Psychosocial, Lifestyle, and Body Weight Impact of COVID-19-Related Lockdown in a Sample of Participants with Current or Past History of Obesity in Spain.
Identifieur interne : 000199 ( Main/Exploration ); précédent : 000198; suivant : 000200Psychosocial, Lifestyle, and Body Weight Impact of COVID-19-Related Lockdown in a Sample of Participants with Current or Past History of Obesity in Spain.
Auteurs : Amanda Jimenez [Espagne] ; Ana De Hollanda [Espagne] ; Eva Palou [Espagne] ; Emilio Ortega [Espagne] ; Alba Andreu [Espagne] ; Judit Molero [Espagne] ; Carla Mestre [Espagne] ; Ainitze Ibarzabal [Espagne] ; Amadeu Obach [Espagne] ; Lilliam Flores [Espagne] ; Silvia Ca Izares [Espagne] ; Jose Maria Balibrea [Espagne] ; Josep Vidal [Espagne] ; Joan Escarrabill [Espagne] ; Violeta Moize [Espagne]Source :
- Obesity surgery [ 1708-0428 ] ; 2021.
Abstract
PURPOSE
Home lockdown and isolation due to COVID-19 have been related to negative changes in mood, sleep, and eating behaviors. People with obesity are especially vulnerable to emotional eating and might be more prone to weight gain and negative outcomes during lockdown.
MATERIALS AND METHODS
Individuals scheduled for an appointment at the Obesity Unit of a Tertiary Hospital between March 16 and June 21 (n=1230). An online survey was distributed on May 11. Multivariable logistic regression models and general linear models were used to assess the relationship between perceived COVID-19 threat, BS status, and outcome variables.
RESULTS
Of the 603 (72.0% females, 39% aged >55 years) respondents, 223 (36.9%) were BS naïve (non-BS), 134 (22.2%) underwent BS within the two previous years (BS<2y), and 245 (40.6%) more than 2 years before (BS>2y). Participants worried about being infected by COVID-19 showed significantly larger changes in family contact (p=0.04), mood (p<0.01), sleep (p<0.01), dietary habits (p=0.05), purchases of unhealthy food (p=0.02), snacking (p=0.05), and physical activity (p=0.02). Non-BS and BS>2y participants reported greater impact of lockdown in mood (p<0.01), experienced more negative changes in dietary habits (p<0.01), and had a higher likelihood for weight gain (OR: 5.61, 95% CI: 3.0-10.46; OR: 5.45, 95% CI: 2.87-10.35, respectively) compared to BS<2y.
CONCLUSIONS
COVID-19 pandemic is having a substantial negative impact in our population affected by obesity. During lockdown, people more than 2 years before BS behave like people without history of BS. Strategies addressed to prevent negative metabolic outcomes in this population are urgently needed.
DOI: 10.1007/s11695-021-05225-z
PubMed: 33486709
PubMed Central: PMC7826154
Affiliations:
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Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Ca Izares, Silvia" sort="Ca Izares, Silvia" uniqKey="Ca Izares S" first="Silvia" last="Ca Izares">Silvia Ca Izares</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Balibrea, Jose Maria" sort="Balibrea, Jose Maria" uniqKey="Balibrea J" first="Jose Maria" last="Balibrea">Jose Maria Balibrea</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Vidal, Josep" sort="Vidal, Josep" uniqKey="Vidal J" first="Josep" last="Vidal">Josep Vidal</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Escarrabill, Joan" sort="Escarrabill, Joan" uniqKey="Escarrabill J" first="Joan" last="Escarrabill">Joan Escarrabill</name><affiliation wicri:level="3"><nlm:affiliation>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Moize, Violeta" sort="Moize, Violeta" uniqKey="Moize V" first="Violeta" last="Moize">Violeta Moize</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. 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Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="De Hollanda, Ana" sort="De Hollanda, Ana" uniqKey="De Hollanda A" first="Ana" last="De Hollanda">Ana De Hollanda</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Palou, Eva" sort="Palou, Eva" uniqKey="Palou E" first="Eva" last="Palou">Eva Palou</name><affiliation wicri:level="3"><nlm:affiliation>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ortega, Emilio" sort="Ortega, Emilio" uniqKey="Ortega E" first="Emilio" last="Ortega">Emilio Ortega</name><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Endocrinology Department, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Endocrinology Department, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Andreu, Alba" sort="Andreu, Alba" uniqKey="Andreu A" first="Alba" last="Andreu">Alba Andreu</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Molero, Judit" sort="Molero, Judit" uniqKey="Molero J" first="Judit" last="Molero">Judit Molero</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Mestre, Carla" sort="Mestre, Carla" uniqKey="Mestre C" first="Carla" last="Mestre">Carla Mestre</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ibarzabal, Ainitze" sort="Ibarzabal, Ainitze" uniqKey="Ibarzabal A" first="Ainitze" last="Ibarzabal">Ainitze Ibarzabal</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Obach, Amadeu" sort="Obach, Amadeu" uniqKey="Obach A" first="Amadeu" last="Obach">Amadeu Obach</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Flores, Lilliam" sort="Flores, Lilliam" uniqKey="Flores L" first="Lilliam" last="Flores">Lilliam Flores</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Ca Izares, Silvia" sort="Ca Izares, Silvia" uniqKey="Ca Izares S" first="Silvia" last="Ca Izares">Silvia Ca Izares</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Balibrea, Jose Maria" sort="Balibrea, Jose Maria" uniqKey="Balibrea J" first="Jose Maria" last="Balibrea">Jose Maria Balibrea</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Vidal, Josep" sort="Vidal, Josep" uniqKey="Vidal J" first="Josep" last="Vidal">Josep Vidal</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Escarrabill, Joan" sort="Escarrabill, Joan" uniqKey="Escarrabill J" first="Joan" last="Escarrabill">Joan Escarrabill</name><affiliation wicri:level="3"><nlm:affiliation>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Moize, Violeta" sort="Moize, Violeta" uniqKey="Moize V" first="Violeta" last="Moize">Violeta Moize</name><affiliation wicri:level="3"><nlm:affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain. vmoize@clinic.cat.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Obesity surgery</title><idno type="eISSN">1708-0428</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Home lockdown and isolation due to COVID-19 have been related to negative changes in mood, sleep, and eating behaviors. People with obesity are especially vulnerable to emotional eating and might be more prone to weight gain and negative outcomes during lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>Individuals scheduled for an appointment at the Obesity Unit of a Tertiary Hospital between March 16 and June 21 (n=1230). An online survey was distributed on May 11. Multivariable logistic regression models and general linear models were used to assess the relationship between perceived COVID-19 threat, BS status, and outcome variables.