Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19

Mayne, Stephanie L.; Kelleher, Shannon; Hannan, Chloe; Kelly, Mary Kate; Powell, Maura; Dalembert, George; McPeak, Katie E.; Jenssen, Brian P.; Fiks, Alexander G.

doi:10.1016/j.amepre.2022.07.014

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…6 More green spaces were associated with smaller increases in childhood obesity risk in early pandemic. 42 However, we did not nd signi cant associations of crime and tree-coverage with racial/ethnic minorities' obesity increase during pandemic. We may not have enough power to detect the effect of tree-covered land on obesity increase among racially/ethnically-minoritized children.…”

Section: Discussioncontrasting

confidence: 73%

Disparities in pediatric obesity during COVID-19: The role of neighborhood social vulnerability and collective efficacy

Min,

Tam,

Mayne

2023

Preprint

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Introduction: Childhood obesity increased in the first year of Covid-19 with significant disparities across race, ethnicity, and socioeconomic status. Social distancing led to fewer physical activity opportunities but increased screen time and high-calorie food consumption, all co-determined by neighborhood environments. This study aimed to test the moderation effects of neighborhood socioeconomic and built environments on racial/ethnic disparities in obesity change during Covid-19. Methods Using electronic health records from a large pediatric primary care network in 2018–2022, we cross-sectionally examined 163,042 well visits of 2–17 year-olds living in Philadelphia county in order to examine (1) the pandemic’s effect on obesity prevalence and (2) moderation by census-tract-level neighborhood socioeconomic disadvantage, crime, food and physical activity-related environments using interrupted-time-series analysis, Poisson regression, and logistic regression. Results Weekly obesity prevalence increased by 4.9 percent points (pp) during the pandemic (Jan 2021-Aug 2022) compared to pre-pandemic (Mar 2018- Mar 2020) levels. This increase was pronounced across all age groups, racially/ethnically-minoritized groups, and insurance types (ranging from 2.0 to 6.4 pp) except the Non-Hispanic-white group. The increase in obesity among children racially/ethnically-minoritized groups was significantly larger in the neighborhoods with high social vulnerability (3.3 pp difference between high and low groups), and low collective efficacy (2.0 pp difference between high and low groups) after adjusting for age, sex, and insurance type. Conclusions Racially/ethnically-minoritized children experienced larger obesity increases during the pandemic, especially those in socioeconomically disadvantaged neighborhoods. However, the buffering effect of community collective efficacy on the disparities underscores the importance of environments in pediatric health.

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Section: Discussioncontrasting

confidence: 73%

Disparities in pediatric obesity during COVID-19: The role of neighborhood social vulnerability and collective efficacy

Min,

Tam,

Mayne

2023

Preprint

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“…It is worthy of note that not all children experienced the same increase in obesity during the COVID-19 pandemic. Mayne et al (2023) [75] reported that children who lived in greener neighborhoods underwent smaller rises in obesity during the pandemic than those who lived in less green neighborhoods, even though differences in terms of urbanicity were also observed. A large-scale study assessed the obesity incidence and BMI of children and adolescents from diverse regions of China.…”

Section: Pediatric Obesity In the Covid-19 Eramentioning

confidence: 99%

The Ongoing Impact of COVID-19 on Pediatric Obesity

Iacopetta,

Catalano,

Ceramella

et al. 2024

Pediatric Reports

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In the developed world, pediatric obesity (PO) has been a major health concern since the last century, and this condition may lead to detrimental life-long physical and mental comorbidities. Currently, its prevalence has increased in low- and middle-income countries and in many high-income countries. Thus, the provision of effective and tailored care for children and their families has become vital. The social consequences of the COVID-19 pandemic are known everywhere, and among these, it has been argued that the COVID-19 pandemic has had a major impact on PO. Overall, the growth of PO over the last decade has been enhanced by the pandemic. During the COVID-19 pandemic, children, adolescents and young adults gained weight as the pediatric population dealt with sedentary lifestyles and changes in food habits. In this review, we want to highlight the impact that the COVID-19 pandemic had on PO.

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