The Potential Impact of COVID-19 on Health-Related Quality of Life in Children and Adolescents: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Search Strategy
2.3. Study Selection Process
2.4. Risk of Bias
2.5. Data Extraction and Analysis
3. Results
3.1. Study Selection
3.2. Study Design
3.3. Risk of Bias in the Included Studies
3.4. Participant Characteristics
3.5. The Respondents and Countries in the Included HRQoL Studies
3.6. HRQoL Outcome Measurement Tools
3.7. HRQoL by Gender
3.8. Differences in HRQoL before and during the Pandemic
4. Discussion
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- World Health Organization (WHO). Coronavirus Disease (COVID-19) Pandemic. Available online: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 (accessed on 1 June 2022).
- Bates, L.C.; Zieff, G.; Stanford, K.; Moore, J.B.; Kerr, Z.Y.; Hanson, E.D.; Barone Gibbs, B.; Kline, C.E.; Stoner, L. COVID-19 impact on behaviors across the 24-hour day in children and adolescents: Physical activity, sedentary behavior, and sleep. Children 2020, 7, 138. [Google Scholar] [CrossRef] [PubMed]
- Fegert, J.M.; Vitiello, B.; Plener, P.L.; Clemens, V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc. Psychiatry Ment. Health 2020, 14, 20. [Google Scholar] [CrossRef] [PubMed]
- Ravens-Sieberer, U.; Karow, A.; Barthel, D.; Klasen, F. How to assess quality of life in child and adolescent psychiatry. Dialogues Clin. Neurosci. 2014, 16, 147–158. [Google Scholar] [CrossRef] [PubMed]
- An, R. Projecting the impact of the coronavirus disease-2019 pandemic on childhood obesity in the United States: A microsimulation model. J. Sport Health Sci. 2020, 9, 302–312. [Google Scholar] [CrossRef]
- Golberstein, E.; Wen, H.; Miller, B.F. Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. JAMA Pediatr. 2020, 174, 819–820. [Google Scholar] [CrossRef] [Green Version]
- Dunton, G.F.; Do, B.; Wang, S.D. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the US. BMC Public Health 2020, 20, 1351. [Google Scholar] [CrossRef]
- Hall, G.; Laddu, D.R.; Phillips, S.A.; Lavie, C.J.; Arena, R. A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Prog. Cardiovasc. Dis. 2021, 64, 108–110. [Google Scholar] [CrossRef]
- López-Gil, J.F.; Tremblay, M.S.; Brazo-Sayavera, J. Changes in healthy behaviors and meeting 24-h movement guidelines in Spanish and Brazilian preschoolers, children and adolescents during the COVID-19 lockdown. Children 2021, 8, 83. [Google Scholar] [CrossRef]
- Sá, C.D.S.C.D.; Pombo, A.; Luz, C.; Rodrigues, L.P.; Cordovil, R. COVID-19 social isolation in Brazil: Effects on the physical activity routine of families with children. Rev. Paul Pediatr 2020, 39, 1–8. [Google Scholar] [CrossRef]
- Tang, S.; Xiang, M.; Cheung, T.; Xiang, Y.T. Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. J. Affect. Disord 2021, 279, 353–360. [Google Scholar] [CrossRef]
- Polanczyk, G.V.; Salum, G.A.; Sugaya, L.S.; Caye, A.; Rohde, L.A. Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J. Child. Psychol Psychiatry 2015, 56, 345–365. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization (WHO). International Classification of Functioning, Disability, and Health: ICF; World Health Organization: Geneva, Switzerland, 2001. [Google Scholar]
