scholarly journals Impact of the COVID-19 pandemic and related lockdown measures on lifestyle behaviors and wellbeing in children and adolescents with severe obesity

Obesity Facts ◽  
2021 ◽  
Author(s):  
Mila S. Welling ◽  
Ozair Abawi ◽  
Emma van den Eynde ◽  
Elisabeth F.C. van Rossum ◽  
Jutka Halberstadt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Screen Time ◽  
Severe Obesity ◽  
Psychosocial Problems ◽  
Lifestyle Behaviors ◽  
Group Level ◽  
External Eating ◽  
Eating Styles ◽  
Qualitative Analyses

Introduction: COVID-19 lockdown measures have large impact on lifestyle behaviors and wellbeing of children. The aim of this mixed-methods study was to investigate the impact of COVID-19 lockdown measures on eating styles and behaviors, physical activity (PA), screen time, and health-related quality of life (HRQoL) in children (0-18 years) with severe obesity. Methods: During the first COVID-19 wave (April 2020), validated questionnaires were completed and semi-structured telephone interviews were conducted with parents of children with severe obesity (adult BMI-equivalent ≥35kg/m2) and/or with the children themselves. Changes in pre-pandemic versus lockdown scores of the Dutch Eating Behavior Questionnaire Children (DEBQ-C), Pediatric Quality of Life Inventory (PedsQLTM), and Dutch PA Questionnaire were assessed. Qualitative analyses were performed according to the Grounded Theory. Results: Ninety families were approached of which 83 families were included. Characteristics of the included children were: mean age 11.2 ± 4.6 years, 52% female, mean BMI SD-score +3.8 ± 1.0. Emotional, restrained, and external eating styles, HRQoL, and (non-educational) screen time did not change on group level (all p>0.05). However, weekly PA decreased (mean difference -1.9 hours/week, p=0.02), mostly in adolescents. In the majority of children, mean weekly PA decreased to ≤2 hours/week. Children with high emotional and external eating scores during lockdown or pre-existent psychosocial problems had the lowest HRQoL (p<0.01). Qualitative analyses revealed an increased demand for food in a significant proportion of children (n=21), mostly in children <10 years (19/21). This was often attributed to loss of daily structure and perceived stress. Families who reported no changes (n=15) or improved eating behaviors (n=11) attributed this to already existing strict eating schemes that they kept adhering to during lockdown. Conclusion: This study shows differing responses to COVID-19 lockdown measures in children with severe obesity. On group level, PA significantly decreased and in substantial minorities eating styles and HRQoL deteriorated. Children with pre-existent psychosocial problems or pre-pandemic high external or emotional eating scores were most at risk. These children and their families should be targeted by health care professionals to minimize negative physical and mental health consequences.

scholarly journals Impact of Covid-19 Lockdown Measures on Lifestyle Behavior in Children and Adolescents With Severe Obesity

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A344-A345
Author(s):  
Ozair Abawi ◽  
Mila Sofie Welling ◽  
Emma van den Eynde ◽  
Elisabeth F C van Rossum ◽  
Jutka Halberstadt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Screen Time ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Severe Obesity ◽  
Psychosocial Problems ◽  
External Eating ◽  
Weekly Physical Activity ◽  
The Impact

