COVID-19-Related Home Confinement in Adults: Weight Gain Risks and Opportunities
COVID-19-Related Home Confinement in Adults: Weight Gain Risks and Opportunities
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DOI：
10.1002/oby.22904
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发表时间：
2020-08-06
期刊：
影响因子：
6.9
通讯作者：
Cooper, Jamie A.
中科院分区：
文献类型：
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作者：
Bhutani, Surabhi;Cooper, Jamie A.
随着全球冠状病毒（COVID-19）大流行的展开，超过90%的美国成年居民被限制在家中，餐馆，商店，学校和工作场所关闭以防止疾病传播。虽然减轻眼前的影响是一个优先事项，但一个令人极为关切的领域是这种流行病对成年人体重管理的长期影响。从以前的研究中可以看出，体重在相对较短的时间内发生的微小变化可能会成为永久性的，并随着时间的推移导致体重大幅增加（1）。考虑到目前的情况可能会持续几个月，这种延长的家庭监禁可能会加剧成年人的肥胖问题，因为它会大大促进或超过每年的体重增加。虽然条件或背景不同，但我们可以谨慎地将延长的家庭监禁与假期（2-4）和假期（5）体重增加的文献进行比较。他们都有一个共同点，那就是偏离常规。通过对假期或休假如何影响体重管理的研究，我们知道了几件可能与当前因COVID-19而发生的就地避难情况有关的事情。首先，体重和脂肪量的显著积累可以在相对较短的时间内发生（3-6）;第二，超重和肥胖的个体体重增加的风险更大（3）;第三，经常锻炼或先前高能量消耗的人不一定能避免体重增加（3，4，7）;第四，在很短的时间内增加的体重可能会在某些人群中保持不变，女性的风险最大（5，6）;第五，饮食行为的变化可能是能量过剩的主要驱动力（4）。如果我们将这一知识应用于因COVID-19而延长的家庭隔离，成年人的体重或脂肪量很可能会显著增加，而超重或肥胖的女性和成年人的永久性变化风险最大。
As the global coronavirus (COVID-19) pandemic unfolds, more than 90% of US adult residents are confined to their homes, with restaurants, shops, schools, and workplaces shut down to prevent disease spread. Although it is a priority to mitigate the immediate impact, one area of great concern is the long-term effects of this pandemic on weight management in adults. As evident from previous research, small changes in body weight in relatively short periods can become permanent and lead to substantial weight gain over time (1). Considering that the current situation could last a total of several months, this extended home confinement could exacerbate the problem of obesity in adults by substantially contributing to or exceeding annual weight gain.Though not identical conditions or contexts, we can cautiously draw parallels between the extended home confinement and the literature on holiday (2-4) and vacation (5) weight gain. One thing they all have in common is a deviation from usual routines. Through research on how holidays or vacations impact weight management, we know several things that may be relevant to the current shelter-in-place situations occurring as a result of COVID-19. First, significant weight and fat mass accumulation can occur during a relatively short period (3-6); second, individuals with overweight and obesity are at greater risk for this weight gain (3); third, regular exercisers or those with a previous high energy expenditure are not necessarily protected from weight gain (3, 4, 7); fourth, weight that is gained during a very short period is likely to remain in some populations, with women being at the greatest risk (5, 6); and fifth, changes in eating behavior are likely the main driver toward energy surplus (4). If we apply this knowledge to extended home confinement because of COVID-19, it is quite possible that significant body weight or fat mass gain is going to occur in adults, with women and adults with overweight or obesity being at the greatest risk for permanent change.