Abstract
Relevance. The introduction of the quarantine measures in Ukraine during the COVID-19 pandemic radically changed all aspects of children's lifestyles. Restricting of social contacts and traveling, the introduction of distance education are typical manifestations of quarantine measures’ application to schoolchildren. However, social distancing, the effects of the negative factors of distance education, and prolonged stress can threaten the health of school-age children both at the moment and have delayed consequences. The assistance of the optimal adaptation process to new conditions decreases risks to children’s health at various levels: physical, physical, social.
Objective. Development of hygienic recommendations for saving the health of schoolchildren during the quarantine.
Methods. Structural-logical and analytical methods were used, based on our own 20-year research and research by other authors, WHO, and CDC recommendations. The results of our research before and during the quarantine have been presented.
Results. During the introduction of quarantine measures, the health of a schoolchild is formed under the influence of a complex of factors, among which a significant place is occupied by controlled ones: properly organized learning process, daily routine, including diet and drinking regime, ensuring sufficient physical activity and night rest. To ensure the optimal course of adaptation of children in conditions of social isolation, it is also necessary to take into account the individual characteristics of children, the peculiarities of the circadian rhythm of schoolchildren of different age groups, their physical and mental development.
Conclusions. Maintaining and strengthening the health of children in quarantine depends on the individual characteristics of development and health of the child, the optimal organization of distance learning, ensuring sufficient duration of physical activity, sleep, screen time, optimization of nutrition, and water consumption schedule. The promotion of health maintenance and specific recommendations would help reduce the negative influence of the quarantine measures on the formation of children's health.
References
World Health Organization. Mental health: strengthening our response. Geneva: World Health Organization, 2018.
View at: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
Bramley A.M., Bresee J., Finelli L. Pediatric influenza. Pediatr Nurs. 2009; 35(6): 335-45. PMID: 20166462.
View at: PubMed: https://pubmed.ncbi.nlm.nih.gov/20166462/
Non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza. WHO Regional Office for Europe. Copenhagen. 2019. 131 р.
View at: URL: https://www.who.int/influenza/publications/public_health_measures/publication/en/
https://www.euro.who.int/__data/assets/pdf_file/0019/424342/NPI_guide.pdf
https://apps.who.int/iris/bitstream/handle/10665/329439/WHO-WHE-IHM-GIP-2019.1-eng.pdf?ua=1
Hozak S. [Children's health in the conditions of modern challenges] [in Ukrainian].
View at: URL : http://amnu.gov.ua/zdorov-ya-ditej-v-umovah-suchasnyh-vyklykiv/
Lee I.M., Shiroma E.J., Lobelo F., Puska P., Blair S.N., Katzmarzyk P.T. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012; 380(9838): 219-29. DOI: 10.1016/S0140-6736(12)61031-9.
View at: Publisher Site: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61031-9/fulltext
PubMed: https://pubmed.ncbi.nlm.nih.gov/22818936/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645500/
Europe PMC: https://europepmc.org/article/med/22818936
Yelizarova O., Stankevych T., Parats A., Antomonov M., Polka N., Hozak S. Specific Features of the Ukrainian Urban Adolescents' Physical Activity: A Cross-Sectional Study. J Environ Public Health. 2020:3404285. DOI: 10.1155/2020/3404285.
View at: Publisher Site: https://www.hindawi.com/journals/jeph/2020/3404285/
PubMed: https://pubmed.ncbi.nlm.nih.gov/32351581/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171637/
Pol'ka N.S., Gozak S.V., Yelizarova O.T., Parats A.M., Stankevich T.V., Kalinichenko І.O., Zaїkіna G.P., Latіna G.O. [Mental efficiency, educational load and way of life of modern schoolchildren: hygienic aspects. Monograph]. Kyiv: MVC "Medіnform", 2018. 214 p. [in Ukrainian].
Gaborets Yu.Yu., Dudina О.О. [Dynamics of morbidity of children in Ukraine in the regional aspect and the prevalence of diseases between them]. Ukraine. Nation’s Health. 2017; 4: 18-28. [in Ukrainian].
View at: URL: http://nbuv.gov.ua/UJRN/Uzn_2017_4_5
Hozak S.V. [Influence of the organization of the educational process in schools on the formation of children’s posture]. Hygiene of populated places. 2011; 58: 305-10. [in Ukrainian].
