Weight Gain in a Sample of Patients Affected by Overweight/Obesity with and without a Psychiatric Diagnosis during the Covid-19 Lockdown

Marchitelli, Serena; Mazza, Cristina; Lenzi, Andrea; Ricci, Eleonora; Gnessi, Lucio; Roma, Paolo

doi:10.3390/nu12113525

Cited by 55 publications

(83 citation statements)

References 39 publications

(31 reference statements)

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“…In our study, 7.2%-72.4% of all participants including both adults and children , experienced an increase in body weight during the confinement periods (21,23,25,26,33,(35)(36)(37)(39)(40)(41)43,44,(44)(45)(46)(47)(48)(49)(49)(50)(51)(52)55,57,(57)(58)(59)(60)(61)(62)(64)(65)(66)(67)(68) (Figure 2). The mean weight gain ranged from 0.6 (±1.3) to 3.0 (±2.4) kg.…”

Section: Impact Of Confinement On Body Weightmentioning

confidence: 54%

“…There was a higher weight gain among participants who self-reported stress (26,45,55,56,58,61,62) , anxiety and depression (23,52,58,61,62) . Weight loss was observed in 11.1%-32.0% of participants (21,25,33,35,37,40,51,52,55,60,65,68) .…”

Section: Impact Of Confinement On Body Weightmentioning

confidence: 97%

“…We excluded 10 studies based on a quality assessment of the results, and 27 studies were excluded based on reasons presented in the PRISMA flow diagram (Figure 1). The range of observations covered dietary choices (14,(21)(22)(23)(24)(25)(26)(33)(34)(35)(36)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47) , lifestyle changes in children (24,36,(48)(49)(50)(51) , physical activity levels (33)(34)(35)37,38,(38)(39)(40)(41)43,46,47,49,52,53,(53)(54)(55)(56)(57)(58)(59)(60) , psychosocial factors (22,23,<...>…”

Section: Categorization Of Determinantsmentioning

confidence: 99%

“…The copyright holder for this preprint this version posted March 5, 2021. ; https://doi.org/10.1101/2021.03.03.21252806 doi: medRxiv preprint This intake was associated with an enhanced appetite and after-dinner hunger (21,37,39,45) .…”

Section: Behavior Changes Observed In Obese Participantsmentioning

confidence: 99%

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Systematic review of the effects of pandemic confinements on body weight and their determinants

Khan

Menon

Govender

et al. 2021

Preprint

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Pandemics and subsequent lifestyle restrictions such as lockdowns may have unintended consequences including alterations in body weight. Understanding the impact and the mechanisms affecting body weight is paramount for planning effective public health measures for both now and future lockdown-type situations. This systematic review assesses and the impact of pandemic confinement on body weight and to identifies contributory factors. A comprehensive literature search was performed in seven electronic databases and in gray sources from their inception until 1st July 2020 with an update in PubMed and Scopus on 1st February 2021. In total, 2,361 unique records were retrieved, of which 41 studies were identified eligible: 1 case-control study, 14 cohort and 26 cross-sectional studies (469362 total participants). Weight gain occurred predominantly in participants who were already overweight or obese. Associated factors included increased consumption of unhealthy food with decreased intake of healthy fresh fruits and vegetables, changes in physical activity, and altered sleep patterns. Weight loss during the pandemic was observed in individuals with previous low weight, and those who ate less and were more physically active before lock down. Associated factors included increased intake of fruits and vegetables, drinking more water and consuming no alcohol. Maintaining a stable weight was more difficult in populations with reduced income particularly in individuals with lower educational attainment. The findings of this systematic review highlight the short-term effects of pandemic confinements. Learning from the lockdown experience is fundamental if we are to prepare for the next wave; a holistic, reactive, tailored response is needed involving multiple providers.

