{"id":434,"date":"2023-04-23T15:29:05","date_gmt":"2023-04-23T13:29:05","guid":{"rendered":"http:\/\/www.geraldjarnig.com\/?p=434"},"modified":"2024-01-27T20:42:35","modified_gmt":"2024-01-27T19:42:35","slug":"changes-in-childrens-fitness-and-health-status-over-the-course-of-the-covid-19-pandemic-a-34-month-longitudinal-study-of-331-primary-school-children-september-2019-to-june-2022","status":"publish","type":"post","link":"https:\/\/www.geraldjarnig.com\/?p=434","title":{"rendered":"Changes in Children\u2019s Fitness and Health Status Over the Course of the COVID-19 Pandemic: A 34-month Longitudinal Study of 331 Primary School Children (September 2019 to June 2022)"},"content":{"rendered":"\n<p><strong>Published \/ Publiziert: 6.12.2022<\/strong><\/p>\n\n\n\n<p>Ver\u00e4nderungen der Fitness und des Gesundheitszustands von Kindern im Verlauf der COVID-19-Pandemie: Eine 34-monatige L\u00e4ngsschnittstudie an 331 Grundschulkindern (September 2019 bis Juni 2022)<\/p>\n\n\n\n<p><strong>LINK to the open access publication \/ LINK zur vollst\u00e4ndigen Publikation:<\/strong> <a href=\"https:\/\/doi.org\/10.1101\/2022.12.01.22282992\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1101\/2022.12.01.22282992 <span><\/span><\/a><a href=\"javascript:\"><img decoding=\"async\" identifier=\"10.1101\/2022.12.01.22282992\" identifiertype=\"1\" title=\"Titel anhand dieser DOI in Citavi-Projekt \u00fcbernehmen\" existsinproject=\"0\" class=\"citavipicker\" style=\"border: 0px none!important;width: 16px!important;height: 16px!important;margin-left:1px !important;margin-right:1px !important;\" src=\"data:image\/svg+xml;base64,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\"><\/a><\/p>\n\n\n\n<p><strong>Abstract:<\/strong><\/p>\n\n\n\n<p id=\"p-2\"><strong>Background<\/strong> Previous studies have shown that coronavirus disease 2019 (COVID-19) mitigation measures lead to reductions in health status and health-related fitness in children, whereas no data are currently available on the development of children after the removal of these mitigation measures. Therefore, we aimed to investigate the influence of different stringent measures, during and after COVID-19, on the longitudinal development of fitness and health status of primary school children.<\/p>\n\n\n\n<p id=\"p-3\"><strong>METHODS<\/strong> A longitudinal cohort study of 331 primary school children in Austria aged 7.7 \u00b1 0.4 years at the start of the observation period was conducted. Before (Sept 2019), and during (June 2020, Sept 2020) and after (March 2021, June 2021, Sept 2021, and June 2022) the COVID-19 mitigation measures, fitness tests were carried out and anthropometric data of the children were collected. Age- and sex-specific standard deviation scores (SDSs) were calculated for seven individual fitness tests of the AUT FIT [<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2022.12.01.22282992v1#ref-1\">1<\/a>] test battery, body mass index, and waist-to-height ratio. In addition, children were classified into different fitness categories based on the AUT FIT summary score.<\/p>\n\n\n\n<p id=\"p-4\"><strong>Results<\/strong> After the implementation of COVID-19 mitigation measures, cardiorespiratory fitness and action speed decreased dramatically, and the number of children with overweight or obesity increased. At the last measurement after the COVID-19 mitigation measures (June 2022), significant improvements in cardiorespiratory fitness and weight status were observed. However, pre-COVID fitness levels were not achieved and BMI was still higher compared to Sept 2019.<\/p>\n\n\n\n<p id=\"p-5\"><strong>Interpretation<\/strong> Our study showed a trend reversal, in that the negative indirect effects of the COVID-19 measures on fitness and health parameters of children were followed by significant improvements in these parameters after the removal of those mitigation measures. At the end of the observation period, a positive trend in the development of fitness and health status was observed, although pre-COVID levels were not reached. Collaborative efforts are needed to reinforce the observed positive trend, and to continue to improve the level of fitness and health status of primary school children, and to mitigate the long-term negative health consequences of the COVID-19 pandemic.