{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T12:39:06Z","timestamp":1772714346820,"version":"3.50.1"},"reference-count":60,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK116858"],"award-info":[{"award-number":["R01DK116858"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F31MH115640"],"award-info":[{"award-number":["F31MH115640"]}],"id":[{"id":"10.13039\/100000025","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":["Pediatric Obesity"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is concern regarding how the COVID\u201019 pandemic may impact the psychological and physical health of children, but to date, studies on mental health during the pandemic in children are limited. Furthermore, unprecedented lifestyle stressors associated with the pandemic may aggravate the childhood obesity epidemic, but the role of BMI on child activity levels and psychological outcomes during COVID\u201019 is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We investigated how emotional responses (positive\/negative affect), physical activity (PA) and sedentary behaviours related to anxiety among U.S. children with healthy weight and overweight\/obesity during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty\u2010four typically developing children (63% girls, 53% healthy weight) aged 9 to 15\u2009years completed two virtual visits during the height of \u2018stay\u2010at\u2010home\u2019 measures from April 22 to July 29, 2020. Children completed 24\u2010hours PA recalls, state portion of State\u2010Trait Anxiety Inventory for Children and the 10\u2010item Positive and Negative Affect Schedule for Children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Independent of child BMI status, child anxiety scores were over five standard deviations greater than normative values from paediatric populations prior to the pandemic. Higher positive affect and PA were each associated with reduced anxiety levels in children with overweight\/obesity, whereas higher positive affect was associated with reduced anxiety in children with healthy weight. Greater leisure screen time was associated with higher negative affect irrespective of child BMI status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These associations highlight the potential mental health benefits of maintaining positive affect, engaging in PA and limiting leisure screen time for children during the pandemic and suggest that these associations may be particularly relevant for children with overweight\/obesity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.12786","type":"journal-article","created":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T09:24:43Z","timestamp":1615800283000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["<scp>BMI<\/scp>\n                    status and associations between affect, physical activity and anxiety among\n                    <scp>U.S.<\/scp>\n                    children during\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"16","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 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3439-0257","authenticated-orcid":false,"given":"Alexis","family":"DeFendis","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 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2786-1268","authenticated-orcid":false,"given":"Anny H.","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Research and Evaluation Kaiser Permanente Southern California Pasadena California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9083-6615","authenticated-orcid":false,"given":"Kathleen A.","family":"Page","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 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"UNESCO.Education: From disruption to recovery. 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