Changes in appetite during quarantine and their association with pre-COVID-19 mental and physical health.

Changes in appetite during quarantine and their association with pre-COVID-19 mental and physical health.
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DOI:
10.1016/j.appet.2022.106104
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发表时间:
2022-09-01
期刊:
影响因子:
5.4
通讯作者:
Cycowicz, Yael M.
Cycowicz, Yael M.
中科院分区:
医学2区
文献类型:
--
作者:
Rodriguez-Moreno, Diana, V;Vazquez, Sima;Cheslack-Postava, Keely;Xu, Guangling;Cycowicz, Yael M.

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COVID-19大流行导致高度的恐惧、焦虑和压力。在2019冠状病毒病大流行期间实施全球隔离的最初几个月,已有身心健康状况的人可能更容易受到日常习惯突然改变的影响。我们设计了隔离、焦虑和饮食(QUAD)调查,以调查预先存在的健康状况对COVID-19压力和饮食行为关系的影响。这项匿名调查是在网上进行的,只有成年人有资格参加。结果表明,在这段压力时期,有健康状况的反应者在饮食行为上与健康参与者不同。与健康人群相比,在COVID-19大流行期间,因压力而食欲增加的既存身体疾病人群较少。与健康的反应者相比,预先存在精神疾病的反应者更有可能表现出食欲增加或减少。此外,与正常BMI相比,较高的BMI与较高的食欲增加率相关,而低BMI则显示出较高的食欲下降率。QUAD调查表明,患有COVID-19前精神疾病的个体在压力下出现适应不良饮食行为的风险更高。由于预先存在的精神疾病和急性压力源是饮食失调的已知风险因素,因此应特别关注那些处于风险中的人,以调解压力和焦虑的心理和身体影响。
The COVID-19 Pandemic resulted in high levels of fear, anxiety, and stress. People with pre-existing physical and mental health conditions may have been more affected by the sudden changes in daily habits during the initial months of global quarantine imposed during the COVID-19 pandemic. We designed the Quarantine, Anxiety, and Diet (QUAD) Survey to investigate the effect of pre-existing health conditions on the relationship of COVID-19 stress and food behavior. The anonymous survey was distributed online and only adults were eligible to participate. The results showed that responders with pre-existing health conditions differed from healthy participants in eating behavior during this time of stress. Compared to those classified as healthy, fewer people with pre-existing physical illness showed an increase in appetite with stress during the COVID-19 pandemic. Responders with pre-existing psychiatric illness were more likely to show increases or decreases in appetite with stress compared to healthy responders. Furthermore, higher BMI was associated with higher rate of increased appetite, whereas low BMI showed a higher rate of decreased appetite, both compared to normal BMI. The QUAD Survey demonstrated that individuals with pre-COVID-19 psychiatric conditions are at a higher risk of maladaptive food behavior under stress. Since pre-existing psychiatric illnesses and acute stressors are known risk factors for eating disorders, special attention should be placed on those at risk to mediate the psychological and physical effects of stress and anxiety.
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发表时间: 2015-01
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影响因子: --
作者:
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