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Section: Impact Of Confinement On Body Weightmentioning

confidence: 54%

Section: Impact Of Confinement On Body Weightmentioning

confidence: 97%

Section: Categorization Of Determinantsmentioning

confidence: 99%

Section: Behavior Changes Observed In Obese Participantsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of the effects of pandemic confinements on body weight and their determinants

Khan

Menon

Govender

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The findings have demonstrated a significant psychological impact on individual well-being, characterized by higher levels of Anxiety, Depression, and Stress [ 3 , 4 , 5 , 6 , 7 , 8 ]. Recent studies conducted during the COVID-19 pandemic have shown similar consequences of the lockdown on psychophysical wellness in the general population [ 9 , 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Psychological and Emotional Impact of Patients Living in Psychiatric Treatment Communities during Covid-19 Lockdown in Italy

Burrai

Roma

Barchielli

et al. 2020

JCM

Self Cite

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Most studies on well-being during the COVID-19 pandemic have focused on the mental health of the general population; far less attention has been given to more specific populations, such as patients with mental illness. Indeed, it is important to examine the psychiatric population, given its vulnerability. The present study aimed at assessing the psychological and emotional impact of isolation on patients in Residential Rehabilitation Communities, compared to healthy controls. A questionnaire was administered cross-sectionally on an online survey platform and both psychiatric patients and healthy controls accessed via a designed link. The results showed significant differences between psychiatric patients and controls on Anxiety, Stress, Worry, and Risk Perception variables. Psychiatric patients scored lower on Stress compared to healthy controls and higher on Anxiety, Perceived Risk of getting infected with COVID-19 and Worry about the emergency situation. The results showed that, during the Italian lockdown, psychiatric patients living in residential communities received unbroken support from peers and mental health professionals, maintained their usual medication treatment, and were informed of COVID-19 consequences. This finding provides insight into the differences between residential and healthy populations and highlights the importance of continuous support for psychiatric patients, especially during stressful situations such as a pandemic.

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Effects of COVID‐19 lockdown on eating disorders and obesity: A systematic review and meta‐analysis

Sideli

Coco

Bonfanti

et al. 2021

Euro Eating Disorders Rev

114

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Objective: This systematic review and meta-analysis aimed to examine: the pooled prevalence of symptomatic behaviours and mental health deterioration amongst individuals with eating disorders (EDs) and obesity during the COVID-19 confinement. Moreover, we examined changes in EDs and distress before and during the confinement, and the association between psychosocial factors and EDs symptoms. Method: A systematic search was carried out in biomedical databases from January 2020 to January 2021. Both cross-sectional and longitudinal studies that used quantitative measures of ED symptoms and psychological distress during and after the COVID-19 confinement were included.Results: A total of 26 studies met inclusion criteria (n = 3399, 85.7% female). The pooled prevalence of symptomatic deterioration in EDs was 65% (95% CI [48,81], k = 10). The pooled prevalence of increased weight in obesity was 52% (95% CI [25,78], k = 4). More than half of the participants experienced depression and anxiety. Moreover, at least 75% of the individuals with EDs reported shape and eating concerns, and increased thinking about exercising. However, the pooled analyses of longitudinal studies showed no significant differences from pre-pandemic levels to the first lockdown phase in Body Mass Index and ED symptoms, whereas only few studies suggested increased distress, particularly among individuals with anorexia nervosa. Conclusions: The majority of individuals with EDs and obesity reported symptomatic worsening during the lockdown. However, further longitudinal studies are needed to identify vulnerable groups, as well as the long-term consequences of COVID-19.

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Weight Gain in a Sample of Patients Affected by Overweight/Obesity with and without a Psychiatric Diagnosis during the Covid-19 Lockdown

Cited by 55 publications

References 39 publications

Systematic review of the effects of pandemic confinements on body weight and their determinants

Systematic review of the effects of pandemic confinements on body weight and their determinants

Psychological and Emotional Impact of Patients Living in Psychiatric Treatment Communities during Covid-19 Lockdown in Italy

Effects of COVID‐19 lockdown on eating disorders and obesity: A systematic review and meta‐analysis

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