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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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46 - 60 of 277
Correlates of sub-optimal feeding practices among under-5 children amid escalating crises in Lebanon: a national representative cross-sectional study

Maha Hoteit; Carla Ibrahim; Danielle Saadeh (et al.)

Published: June 2022   Journal: Children
Sub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemic as well as the economic and the political crises in Lebanon. A nationally representative stratified random sample of mother–child dyads (n = 511) was collected from households using a stratified cluster sampling design. The survey inquired about infant’s feeding and complementary feeding practices using a valid questionnaire. Anthropometric measurements of the mother and child were collected. Multivariate logistic regression was conducted to explore the determinants associated with under-5 children’s practices.
Cite this research | Open access | Vol.: 9 | Issue: 6 | No. of pages: 26 | Language: English | Topics: Health, Nutrition | Tags: breastfeeding, child health, child malnutrition, child nutrition, COVID-19 response, lockdown, social distance | Countries: Lebanon
Feeding practices of school-aged children during COVID-19 pandemic: a qualitative study

Khoirun Nisa Alfitri; Judhiastuty Februhartanty; Fariz Nurwidya

Published: June 2022   Journal: Amerta Nutrition,

Coronavirus disease-19 (COVID-19) pandemic caused the government to implement social movement restrictions affecting the household economy and school closure that will lead to change in the home food environment, parental feeding practices, and the end will influence child’s eating behavior. This study aimed to explore the parental feeding practices among young school-aged children during the COVID-19 pandemic. Eighteen informants consisting of mothers and a grandmother have participated in the online in-depth interview. Moreover, 4 fathers had also been interviewed to triangulate the data and to increase the meaningful insight. A question guideline was used to guide the in-depth interview process. Thematic analysis using an inductive approach was applied to analyze the transcripts.

Nutritional and immunisation status of children visiting hospital during COVID-19 pandemic in Kathmandu, Nepal

Pawana Kayastha; Vijaya Kumar Chikanbanjar; Rajesh Kumar Panday (et al.)

Published: June 2022   Journal: Journal of Kathmandu Medical College
The coronavirus disease-2019 (COVID -19) outbreak and lockdown measures have given challenges related to food production, food supply chain, indulgence in low healthy processed food, lack of public transportation, difficulties in accessing emergency and regular health services. Nepal already has high burden of child mortality (39 deaths per 1000 live births) and this pandemic situation has put children at greater risk of facing hunger, malnutrition, lack of routine immunisation, communicable disease outbreak, and many more psychological as well as physical health issues. This study identifies nutritional status and gap in routine vaccination in children during COVID-19 pandemic thereby help in modelling action plan to prevent an outpouring in malnutrition and vaccine preventable infections in children.
Obesity and COVID-19 in children and adolescents: a double pandemic.

Ilaria Brambilla; Francesco Delle Cave; Carmen Guarracino (et al.)

Published: June 2022   Journal: Acta Biomedica

The high prevalence of obesity and obesity-related comorbidities has reached pandemic proportions, particularly in Western countries. It has been recently recognized as a significant risk factor in severe cases of COVID-19 in children and adolescents. Here, we summarize the existing knowledge regarding the pathophysiology of COVID-19 and consider how its various components may be exacerbated by the presence of obesity to investigate the impact of obesity on disease severity among patients with COVID-19 and collaborate for better clinical care of these patients.


Loneliness, emotional eating, and COVID-19 in youth

Humaira Jamshed; Jamshed Arslan

Published: June 2022   Journal: Current Developments in Nutrition

Negative emotions, such as the feeling of loneliness, are significantly associated with emotional eating. As a coping mechanism to regulate and reduce negative emotions, adolescents and young adults are found to lose control and binge. The global pandemic and enforced lockdowns have imposed psychological changes, depressive symptoms, and perceived stress. COVID-19 has led to psychiatric morbidity and dietary changes in youth. This study was designed to see if the feeling of loneliness and emotional eating is associated with contraction COVID-19. A descriptive cross-sectional study was conducted using internationally validated questionnaires such as the Dutch Eating Behavior Questionnaire (DEBQ), UCLA loneliness scale, Patient Health Questionnaire-9 (PHQ-9), and the Beck Anxiety Inventory (BAI). An online survey comprised of these questionnaires and the history of diagnosed COVID-positive contractions was administered among undergraduate and graduate students in Karachi, Pakistan.

Implementation of a coordinated approach to child health program at a rural elementary school during the COVID-19 pandemic

Melissa Perian; Marcia Cooke; Henna Muzaffar (et al.)

Published: June 2022   Journal: Current Developments in Nutrition

A Coordinated Approach to Child Health (CATCH) is an evidence-based school health program focusing on increasing healthy eating and physical activity and reducing screen time. This project aimed to determine if CATCH program will have significant effects on self-rated knowledge, habits of physical activity, healthy eating (fruit and vegetable consumption), and screen time among 3rd and 5th-grade students at a rural elementary school during the 2020–2021 school year. To evaluate this 4-month project, a pre- and post-intervention School Physical Activity and Nutrition (SPAN) survey was distributed to 51 3rd and 5th-grade students. The program included six 30-minute education sessions specific to grade level and healthy snacks including fruits and vegetables. A family fun event (virtual 2K walk/run due to COVID-19) was organized. Prizes (i.e., water bottles, jump ropes) were given to students for participating in the family fun event and at Track and Field day to encourage healthy behavior.

