{"id":261512,"date":"2020-07-14T05:18:17","date_gmt":"2020-07-14T09:18:17","guid":{"rendered":"https:\/\/canadianinquirer.net\/v1\/?p=261512"},"modified":"2020-07-14T05:18:17","modified_gmt":"2020-07-14T09:18:17","slug":"the-long-term-biological-effects-of-covid-19-stress-on-kids-future-health-and-development","status":"publish","type":"post","link":"https:\/\/canadianinquirer.net\/v1\/2020\/07\/14\/the-long-term-biological-effects-of-covid-19-stress-on-kids-future-health-and-development\/","title":{"rendered":"The long-term biological effects of COVID-19 stress on kids\u2019 future health and development"},"content":{"rendered":"<p>One fortunate aspect of COVID-19 is that children have been less directly affected by the disease. But despite the relatively low incidence of severe illness in children, the response to the pandemic may have long-term adverse effects on the health and well-being of children and adolescents.<\/p>\n<p>As researchers in psychology, genetics and developmental biology in the <a href=\"https:\/\/socialexposome.ubc.ca\/\">Social Exposome Research Cluster<\/a> at <a href=\"https:\/\/www.ubc.ca\/\">University of British Columbia<\/a> and the <a href=\"https:\/\/www.cifar.ca\/research\/program\/child-brain-development\">Child and Brain Development Program of CIFAR<\/a>, we investigate the biological mechanisms by which <a href=\"https:\/\/doi.org\/10.1007\/7854_2019_114\">social factors get \u201cunder the skin<\/a>\u201d to influence child health and development. We are concerned because some of the unintended consequences of the public health response to the pandemic are <a href=\"https:\/\/www.unicef.ca\/en\/press-release\/impact-covid-19-children-canada-short-medium-and-long-term-mitigation-strategies\">increased stressors for children and adolescents<\/a>.<\/p>\n<p>These stressors \u2014 reduced family income, food insecurity, parental stress and child abuse \u2014 can become biologically embedded and <a href=\"https:\/\/doi.org\/10.1016\/j.biopsych.2015.05.017\">negatively impact children\u2019s developing brains, immune systems and ability to thrive<\/a>. While some effects will be immediate, many will surface decades from now.<\/p>\n<h2>Stressors can leave lasting imprint on health<\/h2>\n<figure class=\"align-center \"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/344456\/original\/file-20200629-155330-8gob9e.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">Stressors from the pandemic may become biologically imprinted in children.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Pixabay)<\/span><\/span><\/figcaption><\/figure>\n<p>For the more than <a href=\"https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/200224\/t002a-eng.htm\">500,000 Canadian children under the age of 18 living in poverty<\/a> (and one in four children in single-parent households) prior to the pandemic, the shocks have been great. As of June, the <a href=\"https:\/\/globalnews.ca\/news\/7029601\/canada-may-unemployment-rate\/\">unemployment rate<\/a> in Canada reached a record high of 13.7 per cent, with cumulative employment losses over three million since February. This is especially worrisome. One striking example shows that financial hardship in early life is related to <a href=\"https:\/\/doi.org\/10.1097\/psy.0000000000000455\">higher risk of metabolic syndrome<\/a> and <a href=\"https:\/\/doi.org\/10.1111\/cdep.12021\">physical health problems in adulthood<\/a>, often independent of adult income and resources. The concern now is the extent to which these massive shocks will impact children\u2019s lifelong health and well-being.<\/p>\n<hr \/>\n<p><em><br \/>\n<strong><br \/>\nRead more:<br \/>\n<a href=\"https:\/\/theconversation.com\/new-dna-test-that-reveals-a-childs-true-age-has-promise-but-ethical-pitfalls-126676\">New DNA test that reveals a child\u2019s true age has promise, but ethical pitfalls<\/a><br \/>\n<\/strong><br \/>\n<\/em><\/p>\n<hr \/>\n<p>Children and adolescents are facing these stressors without access to the stabilizing routines and activities that typically support their development. <a href=\"https:\/\/www.cbc.ca\/kidsnews\/post\/we-mapped-out-when-schools-across-canada-will-reopen\">Most of Canada\u2019s schools are closed or only open part-time<\/a>. With the summer ahead, cancellations and restrictions of <a href=\"https:\/\/www.ctvnews.ca\/health\/coronavirus\/youth-sports-in-canada-feeling-economic-mental-health-impact-of-covid-19-1.4917026\">young people\u2019s sports<\/a> and <a href=\"https:\/\/www.cbc.ca\/news\/canada\/kids-children-camps-cancelled-restricted-covid-19-1.5579264\">summer camps<\/a> means further loss of opportunities for learning, social interaction and play. For adolescents, who need peer interaction to support development, social deprivation and reduced opportunities for social learning are likely to have <a href=\"https:\/\/doi.org\/10.1016\/S2352-4642(20)30186-3\">far-reaching consequences<\/a> on their development and <a href=\"https:\/\/doi.org\/10.1186\/s13034-020-00329-3\">mental health<\/a>.