Are Patients Suffering from Severe Obesity Getting a Raw Deal During COVID-19 Pandemic?

Bhasker, Aparna Govil; Greve, Jan

doi:10.1007/s11695-020-04677-z

Cited by 19 publications

(28 citation statements)

References 10 publications

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“…Diversos autores han denunciado la injusticia que está representando la pandemia por COVID-19 para los obesos mórbidos en cuanto que se han priorizado otros procedimientos quirúrgicos además del aumento de la estigmatización que ha generado la situación en este subgrupo de pacientes especialmente 15 . Otros han descrito protocolos de priorización tanto para la realización de cirugía bariátrica como metabólica 16 .…”

Section: Discussionunclassified

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

et al. 2020

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Section: Discussionunclassified

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

et al. 2020

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“…[82] Obesity is a leading risk factor of CVD, diabetes, and renal disease, and has a detrimental effect on lung function. A pro-inflammatory state coupled with malnutrition may lead to impaired immune response in patients suffering from obesity and increased susceptibility to all influenza viruses including COVID-19 [83,84] Obesity has some detrimental effects on immune system that include alterations in leukocyte development, phenotypes and activity. In particular, obesity has been shown to impair memory CD8þ T cell responses to influenza virus infection, resulting in increased mortality, viral titers in lung, and worsened lung pathology [82].…”

Section: Impact Of Quarantine On People With Obesitymentioning

confidence: 99%

Quarantine during COVID-19 outbreak: Changes in diet and physical activity increase the risk of cardiovascular disease

Mattioli

Sciomer

Cocchi

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

426

378

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Aims: CoV-19/SARS-CoV-2 is a highly pathogenic virus that is causing a global pandemic with a high number of deaths and infected people. To contain the diffusion of infection, several governments have enforced restrictions on outdoor activities or even collective quarantine on the population. The present commentary briefly analyzes the effects of quarantine on lifestyle, including nutrition and physical activity and the impact of new technologies in dealing with this situation. Data synthesis: Quarantine is associated with stress and depression leading to unhealthy diet and reduced physical activity. A diet poor in fruit and vegetables is frequent during isolation, with a consequent low intake of antioxidants and vitamins. However, vitamins have recently been identified as a principal weapon in the fight against the Cov-19 virus. Some reports suggest that Vitamin D could exert a protective effect on such infection. During quarantine, strategies to further increase home-based physical activity and to encourage adherence to a healthy diet should be implemented. The WHO has just released guidance for people in self-quarantine, those without any symptoms or diagnosis of acute respiratory illness, which provides practical advice on how to stay active and reduce sedentary behavior while at home. Conclusion: Quarantine carries some long-term effects on cardiovascular disease, mainly related to unhealthy lifestyle and anxiety. Following quarantine, a global action supporting healthy diet and physical activity is mandatory to encourage people to return to a good lifestyle routine.

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“…This will avoid placing an even greater burden on individuals, health systems and society in the post‐COVID‐19 recovery phase. Quarantine and isolation may increase psychosocial distress in many ways, influenced by duration, the provision of information, fear of infection, social and familial isolation, loneliness, the availability of supplies, financial hardship and stigmatization 9,12 …”

Section: Introductionmentioning

confidence: 99%

Impact of COVID‐19 stay‐at‐home orders on weight‐related behaviours among patients with obesity

et al. 2020

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Summary How the impact of the COVID‐19 stay‐at‐home orders is influencing physical, mental and financial health among vulnerable populations, including those with obesity is unknown. The aim of the current study was to explore the health implications of COVID‐19 among a sample of adults with obesity. A retrospective medical chart review identified patients with obesity from an obesity medicine clinic and a bariatric surgery (MBS) practice. Patients completed an online survey from April 15, 2020 to May 31, 2020 to assess COVID‐19 status and health behaviours during stay‐at‐home orders. Logistic regression models examined the impact of these orders on anxiety and depression by ethnic group. A total of 123 patients (87% female, mean age 51.2 years [SD 13.0]), mean BMI 40.2 [SD 6.7], 49.2% non‐Hispanic white (NHW), 28.7% non‐Hispanic black, 16.4% Hispanic, 7% other ethnicity and 33.1% completed MBS were included. Two patients tested positive for severe acute respiratory syndrome coronavirus 2 and 14.6% reported symptoms. Then, 72.8% reported increased anxiety and 83.6% increased depression since stay‐at‐home orders were initiated. Also 69.6% reported more difficultly in achieving weight loss goals, less exercise time (47.9%) and intensity (55.8%), increased stockpiling of food (49.6%) and stress eating (61.2%). Hispanics were less likely to report anxiety vs NHWs (adjusted odds ratios 0.16; 95% CI, 0.05‐0.49; P = .009). Results here showed the COVID‐19 pandemic is having a significant impact on patients with obesity regardless of infection status. These results can inform clinicians and healthcare professionals about effective strategies to minimize COVID‐19 negative outcomes for this vulnerable population now and in post‐COVID‐19 recovery efforts.

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Are Patients Suffering from Severe Obesity Getting a Raw Deal During COVID-19 Pandemic?

Cited by 19 publications

References 10 publications

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

Quarantine during COVID-19 outbreak: Changes in diet and physical activity increase the risk of cardiovascular disease

Impact of COVID‐19 stay‐at‐home orders on weight‐related behaviours among patients with obesity

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