Obesity is among the leading global health problems in children under five years of age. Obesity, which is caused by genetic factors, inactive lifestyle, negative eating behaviors, endocrine disorders and malnutrition, has become a health problem with the growing risk given the conditions in the pandemic process. As a result of protective restrictions, such as mandatory shut down schools and lockdowns during the pandemic, children's time spent at home has increased, leading to a decrease in physical activity and changes in diet and sleep patterns. All these factors increase the risk of obesity in children. In addition, this situation has highlighted potential health problems for obese children. Childhood obesity is an important problem that needs to be addressed in the pandemic process, and appropriate approaches need to be developed and awareness of both parents and children need to be raised about this issue. During the pandemic process, some technological methods have been used for disease management in individuals with chronic diseases. One of the technological methods, the "Telehealth Solution", is one of the methods recommended for weight management of voluntarily children with obesity. In this article, obesity risks of children during the pandemic period were presented together with some appropriate solutions.
Keywords: Pandemics; COVID-19; child; obesity
Obezite riski, 5 yaşın altındaki çocuklarda önde gelen küresel sağlık sorunları arasında yer almaktadır. Genetik faktörler, inaktif yaşam tarzı, olumsuz yeme davranışları, endokrin bozukluklar ve dengesiz beslenme gibi nedenlerle oluşan obezite, pandemi sürecindeki koşullar göz önüne alındığında, risk durumu daha da artan bir sağlık sorunu hâlini almıştır. Pandemi sürecinde zorunlu olarak kapatılan okullar ve sokağa çıkma yasakları gibi koruyucu kısıtlamaların bir sonucu olarak, çocukların evde geçirdikleri süre artmış, bu da fiziksel aktivitede azalmaya, diyet ve uyku düzeninde değişikliğe yol açmıştır. Tüm bu faktörler çocuklarda obezite riskini artmıştır. Ayrıca bu durum, obez çocuklar için potansiyel sağlık sorunlarını daha ön plana çıkarmıştır. Çocukluk çağı obezitesi pandemik süreçte üzerinde durulması gereken önemli bir sorundur ve uygun yaklaşımların oluşturulması ve bu konuda hem ebeveynlerin hem de çocukların bilinçlendirilmesi gerekmektedir. Pandemi sürecinde bazı teknolojik yöntemler, kronik hastalığı olan bireylerde hastalık yönetimi için kullanılmaya başlanmıştır. Teknolojik yöntemlerden biri olan ''Telesağlık Çözümü'', gönüllü obez çocukların kilo yönetimi için tavsiye edilen yöntemlerden biridir. Bu derlemede, pandemi döneminde çocukların obezite riskleri ve uygun bazı çözüm önerileri sunulmuştur.
Anahtar Kelimeler: Pandemiler; COVID-19; çocuk; obezite
- Republic of Turkey Ministry of Health Public Health Directorate, COVID-19 (SARS-CoV-2 INFECTION) GUIDE, Science Committee Work. 14 April 2020. 9th August 2020.[Link]
- COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). Date of access: 9th August 2020.[Link]
- Chen J, Qi T, Liu L, Ling Y, Qian Z, Li T, et al. Clinical progression of patients with COVID-19 in Shanghai, China. J Infect. 2020;80(5):e1-e6.[Crossref] [PubMed] [PMC]
- UNICEF 2020, Don't let children be the hidden victims of COVID-19 pandemic. Date of access: 9th August 2020.[Link]
- L'Huillier AG, Asner SA. COVID-19 : impact pédiatrique [Pediatric impact of COVID-19]. Rev Med Suisse. 2020;29;16(N° 691-2):839-41.[PubMed]
- Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients. J Infect. 2020;80(6):e14-e8.[Crossref] [PubMed] [PMC]
- Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. J Emerg Med. 2020;58(4):712-13.[Crossref] [PMC]
- Republic of Turkey Ministry of İnterior, 2020. Date of access: 20th May 2020.[Link]
- Peng YD, Meng K, Guan HQ, Leng L, Zhu RR, Wang BY, et al. [Clinical characteristics and outcomes of 112 cardiovascular disease patients infected by 2019-nCoV]. Zhonghua Xin Xue Guan Bing Za Zhi. 2020;24;48(6):450-5.[PubMed]
- Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al; LICORN and the Lille COVID-19 and Obesity study group. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring ınvasive mechanical ventilation. Obesity (Silver Spring). 2020;28(7):1195-9. Erratum in: Obesity (Silver Spring). 2020;28(10):1994.[Crossref] [PubMed] [PMC]