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of the 603 (72.0% females, 39% aged >55 years) respondents, 223 (36.9%) were BS naïve (non-BS), 134 (22.2%) underwent BS within the two previous years (BS<2y), and 245 (40.6%) more than 2 years before (BS>2y). Participants worried about being infected by COVID-19 showed significantly larger changes in family contact (p=0.04), mood (p<0.01), sleep (p<0.01), dietary habits (p=0.05), purchases of unhealthy food (p=0.02), snacking (p=0.05), and physical activity (p=0.02). Non-BS and BS>2y participants reported greater impact of lockdown in mood (p<0.01), experienced more negative changes in dietary habits (p<0.01), and had a higher likelihood for weight gain (OR: 5.61, 95% CI: 3.0-10.46; OR: 5.45, 95% CI: 2.87-10.35, respectively) compared to BS<2y.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>COVID-19 pandemic is having a substantial negative impact in our population affected by obesity. During lockdown, people more than 2 years before BS behave like people without history of BS. Strategies addressed to prevent negative metabolic outcomes in this population are urgently needed.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33486709</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-0428</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>23</Day></PubDate></JournalIssue><Title>Obesity surgery</Title><ISOAbbreviation>Obes Surg</ISOAbbreviation></Journal><ArticleTitle>Psychosocial, Lifestyle, and Body Weight Impact of COVID-19-Related Lockdown in a Sample of Participants with Current or Past History of Obesity in Spain.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11695-021-05225-z</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Home lockdown and isolation due to COVID-19 have been related to negative changes in mood, sleep, and eating behaviors. People with obesity are especially vulnerable to emotional eating and might be more prone to weight gain and negative outcomes during lockdown.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Individuals scheduled for an appointment at the Obesity Unit of a Tertiary Hospital between March 16 and June 21 (n=1230). An online survey was distributed on May 11. Multivariable logistic regression models and general linear models were used to assess the relationship between perceived COVID-19 threat, BS status, and outcome variables.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 603 (72.0% females, 39% aged >55 years) respondents, 223 (36.9%) were BS naïve (non-BS), 134 (22.2%) underwent BS within the two previous years (BS<2y), and 245 (40.6%) more than 2 years before (BS>2y). Participants worried about being infected by COVID-19 showed significantly larger changes in family contact (p=0.04), mood (p<0.01), sleep (p<0.01), dietary habits (p=0.05), purchases of unhealthy food (p=0.02), snacking (p=0.05), and physical activity (p=0.02). Non-BS and BS>2y participants reported greater impact of lockdown in mood (p<0.01), experienced more negative changes in dietary habits (p<0.01), and had a higher likelihood for weight gain (OR: 5.61, 95% CI: 3.0-10.46; OR: 5.45, 95% CI: 2.87-10.35, respectively) compared to BS<2y.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">COVID-19 pandemic is having a substantial negative impact in our population affected by obesity. During lockdown, people more than 2 years before BS behave like people without history of BS. Strategies addressed to prevent negative metabolic outcomes in this population are urgently needed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jimenez</LastName><ForeName>Amanda</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Hollanda</LastName><ForeName>Ana</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Palou</LastName><ForeName>Eva</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ortega</LastName><ForeName>Emilio</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Endocrinology Department, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andreu</LastName><ForeName>Alba</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Molero</LastName><ForeName>Judit</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mestre</LastName><ForeName>Carla</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ibarzabal</LastName><ForeName>Ainitze</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Obach</LastName><ForeName>Amadeu</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flores</LastName><ForeName>Lilliam</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cañizares</LastName><ForeName>Silvia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Balibrea</LastName><ForeName>Jose Maria</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vidal</LastName><ForeName>Josep</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Escarrabill</LastName><ForeName>Joan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moize</LastName><ForeName>Violeta</ForeName><Initials>V</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-8954-1206</Identifier><AffiliationInfo><Affiliation>Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain. vmoize@clinic.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain. vmoize@clinic.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain. vmoize@clinic.cat.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Obes Surg</MedlineTA><NlmUniqueID>9106714</NlmUniqueID><ISSNLinking>0960-8923</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Bariatric surgery</Keyword><Keyword MajorTopicYN="N">Concern</Keyword><Keyword MajorTopicYN="N">Eating behaviors</Keyword><Keyword MajorTopicYN="N">Mood</Keyword><Keyword MajorTopicYN="N">Physical activity</Keyword><Keyword MajorTopicYN="N">Weight gain</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>11</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2021</Year><Month>01</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2021</Year><Month>01</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>24</Day><Hour>20</Hour><Minute>53</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33486709</ArticleId><ArticleId IdType="doi">10.1007/s11695-021-05225-z</ArticleId><ArticleId IdType="pii">10.1007/s11695-021-05225-z</ArticleId><ArticleId 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