- World Health Organization (WHO). International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY; World Health Organization: Geneva, Switzerland, 2007. [Google Scholar]
- O’Boyle, C.A.; McGee, H.; Hickey, A.; O’Malley, K.; Joyce, C.R.B. Individual quality of life in patients undergoing hip replacement. Lancet 1992, 339, 1088–1091. [Google Scholar] [CrossRef]
- Adıbelli, D.; Sümen, A. The effect of the coronavirus (COVID-19) pandemic on health-related quality of life in children. Child. Youth Serv. Rev. 2020, 119, 105595. [Google Scholar] [CrossRef] [PubMed]
- Ravens-Sieberer, U.; Kaman, A.; Erhart, M.; Devine, J.; Schlack, R.; Otto, C. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur. Child. Adolesc. Psychiatry 2022, 31, 879–889. [Google Scholar] [CrossRef] [PubMed]
- Nobari, H.; Fashi, M.; Eskandari, A.; Villafaina, S.; Murillo-Garcia, Á.; Pérez-Gómez, J. Effect of COVID-19 on health-related quality of life in adolescents and children: A systematic review. Int J. Environ. Res. Public Health 2021, 18, 4563. [Google Scholar] [CrossRef] [PubMed]
- Page, M.J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Syst. Rev. 2021, 10, 105906. [Google Scholar] [CrossRef]
- Kennedy, C.E.; Fonner, V.A.; Armstrong, K.A.; Denison, J.A.; Yeh, P.T.; O’Reilly, K.R.; Sweat, M.D. The Evidence Project risk of bias tool: Assessing study rigor for both randomized and non-randomized intervention studies. Syst. Rev. 2019, 8, 3. [Google Scholar] [CrossRef] [Green Version]
- Newman, B.M.; Newman, P.R. Development Through Life: A Psychosocial Approach; Cengage Learning: Boston, MA, USA, 2017. [Google Scholar]
- McGuine, T.A.; Biese, K.M.; Petrovska, L.; Hetzel, S.J.; Reardon, C.; Kliethermes, S.; Watson, A.M. Mental health, physical activity, and quality of life of US adolescent athletes during COVID-19–related school closures and sport cancellations: A study of 13,000 athletes. J. Athl. Train. 2021, 56, 11–19. [Google Scholar] [CrossRef]
- Riiser, K.; Helseth, S.; Haraldstad, K.; Torbjørnsen, A.; Richardsen, K.R. Adolescents’ health literacy, health protective measures, and health-related quality of life during the COVID-19 pandemic. PLoS ONE 2020, 15, e0238161. [Google Scholar] [CrossRef]
- Knorst, J.K.; Brondani, B.; Tomazoni, F.; Vargas, A.W.; Cósta, M.D.; da Silva Godois, L.; Mendes, F.M.; Ardenghi, D.M.; Ardenghi, T.M. COVID-19 pandemic reduces the negative perception of oral health-related quality of life in adolescents. Qual. Life Res. 2021, 30, 1685–1691. [Google Scholar] [CrossRef]
- McGuine, T.A.; Biese, K.M.; Petrovska, L.; Hetzel, S.J.; Reardon, C.L.; Kliethermes, S.; Bell, D.R.; Brooks, A.; Watson, A.M. Changes in the health of adolescent athletes: A comparison of health measures collected before and during the COVID-19 pandemic. J. Athl. Train. 2021, 56, 836–844. [Google Scholar] [CrossRef] [PubMed]
- Vallejo Slocker, L.; Fresneda Sánchez, F.J.; Vallejo Pareja, M.Á. Psychological wellbeing of vulnerable children during the COVID-19 pandemic. Psicothema 2020, 32, 501–507. [Google Scholar]
- Bourion-Bédès, S.; Rousseau, H.; Batt, M.; Tarquinio, P.; Lebreuilly, R.; Sorsana, C.; Legrand, K.; Tarquinio, C.; Baumann, C. The effects of living and learning conditions on the health-related quality of life of children and adolescents during the COVID-19 lockdown in the French Grand Est region. BMC Public Health 2022, 22, 517. [Google Scholar] [CrossRef] [PubMed]
