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- Title
Effect of SARS-CoV-2 (COVID-19) Pandemic and Lockdown on Body Weight, Maladaptive Eating Habits, Anxiety, and Depression in a Bariatric Surgery Waiting List Cohort.
- Authors
Albert, Umberto; Losurdo, Pasquale; Leschiutta, Alessia; Macchi, Serena; Samardzic, Natasa; Casaganda, Biagio; de Manzini, Nicolò; Palmisano, Silvia
- Abstract
Purpose: On January 30, 2020, the World Health Organization declared COVID-19 as a "public health emergency of international concern." The primary aim of the study was to evaluate weight and food habit changes during COVID-19 outbreak. The secondary endpoint was to explore the psychological factors, arising during the pandemic, influencing weight and dietary variations. Materials and Methods: A survey composed of four different items was conducted by telephone interview: (1) anthropometric data and type of procedure, (2) Hospital Anxiety and Depression Scale (HADS), (3) maladaptive eating behaviors, and (4) personal feelings moved by the COVID-19 spread and lockdown. Results: Fifty-six patients were enrolled. No significant changes in weight, BMI, and maladaptive eating habits were observed. A significant reduction in the anxiety index score was observed. In 17.8% of cases, a change in obesity class was reported, and among these patients, a substantial modification in bariatric procedures was planned (60%). Conclusion: This study showed no effect on weight and BMI nor on rates of maladaptive eating habits associated with quarantine/social isolation among severely obese individuals waiting for the bariatric surgery. At the end of lockdown, a considerable proportion of patients modified their initial obesity class, and in selected cases, it could represent a criteria for rearrangement of the planned bariatric procedure. In obese patients, the lockdown and social distancing generated a reduction of fear of confronting and being negatively judged by others. This psychological aspect was assessed with the reduction of the HADS score.
- Subjects
WORLD Health Organization; FOOD habits; COVID-19; SARS-CoV-2; STAY-at-home orders; BARIATRIC surgery; GASTRIC bypass
- Publication
Obesity Surgery, 2021, Vol 31, Issue 5, p1905
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05257-5