Association of regular mealtimes with a balanced diet among Japanese preschool children: a study of lifestyle changes after the spread of COVID-19 infection

Yuki Tada; Yukari Ueda; Kemal Sasaki (et al.)

Published: June 2022   Journal: Current Developments in Nutrition

This study examines whether preschool children who maintained regular mealtimes after the spread of COVID-19 infection have better lifestyle habits, like waking up and sleeping early and a more balanced diet, than those who did not. An online cross-sectional survey was conducted among 2,000 individuals who provided meals to preschool children aged 2 to 6 years. The Healthy Diet Score (HDS), on a 40-point scale, was developed to comprehensively assess the dietary balance of preschool children based on their frequency of food intake from 13 food groups. The analysis included data on 1,850 children, excluding those who failed to answer the main questions. The participants were classified into four groups based on their responses regarding the regularity of mealtimes after the spread of COVID-19: ‘regular mealtimes (n = 125),’ ‘originally regular and remains unchanged (n = 1514),’ ‘irregular mealtimes (n = 63),’ and ’originally irregular and remains unchanged (n = 148).’ Multiple regression analysis was conducted with HDS as the dependent variable, and regularity of mealtimes and confounding factors as independent variables.

Cite this research | Open access | Vol.: 6 | Issue: Supplement 1 | No. of pages: 1 | Language: English | Topics: Health, Nutrition | Tags: behavioural change, child health, child nutrition, COVID-19 response, lockdown, preschool children, social distance | Countries: Japan
Healthfulness of online grocery shopping behaviors: analyzing receipt data from low-income households with children
Published: June 2022   Journal: Current Developments in Nutrition

Online grocery services hold potential to reduce physical barriers to equitable healthy food procurement, particularly among low-income families who often live far from groceries stores. During COVID-19, the USDA authorized the use of the Supplemental Nutrition Assistance Program (SNAP) benefits online in some retailers across the US. We aimed to evaluate the nutritional quality of online grocery purchases among SNAP-eligible families. Itemized receipt data was analyzed from a larger mixed methods study of online grocery shopping behaviors of SNAP-eligible families in Maryland. Of the 310 participants who completed the survey, 39 submitted grocery receipts. Of those, 19 participants submitted receipts with complete data for nutritional analysis on total amount spent, number of items purchased and units, weight (oz), and % of expenditure on fruits, vegetables, and sugar sweetened beverages (SSB). Nutritional analysis compared purchases of propensity score matched samples of SNAP (n = 14) versus SNAP-eligible non-participant families (n = 5) using a zero-inflated Poisson regression, controlling for sociodemographic factors.

Data use aids adaptation and continuation of maternal, infant and young child nutrition (MIYCN) services in urban health facilities in Bangladesh during the COVID-19 pandemic

Jessica Escobar-DeMarco; Santhia Ireen; Rowshan Kabir (et al.)

Published: June 2022   Journal: Current Developments in Nutrition

The COVID-19 pandemic disrupted health services worldwide. Alive and Thrive (A&T) is testing MIYCN integration into non-governmental organizations’ (NGOs) health services in eight facilities in Dhaka. We aimed to develop a data-driven urban MIYCN intervention pathway adapted to continue delivering nutrition services during COVID-19. A&T used its learnings from previous interventions and formative research to design an urban MIYCN intervention with a social and behavior change strategy set to improve nutrition practices. Mixed monitoring data were used to track the intervention elements capacity building, demand creation, service delivery, and supervision; and COVID-19 situation domains lockdown, restrictions, guidelines, staff turnover, contextual and behavior changes, adaptations, and budget implications. COVID-19 studies as well as external value chain, market, and food security reports were used. Monthly monitoring data were used to identify and validate potential adaptations.

Differences in community stakeholders' perceived barriers and needs to improve food security for families with children under 3 years before and during COVID-19

Elder Varela; Jamie Zeldman; Giuliana Blanca (et al.)

Published: June 2022   Journal: Current Developments in Nutrition

To explore the perceived barriers and needs of different types of community stakeholders regarding services and resources to improve food security for families with children under 3 years before and during COVID-19. Community stakeholders (n = 32) working with low-income families with children ages 0–3 years in Florida participated in a 60-minute interview via Zoom. Participants included those working in healthcare (n = 7), community/policy development (n = 6), emergency food assistance (n = 6), early childhood development (n = 7), and nutrition education (n = 6). Trained researchers conducted interviews using a semi-structured script based on the PRECEDE component of the PRECEDE-PROCEED model. Interviews were audio-recorded, transcribed verbatim, and analyzed using an inductive thematic approach. Crosstab qualitative analysis was used to compare data across different types of stakeholders.