- Kurz, D.; Braig, S.; Genuneit, J.; Rothenbacher, D. Lifestyle changes, mental health, and health-related quality of life in children aged 6–7 years before and during the COVID-19 pandemic in South Germany. Child. Adolesc Psychiatry Ment Health 2022, 16, 20. [Google Scholar] [CrossRef]
- McGuine, T.A.; Biese, K.M.; Hetzel, S.J.; Schwarz, A.; Kliethermes, S.; Reardon, C.L.; Bell, D.R.; Brooks, M.A.; Watson, A.M. High school sports during the COVID-19 pandemic: The effect of sport participation on the health of adolescents. J. Athl. Train. 2022, 57, 51–58. [Google Scholar] [CrossRef] [PubMed]
- Christakis, D.A. School reopening—the pandemic issue that is not getting its due. JAMA Pediatr. 2020, 174, 928. [Google Scholar] [CrossRef]
- Lee, J. Mental health effects of school closures during COVID-19. Lancet Child. Adolesc Health 2020, 4, 421. [Google Scholar] [CrossRef]
Authors | Cohort | Control or Comparison Group | Pre/Post Intervention Data | Random Assignment of Participants to the Intervention | Random Selection of Participants for Assessment | Follow-Up Rate of 80% or More | Comparison Groups Equivalent on Sociodemographic Factors | Comparison Groups Equivalent at Baseline on Disclosure |
---|---|---|---|---|---|---|---|---|
Kurz et al. [28] | Yes | Yes | Yes | NA | NA | NA | NA | NA |
Bourion-Bédès et al. [27] | Yes | Yes | No | No | No | Yes | NR | NA |
Vallejo Slocker et al. [26] | Yes | No | Yes | NA | NA | NA | NA | NA |
Knorst et al. [24] | Yes | No | Yes | NA | NA | NA | NA | NA |
McGuine et al. [25] | Yes | No | Yes | NA | NA | NA | NA | NA |
McGuine et al. [22] | Yes | No | No | NA | NA | NA | NA | NA |
McGuine et al. [29] | Yes | Yes | No | NA | NA | NA | Yes | NR |
Riiser et al. [23] | Yes | No | No | NA | NA | NA | NA | NA |
Authors | Age | Age Group | Respondent of HRQoL | Presence or Absence of Gender Differences |
---|---|---|---|---|
Kurz et al. [28] | 6 to 7 years | Middle childhood | Parents | Present |
Bourion-Bédès et al. [27] | 8 to 18 years | Middle childhood, early adolescence | Children and adolescents | Present |
Vallejo Slocker et al. [26] | 8 to 18 years | Middle childhood, early adolescence | Children and adolescents | Present a |
Knorst et al. [24] | 10 to 15 years | Middle childhood, early adolescence | Children and adolescents | Absent |
McGuine et al. [25] | 13 to 19 years | Early adolescence, late adolescence | Adolescents | Absent |
McGuine et al. [22] | 13 to 19 years | Early adolescence, late adolescence | Adolescents | Present |
McGuine et al. [29] | 13 to 19 years | Early adolescence, late adolescence | Adolescents | Absent |
Riiser et al. [23] | 16 to 19 years | Early adolescence, late adolescence | Adolescents | Present a |
Authors | Country | Population Sample Size (n) | HRQoL | |||
---|---|---|---|---|---|---|
Outcome Measure | Pre-Pandemic a | During-Pandemic a | p-Value | |||
Bourion-Bédès et al. [27] | France | Children and adolescents (n = 471) | KIDSCREEN-27 | 8–11-year-old girls/boys Physical well-being 49.0 (9.6)/50.0 (9.9) Psychological well-being 51.5 (9.9)/50.9 (8.5) Parent and autonomy 46.2 (10.4)/46.5 (8.8) Social support and peers 30.6 (14.2)/32.2 (17) School 50.5 (10.1)/49.4 (9.6) 12–18-year-old girls/boys Physical well-being 42.1 (9.9)/45.4 (10) Psychological well-being 44.7 (9.5)/50.3 (10.1) Parent and autonomy 48.4 (12.6)/48.9 (11.7) Social support and peers 41.8 (13.2)/37.1 (12.6) School 47.4 (10.3)/46.4 (10.2) | Physical well-being <0.0001 Psychological well-being <0.0001 Parent and autonomy 0.19 Social support and peers <0.0001 School 0.015 | |
