{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T10:30:25Z","timestamp":1768991425340,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:00:00Z","timestamp":1649203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Remote learning and shelter\u2010in\u2010place orders during the COVID\u201019 pandemic are associated with obesity risk factors such as decreased physical activity, altered routines and sleep schedules, increased screen time, and non\u2010nutritious food choices. The objective of this brief report is to describe change in weight category 3\u20136 months after the onset of the pandemic in a cohort of 4509 low\u2010income youth. Inclusion criteria were youth aged 2\u201317\u2009years with weight and height measure in a large primary care network between 1 January and 30 March 2020 (Q1), designated as pre\u2010COVID period; and 1 June\u201330 September 2020, (Q3), as early\u2010COVID period. Change in weight category was assessed between Q1 and Q3. Adjusting for visit type and time lapse, logistic regression was conducted to examine the association between weight category change and age, sex, and race\/ethnicity. The proportion of youth with overweight or obesity increased from 37.8% to 44.6%; and declined by 5.6% in the healthy weight category. Over the 3\u20136 month period, 23.1% of youth gained \u22655\u2009kg, 4.3% gained \u226510\u2009kg, and 17.8% increased their BMI by \u22652\u2009units. Among underweight youth, 45.3% switched to the healthy weight category, with a median weight gain of 2.1\u2009kg (interquartile range [IQR]\u00a0=\u00a02.1\u2009kg). Median weight gain was highest among those youth with severe obesity (5.8\u2009kg, IQR\u00a0=\u00a05.2\u2009kg). Younger age (2\u20139\u2009years), female and ethnic\u2010minority youth were more likely to change to a higher\/worse weight category. Significant weight gain occurred in the first 3\u20136\u2009months of the pandemic among low\u2010income youth, reflecting the short\u2010term effects of the pandemic.<\/jats:p>","DOI":"10.1111\/cob.12522","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T11:58:55Z","timestamp":1649246335000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Change in weight category among youth early in the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4436-7141","authenticated-orcid":false,"given":"Ihuoma","family":"Eneli","sequence":"first","affiliation":[{"name":"Center for Healthy Weight &amp; Nutrition Nationwide Children's Hospital  Columbus Ohio USA"},{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"},{"name":"Division of Primary Care Pediatrics Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0385-324X","authenticated-orcid":false,"given":"Jinyu","family":"Xu","sequence":"additional","affiliation":[{"name":"Center for Healthy Weight &amp; Nutrition Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8800-4326","authenticated-orcid":false,"given":"Keeley","family":"Pratt","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"},{"name":"Department of Human Sciences, College of Education and Human Ecology The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22813"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09429-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2021264"},{"key":"e_1_2_8_5_1","volume-title":"Technical Report. 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