Cite this research | Open access | Vol.: 6 | Issue: Supplement 1 | No. of pages: 1 | Language: English | Topics: Health, Nutrition | Tags: child health, child nutrition, community services, COVID-19 response, household food security, lockdown, social distance | Countries: United States
Pre and post COVID19 pandemic household food insecurity and diet of urban children from Querétaro, Mexico

Amayrani Vanessa Ruiz Ulloa; María del Carmen Caamano; Hugo Melgar-Quinonez (et al.)

Published: June 2022   Journal: Current Developments in Nutrition

To evaluate the changes in Household Food Insecurity (HFI) and diet in children pre and post COVID-19 pandemic in a group of children living in an urban area in Querétaro, Mexico. A total of 67 children (mean age = 11 years, range = 9–13 years) participated in this longitudinal study. HFI and diet were measured in-person, before the COVID-19 pandemic (December 2019) and by phone, after the COVID-19 pandemic (March 2021). HFI was assessed using the Latin American and Caribbean Food Security Scale (ELCSA) while diet was assessed using a previously validated food frequency questionnaire. Differences in HFI and diet were tested using McNemar's and T-student tests, respectively.

Cite this research | Open access | Vol.: 6 | Issue: Supplement 1 | No. of pages: 1 | Language: English | Topics: Health, Nutrition | Tags: child health, child nutrition, COVID-19 response, household food security, lockdown, social distance, urban children | Countries: Mexico
Impact of COVID-19 pandemic on the fruit and vegetable prescription program in a pediatric clinic

Irene Lieu; Mona Hanna-Attisha; Jenny LaChance (et al.)

Published: June 2022   Journal: Current Developments in Nutrition
Hurley Children's Clinic's novel fruit and vegetable prescription program aims to improve nutrition intake, household food security, and nutrition access. Children receive $15 prescriptions for fruits and vegetables redeemable at the Flint Farmers’ Market or through the mobile market, Flint Fresh, for a home delivered produce box. The COVID-19 pandemic has spread worldwide, resulting in a national decrease in pediatric visits. Children missed routine well-child and health maintenance visits, including necessary vaccinations and screenings. The aim of this evaluation is to better understand how the pandemic impacted the distribution and redemption of fruit and vegetable prescriptions.
Cite this research | Open access | Vol.: 6 | Issue: Supplement 1 | No. of pages: 1 | Language: English | Topics: Health, Nutrition | Tags: child health, child nutrition, community health, COVID-19 response, food policies, lockdown, social distance | Countries: United States
Changes and differences in school food standards (2010–2021) and free school meal provision during COVID-19 across the UK: potential implications for children's diets

Rebecca Louise McIntyre; Ashley J. Adamson; Michael Nelson (et al.)

Published: June 2022   Journal: Nutrition Bulletin
This paper explores changes to school food standards from 2010, free school meal provision during the COVID-19 pandemic across the UK and potential implications for children's diets. To obtain information on UK school food policies and free school meal provision methods  several sources were reviewed, including news articles, policy documents and journal articles. School food is an important part of the UK's health agenda and commitment to improving children's diets. Each UK nation has food-based standards implemented, however, only Scotland and Wales also have nutrient-based standards. School food standards in each nation have been updated in the last decade. Universal free school meals are available for children in the first 3 years of primary school in England and the first 5 years of primary school in Scotland, with plans announced for implementation of free school meals for all primary schoolchildren in Scotland and Wales. There is a lack of consistent monitoring of school food across the UK nations, and a lack of reporting compliance to the standards.
A cross-sectional study examining self-reported anthropometric measurements with adolescents' nutrition attitudes, obesity awareness and diet quality indices during the pandemic

Adem Sümen; Derya Evgin

Published: June 2022   Journal: Journal of Pediatric Nursing

The purpose of this study is to evaluate the relationship between adolescents' nutritional attitudes, obesity awareness, and diet quality with their self-reported anthropometric measurements taken during the COVID-19 pandemic. This cross-sectional type of study was conducted in a district in the south of Turkey. The research was carried out online with 907 adolescents who agreed to participate voluntarily.

Parents' modeling during the COVID-19 pandemic: influences on family members' diet quality and satisfaction with-food-related life in dual-earner parents with adolescent children

Berta Schnettler; Edgardo Miranda-Zapata; Ligia Orellana (et al.)

Published: May 2022   Journal: Frontiers in Nutrition
Reciprocal family influences in the food domain have been little explored, particularly during the COVID-19 pandemic. To fill in this gap, this study explored actor and partner effects between parents’ food modeling and parents’ and their adolescent children’s diet quality and satisfaction with food-related life (SWFoL); and the mediating role of diet quality between modeling and SWFoL. This study used a cross-sectional design. A sample of 430 different-sex dual-earner parents and one adolescent child were recruited in Rancagua, Chile, between March and June 2020. Parents answered the modeling dimension of the Comprehensive Feeding Practices Questionnaire. Parents and adolescents answered the Adapted Healthy Eating Index (AHEI) and the SWFoL Scale. Analyses were conducted using the Actor-Partner Interdependence Model and structural equation modeling.
46 - 60 of 277

UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.


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