1. Managing Obesity in Lockdown: Survey of Health Behaviors and Telemedicine
- Author
-
Noga C. Minsky, Miriam Ben-Hamo, Naama Chishlevitz, Galia Zacay, Dana Weiner, Gabriella Segal-Lieberman, and Dafna Pachter
- Subjects
Adult ,Male ,Telemedicine ,Cross-sectional study ,mood ,Health Behavior ,030209 endocrinology & metabolism ,Weight Gain ,Article ,03 medical and health sciences ,0302 clinical medicine ,Weight loss ,Environmental health ,Surveys and Questionnaires ,Weight management ,Weight Loss ,Medicine ,Humans ,TX341-641 ,030212 general & internal medicine ,Obesity ,dietary habits ,Exercise ,Life Style ,Aged ,Nutrition and Dietetics ,business.industry ,Nutrition. Foods and food supply ,SARS-CoV-2 ,Weight change ,social distancing ,quarantine ,COVID-19 ,Feeding Behavior ,Middle Aged ,medicine.disease ,Diet ,Obesity Management ,Mood ,Cross-Sectional Studies ,Communicable Disease Control ,Female ,medicine.symptom ,business ,Weight gain ,Food Science - Abstract
Since the outbreak of COVID-19, billions of people have gone into lockdown, facing pandemic related challenges that engender weight gain, especially in the obese. We report the results of an online survey, conducted during Israel’s first quarantine, of 279 adults treated in hospital-based obesity clinics with counseling, medications, surgery, endoscopic procedures, or any combination of these for weight loss. In this study, we assessed the association between changes in dietary and lifestyle habits and body weight, and the benefits of receiving weight management care remotely through telemedicine during lockdown. Compared to patients not receiving obesity care via telemedicine, patients receiving this care were more likely to lose weight (OR, 2.79, p = 0.042) and also to increase participation in exercise (OR, 2.4, p = 0.022). While 40% of respondents reported consuming more sweet or salty processed snacks and 33% reported less vegetables and fruits, 65% reported more homemade foods. At the same time, 40% of respondents reported a reduction in exercise and 52% reported a decline in mood. Alterations in these eating patterns, as well as in exercise habits and mood, were significantly associated with weight changes. This study highlights that lockdown affects health behaviors associated with weight change, and advocates for the use of telemedicine to provide ongoing obesity care during future quarantines in order to promote weight loss and prevent weight gain.
- Published
- 2021