- Wu J, Li W, Shi X, Chen Z, Jiang B, Liu J, et al. Early antiviral treatment contributes to alleviate the severity and improve the prognosis of patients with novel coronavirus disease (COVID-19). J Intern Med. 2020;288(1):128-38.[Crossref] [PubMed]
- Lighter J, Phillips M, Hochman S, Sterling S, Johnson D, Francois F, et al. Obesity in patients younger than 60 years is a risk factor for COVID-19 hospital admission. Clin Infect Dis. 2020;28;71(15):896-7.[Crossref] [PubMed] [PMC]
- Canoy D, Bundred P. Obesity in children. BMJ Clin Evid. 2011;4;2011:0325.[PubMed] [PMC]
- Lumeng JC, Taveras EM, Birch L, Yanovski SZ. Prevention of obesity in infancy and early childhood: a National Institutes of Health workshop. JAMA Pediatr. 2015;169(5):484-90.[Crossref] [PubMed] [PMC]
- UNICEF, The State Of The World's Children 2019. Date of access: 9th August 2020.[Link]
- Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, Ankara, Turkey; 2019.[Link]
- Gyamfi D, Obirikorang C, Acheampong E, Asamoah EA, Sampong BB, Batu EN, et al. Weight management among school-aged children and adolescents: a quantitative assessment in a Ghanaian municipality. BMC Pediatrics. 2019;19;376:2-10.[Crossref]
- Ergül S, Kalkım A. [A major chronic disease: obesity in childhood and adolescence]. TAF Prev Med Bull. 2011;10(2):223-30.[Crossref]
- Maffeis C, Tatò L. Long-term effects of childhood obesity on morbidity and mortality. Horm Res. 2001;55 Suppl 1:42-5.[Crossref] [PubMed]
- Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O'Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;21;(1):CD001872.[Crossref] [PubMed]
- Rundle AG, Park Y, Herbstman JB, Kinsey EW, Wang YC. COVID-19-related school closings and risk of weight gain among children. Obesity (Silver Spring). 2020;28(6):1008-9.[Crossref] [PubMed] [PMC]
- von Hippel PT, Workman J. From kindergarten through second grade, U.S. children's obesity prevalence grows only during summer vacations. Obesity (Silver Spring). 2016;24(11):2296-2300.[Crossref] [PubMed]
- Wang YC, Vine S, Hsiao A, Rundle A, Goldsmith J. Weight-related behaviors when children are in school versus on summer breaks: does income matter? J Sch Health. 2015;85(7):458-66.[Crossref] [PubMed]
- Amoh I, Appiah-Brempong E. Prevalence and risk factors of obesity among senior high school students in the Adansi North district of Ghana. Int J Community Med Public Health. 2017;4 (10):3762-69.[Crossref]
- Rundle AG, Factor-Litvak P, Suglia SF, Susser ES, Kezios KL, Lovasi GS, et al. Tracking of obesity in childhood into adulthood: effects on body mass ındex and fat mass ındex at age 50. Child Obes. 2020;16(3):226-33.[Crossref] [PubMed] [PMC]
- Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in verona, Italy: a longitudinal study. Obesity (Silver Spring). 2020;28(8):1382-5.[Crossref] [PubMed] [PMC]
- Woo Baidal JA, Chang J, Hulse E, Turetsky R, Parkinson K, Rausch JC, et al. Zooming toward a telehealth solution for vulnerable children with obesity during coronavirus disease 2019. Obesity (Silver Spring). 2020;28(7):1184-6.[Crossref] [PubMed] [PMC]
- Rahmati-Ahmadabad S, Hosseini F. Exercise against SARS-CoV-2 (COVID-19): does workout intensity matter? (a mini review of some indirect evidence related to obesity). Obes Med. 2020;19:100245.[Crossref] [PubMed] [PMC]
- Frühbeck G, Baker JL, Busetto L, Dicker D, Goossens GH, Halford JCG, et al. European association for the study of obesity position statement on the global COVID-19 pandemic. Obes Facts. 2020;13(2):292-6.[Crossref] [PubMed] [PMC]
- O'Hara VM, Johnston SV, Browne NT. The paediatric weight management office visit via telemedicine: pre- to post-COVID-19 pandemic. Pediatr Obes. 2020;15(8):e12694.[Crossref] [PubMed] [PMC]
- Vidmar AP, Pretlow R, Borzutzky C, Wee CP, Fox DS, Fink C, et al. An addiction model-based mobile health weight loss intervention in adolescents with obesity. Pediatr Obes. 2019;14(2):e12464.[Crossref] [PubMed] [PMC]
- Taveras EM, Marshall R, Sharifi M, Avalon E, Fiechtner l, Horan C, et al. Comparative effectiveness of clinical-community childhood obesity ınterventions: a randomized clinical trial. JAMA Pediatr. 2017;171(8):e171325.[Crossref] [PubMed] [PMC]
- Department of Health & Human Services. MaineCare Benefits Manual: Telehealth Services (Chapter 1, section 4). Date of access: June 4, 2020.[Link]
.: Process List