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I had actually looked at this one myself and highlighted their small comment that the changes might have related to getting Covid - which they then all but dismissed as a cause because there was no indication that boys and girls caught Covid at different rates. If I recall correctly, more men died / were admitted to ICU and more women have ended up with long Covid so perhaps catching it wasn’t the most sensible indicator; the known differences in responses to it between sexes might have been worth mentioning, even in passing.

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The issue is that the authors didn't have any information about the children in the study at all. We don't know who caught COVID-19, we don't know who experienced lockdowns, we just know that they were alive in Washington State before the pandemic and in 2021/2. So it's pretty useless to speculate on what potential impacts could in theory explain the association.

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*screaming into the void*

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