Pol`ka N.S., Gozak S.V., Stankevy`ch T.V., Yelizarova O.T., Paracz A.M. [Preventive program "Healthy schoolchildren to preserve and strengthen the health of secondary schools": Guidelines]. Kyiv, 2018. 36 s [in Ukrainian].
Hozak S.V., Yelizarova O.T. [The morphofunctional state of schoolchildren and its dependence on the organization of physical education]. Medical Almanac. 2013; 6 (30): 156-9. [in Russian].
Hozak S.V., Yelizarova O.T., Parats A., Filonenko О. [The influence of the factors of the organization of the educational process on the vegetative tonus of children of secondary school age]. Hygiene of populated places. 2014; 64: 265-71. [in Ukrainian].
Afanasyev S. [Adaptation possibilities of the vegetative nervous system in primary school-aged children with positional disorders]. Theory and Methods of Physical Education and Sports. 2016; 2: 14-8. [in Ukrainian]. DOI: 10.32652/tmfvs.2016.2.14-18.
View at: Publisher Site: http://tmfvs-journal.uni-sport.edu.ua/article/view/82952
Yelizarova O.T. [Hygienic assessment of out-of-school static workload of children aged 8-11 years]. Hygiene of populated places. 2015; 66: 258-62. [in Ukrainian].
View at: URL: http://nbuv.gov.ua/UJRN/gnm_2015_66_42.
Orben A., Tomova L., Blakemore S.J. The effects of social deprivation on adolescent development and mental health. The Lancet. Child Adolesc Health. 2020; 4(8): 634-40. DOI: 10.1016/S2352-4642(20)30186-3.
View at: Publisher Site: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30186-3/fulltext
Hozak S., Yelizarova O., Stankevych T., Diuba N., Parats A., Lebedynets N. [Anxiety and depression of ukrainian school-age children in the process of distance education during the COVID-19 pandemic]. Bulletin of Taras Shevchenko National University of Kyiv. 2020; 1(11): 27-33. [in Ukrainian].
[On approval of the Regulation on distance learning]: Order of the Ministry of Education and Science of Ukraine 25.04.2013 № 466 [in Ukrainian].
View at: URL: https://zakon.rada.gov.ua/laws/show/z0703-13#Text
[Sanitary regulator for the institution of general secondary activity], approved by the Order of the Ministry of Health of Ukraine on 25.09.2020 № 2205 and registered in the Ministry of Justice of Ukraine on 10.11.2020. № 1111/35394 [in Ukrainian].
View at: URL: https://zakon.rada.gov.ua/laws/show/z1111-20
Student workplace equipment. Recommendations of the laboratory of social development of children's health determinants of O.M. Marzіeiev Institute of Public Health [in Ukrainian].
View at: URL: http://www.health.gov.ua/www.nsf/all/u04-02-07-01-09
Sung Y.-T., Chang K.-E., Liu T.-C. The effects of integrating mobile devices with teaching and learning on students’ learning performance: A meta-analysis and research synthesis. Computers & Education. 2016; 94: 252-75. DOI: https://doi.org/10.1016/j.compedu.2015.11.008.
View at: Scopus: https://www.sciencedirect.com/science/article/pii/S0360131515300804
Noah Darko-Adjei. The use and effect of smartphones in students’ learning activities: evidence from the university of ghana, legon. Library Philosophy and Practice (e-journal). 2019; 2851.
View at: URL: https://digitalcommons.unl.edu/libphilprac/2851
Hozak S. [The health of the child in quarantine. Recommendations for parents to maintain children's health and strengthen their immunity during the COVID-19 pandemic]. O.M. Marzіeiev Institute of Public Health [in Ukrainian].
View at: URL: http://www.health.gov.ua/www.nsf/all/u04-02-07-01?opendocument
Lototska A., Pasichnyk O. [Organization of distance learning in schools: methodical recommendations]. MES of Ukraine. 2020. 37 p. [in Ukrainian].
View at: URL: https://nus.org.ua/wp-content/uploads/2020/06/GRYF_Metodychni_rekomendatsii-_dystantsiy-na_osvita_razvoroty.pdf
Reich J., Buttimer C.J., Fang A., Hillaire G., Hirsch K., Larke L.R., Littenberg-Tobias J., Slama R. Remote Learning Guidance From State Education Agencies During the COVID-19 Pandemic: A First Look. EdArXiv, 2 Apr. 2020. Web. DOI: 10.35542/osf.io/437e2.
