{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:11:15Z","timestamp":1778047875510,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T00:00:00Z","timestamp":1604016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DK116858"],"award-info":[{"award-number":["R01DK116858"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009410","name":"Southern California Clinical and Translational Science Institute","doi-asserted-by":"publisher","award":["NIH UL1TR001855"],"award-info":[{"award-number":["NIH UL1TR001855"]}],"id":[{"id":"10.13039\/100009410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID\u201019) is associated with adverse child mental health outcomes and reduced physical activity. Moreover, prenatal exposure to gestational diabetes (GDM) is associated with increased risk for adverse psychological outcomes in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assess prenatal exposure to GDM on anxiety levels and physical activity in children during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty\u2010five children age 9 to 15 reported their physical activity and anxiety levels using the 24\u2010hours physical activity recall and the State\u2010Trait Anxiety Inventory for Children via phone or video meetings. Prenatal exposure to GDM was obtained from maternal electronic medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 38 GDM\u2010exposed children reported significantly higher anxiety levels and were less likely to engage in any vigorous physical activity (VPA) (5% vs 30%) compared to the 27 GDM\u2010unexposed children. Lower levels of physical activity were significantly associated with higher levels of anxiety. Less engagement in VPA explained 75% of the association between GDM exposure and anxiety levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Engaging in physical activity during the COVID\u201019 pandemic may be beneficial for reducing anxiety, particularly amongst GDM\u2010exposed children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cob.12422","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T00:48:56Z","timestamp":1604105336000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Prenatal exposure to gestational diabetes is associated with anxiety and physical inactivity in children during\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0837-9858","authenticated-orcid":false,"given":"Jasmin M.","family":"Alves","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Department of Medicine Keck School of Medicine, University of Southern California  Los Angeles California USA"},{"name":"Diabetes and Obesity Research Institute, Keck School of Medicine, University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1997-4775","authenticated-orcid":false,"given":"Alexandra G.","family":"Yunker","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine Keck School of Medicine, University of Southern California  Los Angeles California USA"},{"name":"Diabetes and Obesity Research Institute, Keck School of Medicine, University of Southern California  Los Angeles California 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