020–2021. In conclusion, the COVID-19 pandemic may have had an impact on the increase in the proportion of children with IR, regardless of BMI or degree of obesity.

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新冠肺炎疫情前后初中生胰岛素抵抗、体重指数和肥胖程度的变化

本研究旨在调查自2020年以来新冠肺炎大流行如何影响日本儿童胰岛素抵抗(HOMA-IR)、体重指数(BMI)和肥胖程度的稳态模型评估。计算2015-2021年期间接受检查的378名14-15岁儿童(男孩/女孩，208/170)的HOMA-IR、BMI和肥胖程度。评估这些参数随时间的变化和参数之间的相关性，并比较IR (HOMA-IR≥2.5)参与者的比例。HOMA-IR值在研究期间显著增加(p < 0.001)， 2020-2021年有很大比例的参与者患有IR (p < 0.001)。相反，BMI和肥胖程度没有明显变化。在2020-2021年期间，HOMA-IR与BMI或肥胖程度无关。总之，COVID-19大流行可能对IR儿童比例的增加产生了影响，无论BMI或肥胖程度如何。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.