<\/p>\n\n\n\n<p id=\"p-6\"><strong>Funding<\/strong> Austrian Federal Ministry of Arts, Culture, Public Service and Sports (GZ2021-0.361.671). <\/p>\n\n\n\n<p id=\"p-6\"><strong>Clinical trial number:<\/strong> DRKS00023824<\/p>\n\n\n\n<p id=\"p-7\"><strong>Zusammenfassung:<\/strong><\/p>\n\n\n\n<p>Hintergrund&nbsp;<\/p>\n\n\n\n<p>Fr\u00fchere Studien haben gezeigt, dass Ma\u00dfnahmen zur Minderung der Coronavirus-Krankheit 2019 (COVID-19) zu einer Verringerung des Gesundheitszustands und der gesundheitsbezogenen Fitness bei Kindern f\u00fchren, w\u00e4hrend derzeit keine Daten zur Entwicklung von Kindern nach Wegfall dieser Minderungsma\u00dfnahmen verf\u00fcgbar sind.&nbsp;Daher wollten wir den Einfluss verschiedener strenger Ma\u00dfnahmen w\u00e4hrend und nach COVID-19 auf die L\u00e4ngsentwicklung von Fitness und Gesundheitszustand von Grundschulkindern untersuchen.<\/p>\n\n\n\n<p>Methoden<\/p>\n\n\n\n<p>Es&nbsp;wurde eine l\u00e4ngsschnittliche Kohortenstudie mit 331 Grundschulkindern in \u00d6sterreich im Alter von 7,7 \u00b1 0,4 Jahren zu Beginn des Beobachtungszeitraums durchgef\u00fchrt.&nbsp;Vor (September 2019) und w\u00e4hrend (Juni 2020, Sept. 2020) und nach (M\u00e4rz 2021, Juni 2021, Sept. 2021 und Juni 2022) den Ma\u00dfnahmen zur Eind\u00e4mmung von COVID-19 wurden Fitnesstests durchgef\u00fchrt und anthropometrische Daten der Kinder erhoben gesammelt.&nbsp;Alters- und geschlechtsspezifische Standardabweichungswerte (SDSs) wurden f\u00fcr sieben individuelle Fitnesstests der AUT FIT [&nbsp;<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2022.12.01.22282992v1#ref-1\">1<\/a>&nbsp;]-Testbatterie, des Body-Mass-Index und des Verh\u00e4ltnisses von Taille zu Gr\u00f6\u00dfe berechnet.&nbsp;Dar\u00fcber hinaus wurden die Kinder auf der Grundlage des AUT FIT-Zusammenfassungsergebnisses in verschiedene Fitnesskategorien eingeteilt.<\/p>\n\n\n\n<p>Ergebnisse&nbsp;<\/p>\n\n\n\n<p>Nach der Umsetzung von Ma\u00dfnahmen zur Eind\u00e4mmung von COVID-19 nahmen die kardiorespiratorische Fitness und Handlungsgeschwindigkeit dramatisch ab und die Zahl der Kinder mit \u00dcbergewicht oder Adipositas nahm zu.&nbsp;Bei der letzten Messung nach den COVID-19-Minderungsma\u00dfnahmen (Juni 2022) wurden signifikante Verbesserungen der kardiorespiratorischen Fitness und des Gewichtsstatus beobachtet.&nbsp;Das Fitnessniveau vor COVID wurde jedoch nicht erreicht und der BMI war im Vergleich zum September 2019 immer noch h\u00f6her.<\/p>\n\n\n\n<p>Interpretation&nbsp;<\/p>\n\n\n\n<p>Unsere Studie zeigte eine Trendumkehr, da den negativen indirekten Auswirkungen der COVID-19-Ma\u00dfnahmen auf die Fitness- und Gesundheitsparameter von Kindern signifikante Verbesserungen dieser Parameter nach dem Wegfall dieser Minderungsma\u00dfnahmen folgten.&nbsp;Am Ende des Beobachtungszeitraums war ein positiver Trend in der Entwicklung von Fitness und Gesundheitszustand zu beobachten, obwohl das Vor-COVID-Niveau nicht erreicht wurde.&nbsp;Es sind gemeinsame Anstrengungen erforderlich, um den beobachteten positiven Trend zu verst\u00e4rken und das Fitness- und Gesundheitsniveau von Grundschulkindern weiter zu verbessern und die langfristigen negativen gesundheitlichen Folgen der COVID-19-Pandemie abzumildern.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Published \/ Publiziert: 6.12.2022 Ver\u00e4nderungen der Fitness und des Gesundheitszustands von Kindern im Verlauf der COVID-19-Pandemie: Eine 34-monatige L\u00e4ngsschnittstudie an 331 Grundschulkindern (September 2019 bis Juni 2022) LINK to the open access publication \/ LINK zur vollst\u00e4ndigen Publikation: https:\/\/doi.org\/10.1101\/2022.12.01.22282992 Abstract: Background Previous studies have shown that coronavirus disease 2019 (COVID-19) mitigation measures lead to reductions 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