<\/p>\n<h2>Biological pathways<\/h2>\n<p>Stressors stemming from the pandemic may become <a href=\"https:\/\/doi.org\/10.1111\/j.1467-8624.2011.01641.x\">biologically imprinted in children<\/a> and leave a lasting mark on child and adult health and well-being. There are several biological pathways that can be modulated by early life experiences, but epigenetics \u2014 a process that turns genes \u201con\u201d or \u201coff\u201d \u2014 is particularly well-studied. <a href=\"https:\/\/doi.org\/10.1073\/pnas.1121249109\">Epigenetic changes<\/a> associated with early experiences can last into adulthood and may be linked to stress, inflammation and chronic heath conditions.<\/p>\n<figure class=\"align-center zoomable\"><a href=\"https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=315&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/344132\/original\/file-20200625-33519-iw1bku.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=396&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><\/a><figcaption><span class=\"caption\">Stressors during the COVID-19 pandemic and interventions we can take to look after the health and well-being of children and adolescents.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Author provided)<\/span>, <span class=\"license\">Author provided<\/span><\/span><\/figcaption><\/figure>\n<p>While scientists continue to map the exact mechanisms by which early experiences impact adult health, what is clear is that children who experience adversity early in life are at heightened risk for later mental, social and physical health problems. Additional protections for children and families are needed to prevent the negative effects of COVID-19 from following children, especially those already at greatest risk, into adulthood.<\/p>\n<p>Canada is not alone in failing to prioritize the basic needs of children and adolescents in reopening plans. In the United Kingdom, an <a href=\"https:\/\/www.rcpch.ac.uk\/sites\/default\/files\/2020-06\/open_letter_re_schools_reopening_2020-06-17.pdf\">open letter<\/a> to the prime minister was signed by 1,500 pediatricians on June 17 citing the risks of \u201cscarring the life chances of a generation of youth\u201d due to the prolonged closure of schools. This letter urged the government to prioritize the opening of schools to prevent widening inequalities, disruption of learning and the inability to deliver essential supports for children, including mental health supports, therapies, school meals and early years services.<\/p>\n<p>Creative and safe plans are required for reopening schools and allowing safe social interactions. These measures will benefit all young people, but a specific focus is needed to support young people most affected by <a href=\"https:\/\/www.chrc-ccdp.gc.ca\/eng\/content\/statement-inequality-amplified-covid-19-crisis\">the amplification of social inequalities<\/a>. In particular, as we emerge from this crisis, more support is required for those who may have experienced <a href=\"https:\/\/www.theglobeandmail.com\/canada\/article-increase-in-child-abuse-a-big-concern-during-covid-19-pandemic\/\">child abuse<\/a> and <a href=\"https:\/\/doi.org\/10.1002\/ijgo.13247\">domestic violence<\/a>.<\/p>\n<h2>Helping children and adolescents thrive<\/h2>\n<p>It\u2019s not too late to prevent children and adolescents growing up in the pandemic from becoming unintended casualties. We are facing the possibility of seismic shifts in population health and well-being if we do not act. The good news is that there are specific and evidence-based actions we can take.<\/p>\n<figure class=\"align-center \"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=413&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=413&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=413&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=519&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=519&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/344457\/original\/file-20200629-155322-sk8zvk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=519&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">The presence of warm and supportive adults can protect children from stressful life events.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Pexels\/Ketut Subiyanto)<\/span><\/span><\/figcaption><\/figure>\n<p>The presence of warm and supportive adults can protect children from stressful life events. <a href=\"https:\/\/dx.doi.org\/10.1038%2Fmp.2010.53\">Close bonds between parents and children are protective against the harmful, long-term effects of financial insecurity on the immune system \u2014 extending into adulthood<\/a>. Grandparents, teachers, coaches, other important adults and close-knit communities in the lives of children are offering inspiring examples of how to creatively connect and support children digitally and in physically, but not socially, distanced ways.