Knorst et al. [24] | United States | Children and adolescents (n = 207) | CPQ11-14 (oral HRQoL) | Before COVID-19 Oral symptoms 3.7 (2.5) Functional limitations 2.7 (2.8) Emotional well-being 2.6 (3.3) Social well-being 1.6 (2.3) Total score 10.8 (8.1) | During COVID-19 Oral symptoms 3.2 (2.5) Functional limitations 2.0 (2.7) Emotional well-being 1.5 (2.8) Social well-being 0.9 (1.9) Total score 7.7 (7.5) | Oral symptoms <0.01 Functional limitations <0.01 Emotional well-being <0.01 Social well-being <0.01 Total score <0.01 |
Kurz et al. [28] | Southern Germany | Children (n = 362) | KINDL-R | First HRQoL girls/boys 79.5 (9.1)/73.6 (11.7) Second HRQoL girls/boys 85.1 (8.1)/82.8 (6.4) Third HRQoL girls/boys 86.3 (7.1)/83.6 (10.5) | Girls/boys 80.8 (8.6)/82.1 (9.0) | Girls/boys 0.002/0.06 |
McGuine et al. [25] | United States | Adolescent athletes (n = 3243) | PedsQL | Physical summary 91.7 (91.3, 92.1) b Psychosocial summary 90.4 (89.9, 90.8) b Total 90.9 (90.5, 91.3) b | Physical summary 82.6 (82.2, 83.0) b Psychosocial summary 76.2 (75.8, 76.6) b Total 78.4 (78.0, 78.8) b | <0.001 <0.001 <0.001 |
McGuine et al. [22] | United States | Adolescent athletes (n = 13,002) | PedsQL | Total Physical summary 80.3 (79.5, 81.0) b Psychosocial summary 74.8 (74.0, 75.6) b Total 76.7 (76.0, 77.5) b Female Physical summary 77.9 (77.1, 78.6) b Psychosocial summary 72.9 (72.0, 73.7) b Total 74.6 (73.8, 75.4) b Male Physical summary 83.8 (82.9, 84.6) b Psychosocial summary 77.7 (76.8, 78.6) b Total 79.8 (79.0, 80.6) b | None | |
McGuine et al. [29] | United States | High school athletes (n = 559) | PedsQL | Played a fall sport Physical summary 92.3 (90.1, 94.4) b Psychosocial summary 86.4 (83.3, 89.4) b Total 88.4 (85.9, 90.9) b Did not play a fall sport Physical summary 86.5 (84.1, 88.9) b Psychosocial summary 75.9 (72.5, 79.3) b Total 79.6 (76.8, 82.4) b | Physical summary 0.004 Psychosocial summary <0.001 Total <0.001 | |
Riiser et al. [23] | Norway | Adolescents (n = 2206) | KIDSCREEN-10 | 55.3 (17.0) Girls None Boys (4.5, 8.3) b | ||
Vallejo Slocker et al. [26] | Spain | Children and adolescents (n = 459) | KIDSCREEN-10 | Before COVID-19 50.4 (10.1) | After COVID-19 50 (10.0) Gender Males 2.9 (2.17) Females 3.8 (2.46) | Outbreak >0.4 Gender 0.021 |
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Ahn, S.N. The Potential Impact of COVID-19 on Health-Related Quality of Life in Children and Adolescents: A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 14740. https://doi.org/10.3390/ijerph192214740
Ahn SN. The Potential Impact of COVID-19 on Health-Related Quality of Life in Children and Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health. 2022; 19(22):14740. https://doi.org/10.3390/ijerph192214740
Chicago/Turabian StyleAhn, Si Nae. 2022. "The Potential Impact of COVID-19 on Health-Related Quality of Life in Children and Adolescents: A Systematic Review" International Journal of Environmental Research and Public Health 19, no. 22: 14740. https://doi.org/10.3390/ijerph192214740