View at: Publisher Site: https://edarxiv.org/437e2
Hozak S., Yelizarova O., Parats A. [The regulation of school day load for school-age children]. Pedagogical sciences: theory, history, innovative technologies. 2017; 4 (68): 57-68. [in Ukrainian].
View at: URL: https://pedscience.sspu.sumy.ua/wp-content/uploads/2018/04/417-%D0%B4%D1%80%D1%83%D0%BA.pdf
Yelizarova О.Т., Hozak S.V., Parats А.М., Shumak О.V., Filonenko О.О. [Topicality of the optimization of day’s routine and school day load in primary school-age children]. Environment&Health. 2015; 4(75): 36-40. [in Ukrainian].
View at: URL: http://www.dovkil-zdorov.kiev.ua/Publ/dovkil.nsf/all/article?opendocument&stype=1C3D613835BB84EAC2257F3C00436DD3
Нozak S., Yelizarova O., Shumak О., Filonenko О. [Dependence of middleaged pupils mind activity on day organization]. Young Scientist. 2016 Sep; 9.1(36.1):50-4. [in Ukrainian].
View at: URL: http://molodyvcheny.in.ua/files/journal/2016/9/13.pdf
Нozak S., Yelizarova O., Parats A., Diuba N., Stankevych T. [Distance education characteristics of Ukrainian school children during the COVID-19 pandemic]. Bulletin of the Cherkasy Bohdan Khmelnytsky National University. Series "Pedagogical Sciences" 2020; 3:14-22. [in Ukrainian]. DOI: 10.31651/2524-2660-2020-3-14–22.
View at: URL: http://ped-ejournal.cdu.edu.ua/article/download/3915/4180
Нozak S. [Examples of morning exercises and exercises that are potentially dangerous to the health of untrained children]. [in Ukrainian].
Recess Planning in Schools: A Guide to Putting Strategies for Recess into Practice. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services. 2017.
View at: URL: https://www.cdc.gov/healthyschools/physicalactivity/pdf/2016_12_16_schoolrecessplanning_508.pdf
Increasing Physical Education and Physical Activity: A Framework for Schools. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services. 2017.
View at: URL: https://www.cdc.gov/healthyschools/physicalactivity/pdf/17_278143-A_PE-PA-Framework_508.pdf
Polka N.S., Hozak S.V., Stankevych T.V. [Preventive program "Healthy schoolboy" to preserve and strengthen the health of students in secondary schools: guidelines]. Kyiv, 2018. 33 p. [in Ukrainian].
Bull F.C., Al-Ansari S.S., Biddle S., et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine. 2020; 54: 1451-62. DOI: 10.1136/bjsports-2020-102955.
View at: Publisher Site: https://bjsm.bmj.com/content/54/24/1451
PubMed: https://pubmed.ncbi.nlm.nih.gov/33239350/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719906/
Physical Activity Guidelines for Americans, 2nd edition. Washington, DC: U.S. Department of Health and Human Services. 2018. 118 p.
View at: URL: https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf
Hozak S. [Physical activity of children in conditions of social isolation]. Information laboratory of social factors that determine the health of children. O.M. Marzіeiev Institute of Public Health [in Ukrainian].
View at: URL : http://www.health.gov.ua/www.nsf/all/u05-02-83?opendocument
Hozak S.V., Yelizarova O.T., Antomonov M.Iu., Stankevych T.V., Parats A.M. [Hygienic recommendations for the optimal level of physical activity of middle school children]. Kyiv, 2019. 2 s. (Information sheet on innovation in healthcare of State Institution “Marzіeiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine № 266-2019). [in Ukrainian].
View at: URL: http://www.health.gov.ua/www.nsf/16a436f1b0cca21ec22571b300253d46/9dbd04457d31d181c22583af0040cc79/$FILE/Inf_lysr_266-2019.pdf
Hozak S.V., Stankevych T.V., Yelizarova O.T., Parats A.M., Dereviahina A.V. [Relationship between motor activity of adolescents and their parents]. Current public health issues: Mater. X All-Ukrainian of scientific-practical conference with international participation "Education and Health" (7-8 April 2020, Sumy). Sumy, 2020. Vol. 1 (4): 28-30. [in Ukrainian].
