{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:45Z","timestamp":1777523745592,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"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":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic has had wide\u2010reaching primary and secondary health implications. The UK government implemented a national lockdown to slow the rate of infection at the end of March 2020, lasting until early summer 2020. The results from a UK nationwide survey suggest the majority of inflammatory bowel disease patients were followed up using technology\u2010enabled care services (TECS) during this time. We therefore aimed to explore the impact of the pandemic on nutritional status of children with inflammatory bowel disease, focusing on the effect of national lockdown from March to early summer 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted. All patients with a diagnosis of inflammatory bowel disease, aged &lt;18\u00a0years, and under the care of Southampton Children's Hospital were eligible for inclusion. Those patients who attended an outpatient appointment during time period 1 (November 2019 to February 2020), and following the period of national lockdown, time period 2 (July to November 2020), were included in the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 116 patients had paired measures. Using the World Health Organization criteria of nutritional status, 19% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022\/116) were mildly malnourished with a body mass index\n                      <jats:italic>Z<\/jats:italic>\n                      score (BMIZ)\u00a0&lt;\u00a0\u22121. In this group, the mean BMIZ was \u20131.3\u00a0\u00b1\u00a00.9 at time point 1 versus \u22121.9\u00a0\u00b1\u00a00.9 at time point 2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03). The mean BMIZ score of those children who were overweight at time point 1 was 1.2\u00a0\u00b1\u00a01.2 versus 1.6\u00a0\u00b1\u00a01.4 at time point 2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.2) During the period of lockdown, 27% of malnourished children (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a06\/22), 2% of normally nourished children (BMIZ\u00a0&gt;\u00a0\u22121 to &lt;\u00a01) (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01\/51) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.0001) and none of the overweight children (BMIZ\u00a0&gt;\u00a01) (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a00\/43) children (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.0001) had a TECS nutrition review.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dietetic reviews were severely restricted during the first national lockdown. Patients with low BMIZ prior to lockdown became more malnourished. During the ongoing pandemic, it is important to identify those children with nutrition risk, focusing support on this group of children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.12862","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T17:38:08Z","timestamp":1612978688000},"page":"656-659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The impact of national lockdown on nutritional status of children with inflammatory bowel disease"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1257-121X","authenticated-orcid":false,"given":"Luise V.","family":"Marino","sequence":"first","affiliation":[{"name":"Department of Dietetics and Speech &amp; Language Therapy University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Nutrition &amp; Dietetics Faculty of Health and Well Being University of Winchester Winchester UK"},{"name":"NIHR Biomedical Research Centre Southampton University Hospital Southampton NHS Foundation Trust Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Ashton","sequence":"additional","affiliation":[{"name":"NIHR Biomedical Research Centre Southampton University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Paediatric Gastroenterology Southampton Children\u2019s Hospital University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Faculty of Medicine Southampton University Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Mark","family":"Beattie","sequence":"additional","affiliation":[{"name":"NIHR Biomedical Research Centre Southampton University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Paediatric Gastroenterology Southampton Children\u2019s Hospital University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Faculty of Medicine Southampton University Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organisation (WHO).Coronavirus disease (COVID\u201019) Pandemic Geneva.World Health Organisation Geneva;2020. [cited 2020 6 May 2020].https:\/\/www.who.int\/emergencies\/diseases\/novel\u2010coronavirus\u20102019"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000228581"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20378"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14075"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2020-321244"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319751"},{"key":"e_1_2_11_8_1","unstructured":"World Health Organisation (WHO).Growth reference 5\u201319 years: BMI\u2010for\u2010age (5\u201319years);2015.http:\/\/www.who.int\/growthref\/who2007_bmi_for_age\/en\/. Accessed November 2020."},{"key":"e_1_2_11_9_1","unstructured":"World Health Organisation.Anthro (version 3.2.2. January 2011).2015.https:\/\/www.who.int\/nutgrowthdb\/software\/en\/. Accessed November 2020."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28790"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12386"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodqual.2020.104145"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232020259.19562020"},{"key":"e_1_2_11_14_1","unstructured":"MarinoLV CookeL&MeyerR.Remote consultations: experience and training needs analysis of paediatric dietitians during the COVID\u201019 pandemic;2021. In: LV M editor. Submitted for publication JHDN. 16.12.20 ed2020."},{"key":"e_1_2_11_15_1","unstructured":"MarinoLV&MeyerR.British Dietetic Association Paediatric Specialist Group: COVID\u201019 \u2010 Guidelines for Remote Dietetic Consultations Birmingham.British Dietetic Association;2020[cited 2020 20 November 2020].https:\/\/www.bda.uk.com\/uploads\/assets\/7bf38706\u2010cf65\u20104bbe\u201097eec8f59928cbf9\/BDA\u2010PSG\u2010Guidelines\u2010for\u2010Remote\u2010Dietetic\u2010Consultations\u2010Final\u20102420.pdf"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31647-0"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113429"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114529161"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000464"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12862","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.12862","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T03:10:59Z","timestamp":1693278659000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.12862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,9]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1111\/jhn.12862"],"URL":"https:\/\/doi.org\/10.1111\/jhn.12862","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.12862\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.12862\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.12862\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.12862\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,9]]},"assertion":[{"value":"2020-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}