<\/p>\n<p>Creating opportunities for <a href=\"https:\/\/doi.org\/10.1016\/s0140-6736(20)31445-8\">children and adolescents to be involved in the rebuilding plan<\/a> can empower young people as leaders. A diverse <a href=\"https:\/\/childrenfirstcanada.org\/our-team#youth-advisory-council\">youth advisory council<\/a>, such as the <a href=\"https:\/\/www.mentalhealthcommission.ca\/sites\/default\/files\/2016-07\/Youth_Strategy_Eng_2016.pdf\">Mental Health Commission of Canada\u2019s Youth Council<\/a>, can advocate by incorporating the wisdom and vision of young people\u2019s lived experiences.<\/p>\n<p>We urge policy-makers to seek scientific evidence and consult with experts focused on child development, including pediatricians, psychologists and researchers in the biology of early life experiences. To start, policy-makers should invest in solutions to minimize the evidence-based <a href=\"https:\/\/static1.squarespace.com\/static\/5669d2da9cadb69fb2f8d32e\/t\/5d68527b9b5867000180d47e\/1567117949279\/Raising+Canada+-+Election+2019+-+Call+to+Action.pdf\">Top 10 Threats<\/a> outlined by <a href=\"https:\/\/childrenfirstcanada.org\/\">Children First Canada<\/a>. These include depression, anxiety and child abuse \u2014 all of which are amplified by the pandemic. Finally, we urge the creation of diverse federal and provincial pandemic recovery <a href=\"http:\/\/www.basicsforhealthsociety.ca\/advocacy\">task forces<\/a> to create an evidenced-based strategy for supporting children and adolescents.<\/p>\n<p>Institutions, educators and leading scientists also have a role to play in advocating for young people who do not vote, and as a result often do not have a voice in policy discussions. The late Dr. Clyde Hertzman, founding director of the <a href=\"http:\/\/earlylearning.ubc.ca\/\">Human Early Learning Partnership<\/a>, was a tireless advocate for increasing investments in child health and education to prevent <a href=\"https:\/\/dx.doi.org\/10.1093%2Fpch%2F18.3.127\">adversity in childhood<\/a> from evolving into disease. His life motto of \u201cit doesn\u2019t have to be this way\u201d has never been more relevant.<\/p>\n<p>Now is the time to work quickly and collectively to ensure that this pandemic does not leave its imprint deep in the biology of the next generation.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" decoding=\"async\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/140533\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/michael-s-kobor-885225\">Michael S. Kobor<\/a>, Canada Research Chair in Social Epigenetics and Professor, UBC Department of Medical Genetics, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-british-columbia-946\">University of British Columbia<\/a><\/em>; <a href=\"https:\/\/theconversation.com\/profiles\/candice-odgers-1126098\">Candice Odgers<\/a>, Professor of Psychological Science, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-california-irvine-1169\">University of California, Irvine<\/a><\/em>; <a href=\"https:\/\/theconversation.com\/profiles\/kim-schmidt-1124191\">Kim Schmidt<\/a>, Research Manager, Healthy Starts Theme, BC Children&#8217;s Hospital Research Institute; Steering Committee Member, Social Exposome Research Cluster, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-british-columbia-946\">University of British Columbia<\/a><\/em>, and <a href=\"https:\/\/theconversation.com\/profiles\/ruanne-vent-schmidt-734159\">Ruanne Vent-Schmidt<\/a>, Research Manager, Social Exposome Research Cluster, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-british-columbia-946\">University of British Columbia<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/the-long-term-biological-effects-of-covid-19-stress-on-kids-future-health-and-development-140533\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>One fortunate aspect of COVID-19 is that children have been less directly affected by the disease. But despite the relatively &hellip;<\/p>\n","protected":false},"author":33,"featured_media":257603,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[54365,3],"tags":[],"class_list":["post-261512","post","type-post","status-publish","format-standard","has-post-thumbnail","category-instagram","category-lifestyle","mauthors-michael-s-kobor-university-of-british-columbia","mauthors-candice-odgers-university-of-california-irvine","mauthors-kim-schmidt-university-of-british-columbia","mauthors-ruanne-vent-schmidt-university-of-british-columbia","mauthors-the-conversation"],"_links":{"self":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/261512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/comments?post=261512"}],"version-history":[{"count":1,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/261512\/revisions"}],"predecessor-version":[{"id":261513,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/261512\/revisions\/261513"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media\/257603"}],"wp:attachment":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media?parent=261512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/categories?post=261512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/tags?post=261512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}