Relationship between stress and weight management behaviors during the COVID-19 pandemic among those enrolled in an internet program.
Relationship between stress and weight management behaviors during the COVID-19 pandemic among those enrolled in an internet program.
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DOI：
10.1002/osp4.465
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发表时间：
2021-03
影响因子：
2.2
通讯作者：
Unick JL
中科院分区：
文献类型：
--
作者：
Pellegrini CA;Webster J;Hahn KR;Leblond TL;Unick JL
2019冠状病毒病大流行导致强制留在家里的命令，可能导致心理健康的变化（例如，压力，焦虑）和挑战，保持健康的饮食和身体活动行为。这项研究调查了在COVID-19大流行期间，参加基于互联网的减肥计划的成年人的压力如何与心理健康和减肥行为相关。参加减肥计划的参与者居住在美国罗得岛或马萨诸塞州，他们完成了一项关于他们在COVID-19大流行期间的心理健康和当前减肥行为的简短调查。调查于2020年4月14日至2020年4月21日期间完成，即强制执行居家令后约一个月。线性回归用于检查压力，心理健康和减肥行为之间的关联。共有99名参与者完成了调查（79%女性，91%白色，52.2 ± 9.8岁，34.0 ± 5.2 kg/m2，77%报告中度至极度压力）。更大的压力与更高的BMI（p = 0.04），更高的教育程度（p = 0.04），工作时间更长（p = 0.003）和家中有学龄儿童（p = 0.002）相关。在控制BMI和教育之后，更大的压力也与更高的焦虑，担心和对COVID-19的担忧（p <0.001）以及花费在减肥努力上的时间更少（p < 0.001）相关。与疫情前相比，许多参加减肥计划的人在COVID-19期间经历了更大的压力。这种压力与更多的心理健康挑战以及更难找到时间进行体重管理有关。
The COVID‐19 pandemic resulted in mandated stay‐at‐home orders, potentially resulting in changes in mental health (e.g., stress, anxiety) and challenges maintaining healthy dietary and physical activity behaviors. This study examined how stress was associated with mental well‐being and weight loss behaviors during the COVID‐19 pandemic among adults enrolled in an internet‐based weight loss program. Participants enrolled in a weight‐loss program residing in Rhode Island or Massachusetts, USA, completed a brief survey on their mental health and current weight‐loss behaviors during the COVID‐19 pandemic. Surveys were completed between 14 April 2020 and 21 April 2020, approximately one month after stay‐at‐home orders were mandated. Linear regression was used to examine associations between stress, mental health, and weight‐loss behaviors. A total of 99 participants completed the survey (79% female, 91% white, 52.2 ± 9.8 years, 34.0 ± 5.2 kg/m2, 77% reported moderate to extreme stress). Greater stress was associated with higher BMI (p = 0.04), higher education (p = 0.04), working more hours (p = 0.003), and having school‐age children at home (p = 0.002). Greater stress was also associated with higher levels of anxiety, worry, and concern regarding COVID‐19 (p's < 0.001) and having less time to spend on weight‐loss efforts (p < 0.001), after controlling for BMI and education. Many individuals enrolled in a weight‐loss program experienced more stress during COVID‐19 compared to before the pandemic. This stress was related to more mental health challenges as well as more difficulties finding time for weight management efforts.
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