Abstract Introduction: During the COVID-19 pandemic, lockdown measures were implemented with large impact on lifestyle behaviors and well-being of children (including adolescents). The impact on children with severe obesity, who plausibly are at even larger risk, has not yet been described. Aim of this study was to investigate the impact of COVID-19 lockdown on eating behaviors, physical activity, screen time and quality of life (QoL) of children with severe obesity. Methods: In this mixed-methods study, questionnaires and semi-structured telephone interviews were used to investigate impact of COVID-19 during the first wave in the Netherlands (April 2020) on children with severe obesity (adult BMI-equivalent ≥35kg/m2) treated at our obesity center. The Dutch Eating Behavior Questionnaire - Child, Pediatric Quality of Life Inventory, and Dutch Physical Activity Questionnaire were filled out by their families pre-pandemic and during lockdown. Changes over time in percentile scores, weekly physical activity and screen time were assessed. Qualitative analyses were performed according to the Grounded Theory. Results: We included 83 families, of which 75 participated in the interviews. Their children’s characteristics were mean age 11.5years (SD 4.6), 52% female, mean BMI SD score 3.8 (SD 1.0), indicating severe obesity. On group level, no changes in scores for emotional, restrained, external eating, and QoL nor in screen time were observed (Δ scores +9.2, +3.9, +0.3; and +3.0, respectively; -0.3 hr/wk; all p&gt;0.05). Weekly physical activity decreased (Δ -1.9 hr/wk, p=0.02). Age, pre-existent psychosocial problems and pre-pandemic questionnaire scores were associated with improved or deteriorated questionnaire scores in specific subgroups. For example, children who did not fulfill WHO physical activity criteria pre-pandemic showed a further decline from 2.8 to 0.7 h/wk (p=0.001). Children with high emotional and external eating during lockdown had the lowest QoL scores (p-values &lt;0.01). Qualitative data showed that an increased demand for food was frequently observed (n=21), mostly in children aged &lt;10 years (19/21). This was attributed to loss of daily structure, increased stress, or emotional eating. Families who reported no changes (n=15) or improved eating behaviors (n=11) attributed this to already existing strict eating schemes that they kept adhering to. Conclusion: This study shows differential response profiles to COVID-19 lockdown in children with severe obesity. Although on group level lifestyle scores averaged out, a substantial part of families reported deterioration in physical activity and eating behaviors. Children with pre-existent psychosocial problems, high external or emotional eating scores were most at risk. Health care professionals should target these vulnerable children to minimize short- and long-term negative physical and mental health consequences.

scholarly journals Quality of life and perceived health status in surviving adults with univentricular heart

Heart ◽  
2001 ◽  
Vol 86 (1) ◽  
pp. 69-73
Author(s):  
Z Saliba ◽  
G Butera ◽  
D Bonnet ◽  
P Bonhoeffer ◽  
E Villain ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Normal Population ◽  
Psychosocial Problems ◽  
Perceived Health ◽  
Univentricular Heart ◽  
Cross Sectional ◽  
Clinical Variables ◽  
Health Measures ◽  
The Impact

OBJECTIVETo evaluate the quality of life in patients with univentricular heart and to determine the impact of sociodemographic and clinical characteristics.DESIGN AND SETTINGRetrospective, cross sectional study conducted in a regional paediatric cardiology centre.PATIENTSThe health records of 89 survivors with univentricular heart (median age 21 years; range 17–49 years) were reviewed. Sixty seven answered the Duke questionnaire. Sociodemographic and clinical variables were similar in the responders and non-responders. The impact of sociodemographic and clinical variables on individual Duke's measures was assessed.RESULTSThe Duke scores of adults with univentricular heart were similar to the normal population. Cyanosis predicted a worse score for physical (p = 0.05) and perceived health measures (p = 0.02). A higher educational level predicted a better score for physical (p = 0.004), mental (p = 0.01), and general health measures (p = 0.02). Orthopaedic problems worsened the social score (p = 0.05). Psychosocial problems worsened the pain score (p = 0.04). In comparison with the other anatomical types, mitral atresia worsened the perceived health score (p = 0.02). Patients younger than 23 years scored better for almost all health and dysfunction measures.CONCLUSIONSDespite repeated interventions and other disease related everyday stresses, a selected group of adults with univentricular heart had a satisfying quality of life.

scholarly journals Recruiting Endometrial Cancer Survivors to Studies Examining Lifestyle Behaviors and Quality of Life: Challenges Faced and Lessons Learned

2017 ◽  
Vol 33 (4) ◽  
pp. 857-864 ◽  
Author(s):  
Alexander R. Lucas ◽  
Brian C. Focht ◽  
David E. Cohn ◽  
Maryanna D. Klatt ◽  
Janet Buckworth
Keyword(s):  
Quality Of Life ◽  
Endometrial Cancer ◽  
Cancer Survivors ◽  
Lessons Learned ◽  
Lifestyle Behaviors ◽  
Life Challenges

scholarly journals Quality of life of older Chinese adults receiving primary care in Wuhan, China: a multi-center study

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6860 ◽  
Author(s):  
Bao-Liang Zhong ◽  
Yan-Min Xu ◽  
Wu-Xiang Xie ◽  
Xiu-Jun Liu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Primary Care ◽  
General Population ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Psychosocial Problems ◽  
Medical Conditions ◽  
Multi Center Study