Anderssen N., Wold B. Parental and peer influences on leisure-time physical activity in young adolescents. Res Q Exerc Sport. 1992; 63(4): 341-8. DOI: 10.1080/02701367.1992.10608754.
View at: Publisher Site: https://www.tandfonline.com/doi/abs/10.1080/02701367.1992.10608754
Europe PMC: https://europepmc.org/article/med/1439157
Forthofer M., Dowda M., McIver K., Barr-Anderson D.J., Pate R. Associations Between Maternal Support and Physical Activity Among 5th Grade Students. Matern Child Health J. 2016; 20(3): 720-9. DOI: 10.1007/s10995-015-1873-0.
View at: Scopus: https://link.springer.com/article/10.1007/s10995-015-1873-0
PubMed: https://pubmed.ncbi.nlm.nih.gov/26649880/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754126/
Europe PMC: https://europepmc.org/article/med/26649880
Van Der Horst K., Paw M.J., Twisk J.W., Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007; 39(8): 1241-50. DOI: 10.1249/mss.0b013e318059bf35.
View at: Publisher Site: https://journals.lww.com/acsm-msse/Fulltext/2007/08000/A_Brief_Review_on_Correlates_of_Physical_Activity.6.aspx
PubMed: https://pubmed.ncbi.nlm.nih.gov/17762356/
[Recommendations for school nutrition]. Information of laboratory of social factors that determine the health of children. O.M. Marzіeiev Institute of Public Health [in Ukrainian].
View at: URL: http://www.health.gov.ua/www.nsf/all/u04-02-07-01-02
Hozak S., Yelizarova O., Stankevytch T., Parats A. [Factual nutrition of modern schoolchildren and its impact on mental efficiency and fatigue]. Environment & Health. 2017; 3(83): 29-33. [in Ukrainian]. DOI: 10.32402/dovkil2017.03.029
View at: Publisher Site: http://www.dovkil-zdorov.kiev.ua/publ/dovkil.nsf/all/article_e?opendocument&stype=413212CE07CCBC24C22581B0003079B2
Recommendations for water use for children of different ages. Information of laboratory of social factors that determine the health of children. O.M. Marzіeiev Institute of Public Health [in Ukrainian].
View at: URL: http://www.health.gov.ua/www.nsf/all/u04-02-07-01-02
Kempton M.J., Ettinger U., Foster R., Williams S.C., Calvert G.A., Hampshire A. Zelaya F.O., McMorris T., Owen A.M., Smith M.S. Dehydration affects brain structure and function in healthy adolescents. Hum Brain Mapp. 2011; 32(1): 71-9. DOI: 10.1002/hbm.20999.
View at: Publisher Site: https://onlinelibrary.wiley.com/doi/full/10.1002/hbm.20999
PubMed: https://pubmed.ncbi.nlm.nih.gov/20336685/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6869970/
Dietary reference intakes for water, potassium, sodium, chloride, and sulfate Institute of Medicine (US) Panel on Dietary Reference Intakes for Electrolytes and Water. Washington, D.C.: National Academies Press, 2005. 638 p. DOI: 10.17226/10925
View at: URL: https://www.nap.edu/catalog/10925/dietary-reference-intakes-for-water-potassium-sodium-chloride-and-sulfate
Scientific Opinion on Dietary Reference Values for water. EFSA Journal. 2010; 8(3): 1459. DOI: 10.2903/j.efsa.2010.1459
View at: Publisher Site: https://www.efsa.europa.eu/en/efsajournal/pub/1459
URL: https://efsa.onlinelibrary.wiley.com/doi/pdf/10.2903/j.efsa.2010.1459
Wheaton A.G., Chapman D.P., Croft J.B. School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review of the Literature. J Sch Health. 2016; 86(5): 363-81. DOI: 10.1111/josh.12388.
View at: Publisher Site: https://onlinelibrary.wiley.com/doi/abs/10.1111/josh.12388
PubMed: https://pubmed.ncbi.nlm.nih.gov/27040474/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4824552/
Cao M., Zhu Y., He B., Yang W., Chen Y., Ma J., Jing J. Association between sleep duration and obesity is age- and gender-dependent in Chinese urban children aged 6-18 years: a cross-sectional study. BMC Public Health. 2015; 15: 1029. DOI: 10.1186/s12889-015-2359-0.
