91 The Association between Home Confinement during the COVID-19 Pandemic and Children’s Consumption of Fruits and Vegetables and Sugar-containing Beverages
Notice bibliographique
Résumé
Abstract Background Children tend to gain more weight during summer breaks compared to the school year. It has been identified that school routines regulate obesogenic behaviours, as children tend to consume fewer fruits and vegetables (FV) and more sugar-containing beverages (SCB) during periods when they are not in school. During the COVID-19 pandemic, children’s daily routines were disrupted due to public health home confinement recommendations. Given the rise in childhood obesity during the pandemic, particularly among lower-income groups, home confinement may have affected children’s consumption of FV and SCB. Objectives The primary objective of this study was to evaluate the association between home confinement during the COVID-19 pandemic and the consumption of FV and SCB among healthy urban children. The secondary objective was to explore whether household income modified these associations. Design/Methods A longitudinal cohort study was conducted with repeated measures of outcome and exposure. The cohort consisted of children aged 1-12 years who were recruited during primary care visits, with questionnaire data completed between May 2020 and November 2021. The primary exposure was home confinement (days/week), defined as not going to in-person school or other public areas. The primary outcome was FV consumption (times per day). The secondary outcome was SCB consumption (cups/day), measured as the total consumption of 100% juice, sweetened beverage, and soda. Ordinal and linear mixed effects regression models were used to evaluate associations for FV and SCB outcomes respectively. Models were adjusted for child age, child sex, annual household income, maternal ethnicity, maternal age, and calendar time. An interaction term for household income was added to models and evaluated using ANOVA. Results 787 children were included in this study (47% female, mean age 5.55 years at baseline). There was evidence of an association between home confinement and SCB consumption (0.02, 95%CI: 0.01-0.02, p<0.001). After accounting for effect modification (p<0.01), this association was stronger among children from families with income <$50,000 CDN (0.04, 95%CI: 0.00-0.08, p=0.04) and $50,000-$99,999 CDN (0.04, 95%CI: 0.02-0.06, p<0.001), compared to those with family income $100,000-$149,999 CDN (0.01, 95%CI: 0.00-0.03, p=0.02) or >$150,000 CDN (0.01, 95%CI: 0.00-0.02, p=0.04). There was insufficient evidence to support an association between home confinement and FV consumption (OR 0.97, 95%CI: 0.94-1.01, p=0.15) or effect modification by household income in this association (p>0.99). Conclusion Home confinement during the COVID-19 pandemic was associated with higher SCB consumption among children, which was more pronounced among lower income families. Potential competing interests Miss Mortazavi reported receiving award funding from Victoria College within the University of Toronto. Dr Maguire reported receiving grants from the CIHR, Ontario SPOR Support Unit, and The Joannah & Brian Lawson Centre for Child Nutrition at the University of Toronto. Dr Birken reported grants from CIHR, Heart and Stroke Foundation of Canada, Physician Services, The Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Centre for Additions and Mental Health, Ontario Child Health Support Unit, Walmart Canada, and SickKids Foundation outside the submitted work. Dr Malik reported receiving grants from the Canada Research Chair program, Canadian Foundation for Innovation, Connaught New Researcher program, and The Joannah & Brian Lawson Centre for Child Nutrition at the University of Toronto. No other disclosures were reported. Figure 1: Association between home confinement and consumption of sugar-containing beverages by annual household income.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».