Background Quality of life (QOL) is an important primary care outcome, but the QOL of older adults treated in primary care is understudied in China. This study examined QOL and its associated factors in older adults treated in Chinese primary care. Methods A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire, concerning socio-demographics, major medical conditions, loneliness, and depression. QOL and depression were measured with the Chinese six-item QOL questionnaire and the shortened Geriatric Depression Scale, respectively. Multiple linear regression was used to identify factors associated with poor QOL. Results The average QOL score of primary care older adults was (20.7 ± 2.5), significantly lower than that of the Chinese general population. Factors significantly associated with poor QOL of Chinese primary care older adults included engaging in manual labor before older adulthood (unstandardized coefficient [β]: −0.702, P < 0.001), no living adult children (β: −1.720, P = 0.001), physical inactivity (β: −0.696, P < 0.001), having ≥ four major medical conditions (β: −1.813, P < 0.001), hearing problem (β: −1.004, P = 0.017), depression (β: −1.153, P < 0.001), and loneliness (β: −1.396, P < 0.001). Conclusions Older adults treated in Chinese primary care have poorer QOL than the general population. Addressing psychosocial problems at Chinese primary care settings could be helpful in improving QOL in Chinese older adults.

scholarly journals Feasibility, Validity, and Reliability of the Italian Pediatric Quality of Life Inventory Multidimensional Fatigue Scale for Adults in Inpatients with Severe Obesity

Obesity Facts ◽  
2018 ◽  
Vol 11 (1) ◽  
pp. 25-36 ◽  
Author(s):  
Gian Mauro Manzoni ◽  
Alessandro Rossi ◽  
Nicoletta Marazzi ◽  
Fiorenza Agosti ◽  
Alessandra De Col ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Severe Obesity ◽  
Validity And Reliability ◽  
Quality Of Life Inventory ◽  
Multidimensional Fatigue Scale ◽  
Life Inventory

scholarly journals A novel method to interpret early phase trials shows how the narrowing of the coronary sinus concordantly improves symptoms, functional status and quality of life in refractory angina

Heart ◽  
2020 ◽  
Vol 107 (1) ◽  
pp. 41-46
Author(s):  
E Marc Jolicoeur ◽  
Stefan Verheye ◽  
Timothy D Henry ◽  
Lawrence Joseph ◽  
Serge Doucet ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Coronary Sinus ◽  
Early Phase ◽  
Exercise Duration ◽  
Control Group ◽  
Refractory Angina ◽  
Group Level ◽  
Early Phase Trials ◽  
Level Analysis

BackgroundReduction of the coronary sinus was shown to improve angina in patients unsuitable for revascularisation. We assessed whether a percutaneous device that reduces the diameter of the coronary sinus improved outcomes across multiple endpoints in a phase II trial.MethodsWe conducted a novel analysis performed as a post hoc efficacy analysis of the COSIRA (Coronary Sinus Reducer for Treatment of Refractory Angina) trial, which enrolled patients with Canadian Cardiovascular Society (CCS) class 3–4 refractory angina. We used four domains: symptoms (CCS Angina Scale), functionality (total exercise duration), ischaemia (imaging) and health-related quality of life. For all domains, we specified a meaningful threshold for change. The primary endpoint was defined as a probability of ≥80% that the reducer exceeded the meaningful threshold on two or more domains (group-level analysis) or that the average efficacy score in the reducer group exceeded the sham control group by at least two points (patient-level analysis).ResultsWe randomised 104 participants to either a device that narrows to coronary sinus (n=52) or a sham implantation (n=52). The reducer group met the prespecified criteria for concordance at the group level and demonstrated improvement in symptoms (0.59 CCS grade, 95% credible interval (CrI)=0.22 to 0.95), total exercise duration (+27.9%, 95% CrI=2.8% to 59.8%) and quality of life (stability +11.2 points, 95% CrI=3.3 to 19.1; perception +11.0, 95% CrI=3.3 to 18.7).ConclusionsThe reducer concordantly improved symptoms, functionality and quality of life compared with a sham intervention in patients with angina unsuitable for coronary revascularisation. Concordant analysis such as this one can help interpret early phase trials and guide the decision to pursue a clinical programme into a larger confirmatory trial.Trail registration numberClinicalTrials.gov identifier: NCT01205893.

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