View at: Publisher Site: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-2359-0
PubMed: https://pubmed.ncbi.nlm.nih.gov/26446623/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596376/
Wang J., Adab P., Liu W., Chen Y., Li B., Lin R., Liu W., Cheng K.K., Pallan M. Prevalence of adiposity and its association with sleep duration, quality, and timing among 9-12-year-old children in Guangzhou, China. J Epidemiol. 2017; 27(11): 531-7. DOI: 10.1016/j.je.2016.11.003.
View at: Scopus: https://www.sciencedirect.com/science/article/pii/S0917504017301193?via%3Dihub
PubMed: https://pubmed.ncbi.nlm.nih.gov/28623055/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608611/
Dutil C., Chaput J.P. Inadequate sleep as a contributor to type 2 diabetes in children and adolescents. Nutr Diabetes. 2017; 7(5): 266. DOI: 10.1038/nutd.2017.19.
View at: Publisher Site: https://www.nature.com/articles/nutd201719
PubMed: https://pubmed.ncbi.nlm.nih.gov/28481337/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518801/
Willis T.A., Gregory A.M. Anxiety Disorders and Sleep in Children and Adolescents. Sleep Med Clin. 2015; 10(2): 125-31. DOI: 10.1016/j.jsmc.2015.02.002
View at: Publisher Site: https://www.sleep.theclinics.com/article/S1556-407X(15)00014-4/fulltext
PubMed: https://pubmed.ncbi.nlm.nih.gov/26055860/
Alfano C.A., Zakem A.H., Costa N.M., Taylor L.K., Weems C.F. Sleep problems and their relation to cognitive factors, anxiety, and depressive symptoms in children and adolescents. Depress Anxiety. 2009; 26(6): 503-12. DOI: 10.1002/da.20443.
View at: Publisher Site: https://onlinelibrary.wiley.com/doi/abs/10.1002/da.20443
PubMed: https://pubmed.ncbi.nlm.nih.gov/19067319/
Europe PMC: https://europepmc.org/article/med/19067319
Matricciani L., Paquet C., Galland B., Short M., Olds T. Children’s sleep and health: A meta-review. Sleep Med Rev. 2019; 46: 136-50. DOI: 10.1016/j.smrv.2019.04.011
View at: Scopus: https://www.sciencedirect.com/science/article/abs/pii/S1087079219300188?via%3Dihub
PubMed: https://pubmed.ncbi.nlm.nih.gov/31121414/
Europe PMC: https://europepmc.org/article/med/31121414
Hozak S., Yelizarova O., Stankevytch T., Parats A. [Night sleep duration in the pupils as a hygienic problem]. Environment&Health. 2018; 1(85):68-72. [in Ukrainian]. DOI: 10.32402/dovkil2018.01.068.
View at: Publisher Site: http://www.dovkil-zdorov.kiev.ua/publ/dovkil.nsf/all/article_e?opendocument&stype=90E6FED8F45C2204C225826B002A84C6
Paruthi S., Brooks L.J., D’Ambrosio C., Hall W.A., Kotagal S., Lloyd R.M., Malow B.A., Maski K., Nichols C., Quan S.F., Rosen C.L., Troester M.M., Wise M.S. Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: methodology and discussion. J Clin Sleep Med. 2016; 12: 1549-61. DOI: 10.5664/jcsm.6288
View at: Publisher Site: https://jcsm.aasm.org/doi/10.5664/jcsm.6288
PubMed: https://pubmed.ncbi.nlm.nih.gov/27707447/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5078711/
JM REY’S IACAPAP. e-Textbook of Child and Adolescent Mental Health. IACAPAP. 2018. Vol. 1. 770 p. [in Russian].
View at: URL: https://iacapap.org/english
Loades M.E., Chatburn E., Higson-Sweeney N., Reynolds S., Shafran R., Brigden A., Linney C., McManus M.N., Borwick C., Crawley E. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020; 59(11): 1218-39. DOI: 10.1016/j.jaac.2020.05.009
View at: Publisher Site: https://jaacap.org/article/S0890-8567(20)30337-3/fulltext
PubMed: https://pubmed.ncbi.nlm.nih.gov/32504808/
PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267797/
Scopus: https://www.sciencedirect.com/science/article/abs/pii/S0890856720303373

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