Weight gain, weight management and medical care for individuals living with overweight and obesity during the COVID-19 pandemic (EPOCH Study).
Weight gain, weight management and medical care for individuals living with overweight and obesity during the COVID-19 pandemic (EPOCH Study).
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DOI：
10.1002/osp4.591
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发表时间：
2022-10
影响因子：
2.2
通讯作者：
Vallis, Michael
中科院分区：
文献类型：
--
作者：
Glazer, Stephen A.;Vallis, Michael
对于肥胖患者来说，2019年冠状病毒病(新冠肺炎)大流行对医疗保健和与体重相关的体验构成了挑战。这一影响的规模需要进一步关注，以优化患者护理和结果。这项研究的目的是评估新冠肺炎大流行和封锁对获得和体验医疗保健、体重增加和管理策略的影响，以及体重增加的预测因素。一项在线调查(2020年6月至10月)进行了两个样本；一个是加拿大超重和肥胖患者的代表(n=1089)，另一个是通过肥胖临床服务或患者组织招募的个人(n=980)。不到一半的受访者认为他们的医疗服务提供者可以为他们提供医疗服务，而且比起远程医疗，他们更喜欢面对面的预约。只有四分之一的人对他们的肥胖护理感到满意。60%的受访者报告体重增加(平均增加5.65公斤[公斤])，39.0%的人体重增加超过5%(10.2%的人增加超过10%)。超过一半的受访者体验到健康饮食或锻炼的动力减弱。三分之一的人经历了更频繁和更多的食物消费。尽管约有20%的人出现睡眠恶化，但吸烟、饮酒或大麻的使用并没有显著增加。体重增加的预测因素是较年轻的患者、较高的体重类别、在大流行期间难以获得医疗护理的人，以及那些进食困难的人。这些结果表明，新冠肺炎大流行对超重和肥胖患者的护理产生了负面影响，与体重增加有关，并干扰了体重管理策略。应更多地关注个性化体重管理和关注体重增加预测因素的干预措施。
Medical care and weight related experiences have been challenged by the coronavirus disease 2019 (COVID‐19) pandemic for those living with obesity. The magnitude of this impact requires further attention in order to optimize patient care and outcomes. The aim of this study was to assess the impact of the COVID‐19 pandemic and lockdown on access to, and experience of, medical care, weight gain and management strategies, as well as predictors of weight gain. An online survey (June–October 2020) was conducted with two samples; one representative of Canadians living with overweight and obesity (n = 1089) and a second of individuals recruited through obesity clinical services or patient organizations (n = 980). Less than half of the total respondents thought that their providers were available for their medical care and most preferred in‐person appointments over telemedicine. Only one quarter were satisfied with their obesity care. Sixty percent of the respondents reported weight gain (on average 5.65 kilograms [kg] gained), with 39.0% gaining more than 5% of their body weight (10.2% gained more than 10%). Over half of the respondents experienced decreased motivation for healthy eating or exercise. One third experienced more frequent and greater food consumption. Although worsening sleep occurred in approximately 20%, there was no significant increase in smoking, alcohol, or cannabis use. Predictors of weight gain were younger patients, higher weight categories, those who struggled with obtaining medical care during the pandemic, as well as those who struggled with eating. These results suggest that the COVID‐19 pandemic negatively impacted patient care for those living with overweight and obesity and was associated with weight gain and interfered with weight management strategies. Greater attention to personalized weight management and interventions that focus on the predictors of weight gain should be undertaken.
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